HomeMy WebLinkAboutPermit Miscellaneous 2009-2-4
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Status
Iss u ed
CITY OF SPRINuJ'lJi.LD
Building/Combination Permit
PERMIT NO: COM2009-00167
ISSUED: 02/04/2009
APPLIED: 02/04/2009
EXPIRES: 08/04/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 838 G ST
ASSESSOR'S PARCEL NO.: 1703351207200
Springfield TYPE OF WORK:
TYPE OF USE:
PROJECT DESCRIPTION:
~~~/11l
Owner: DREXLER AMORETTE
Address: 838 G ST
SPRINGFIELD OR 97477
Contractor Type
Plumbing
I CONTRACWR INFORMATION I
Contractor License
READY ROOTER DRAIN CLEANING & R S~92524
BUILDING INFORMATION I
Expiration Date
02/18/2009
Phone,'
541-744'_7991
'# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
.1 DEVELOPMENT m~vKMATlON I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total: ~
Handicapped:
Compact:
,-
I PUBLIC IMPROVEIV\E~N'f<S'ITlON: 01'0 '
N ,-" 11I1es, .r ....gol1 f~IM..>::r, .
otlfiCElti 'Sld~_'Y,!IlkbType:-qUlres y
, , in OAR on Center 7'~.J' 'he QrR au to
0090 952'OOP-B1Y"spoutSiQ,~~~1~flon Utility
CEl/;in You mEly Obt~~ thrCUgh OA~~ Set forth
nUmbe~ ~he center, (N~~Ples of the r~i'OOI-
Notes: Nay! or the Ore e: the tel es by
',;,.: CF.: Center is j ~O!] Utilit\! ^,~,~phone '
,'J I"U'IM/T .. u0"'2344)-~"un
r""II'IZED JHALL EXPIR I Valuation DescriDtion I .
, II: iCFD IVDER THIS E /F THE. tit
DescriptionS~ DA-ifyQl;)iJ:;qnstr,\I.C~{;&M/T I~ "'~l~t Square Footage
r I"ERIOD ~r,iVUONED 0# 'VtTrP ler or Bid Amount
, FOR
Street Improvements:
Storm Sewcr Available:
Special Instruction:
. ~...
Value
Date Calculated
, Paee I of2
Status
Iss u ed
, CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00167
ISSUED: 02/04/2009
APPLIED: 02104/2009
EXPIRES: 08/04/2009
VALUE:
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
$9.12
$3.80
$76.00
Date Paid
2/4/09
, 2/4/09
2/4/09
Receipt Number
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 100'
Amount Paid
2200900000000000131
2200900000000000131
2200900000000000131
Total Amount Paid
$88.92
I Plan Reviews ,
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before ~:OO
a.m. wiII be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reouired Insnections .
Water Line: Prior to filling trench and including required testing.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street,thaHhe permit card is located at the front of the property, and the approved set of plans will remain on the site at all
timtdur~'ng onstrUJU"ti n. ) /p ,
l./ J/L... /&~-,~ 1-.-)- O? '
___ ..c..../
Owner oreJntractors Sig.{ature
Date
Paee 2 of2
22~ Fin:.:. Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
C0M2009-00167
COM2009-00167
COM2009-00167
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Water Line - 1st 100'
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
READY ROOTER
City of Springfield Official Receipt
Development Services Depa~tment
Public Works Department
2200900000000000131
Date: 02/04/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJrn 035470 In Person
Payment Total:
,Page I of I
10:35:07AM
Amount Due
76,00
3,80
9,12
$88.92
Amo'unt Paid
$88,92
$88.92
2/4/2009