HomeMy WebLinkAboutPermit Plumbing 2009-4-2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00447
ISSUED: 04/02/2009
APPLIED: 04/0212009
EXPIRES: 10/0212009
VALUE:
SITE ADDRESS: 3636 GAME FARM RD
ASSESSOR'S PARCEL NO.: 1703153301100
Springfield TYPE OF WORK: Plumhing Only
TYPE OF USE: Alteration
CO,mmercial
PROJECT D'ESCRIPTlON:' Sewer cap for modular building removal
Owner: JENNIFER L MATTHEWS REVOCABLE TRUST
Address: 450 FUL VUE DR
EUGENE OR 97405
I CONTRACTOR INFORM A TlON I
Contractor License
READY ROOTER DRAIN CLEANING & R SI<92524
I BUILDING INFORMA TlON ~
ContraCtor, Type
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback: .
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction: .
Notes:
Description
Type of Construction
Expiration Date
02/25/20 II
Phone
541-744-7991
# of Stories:
BATTENTlo~'<aiW&r"MW'Flllj\Jires youto
. lIow rules lJ'p~~Il'IW\he Oregon Utility
V~tification MH. ~e rules are set forth
in OAR 952-~~!WS11rmtough OAR 952-001-
0090. You mliiY'lmYalll'tlupies of the rules by
calling the~~!\.kjl.e~J&QWillw tele~hOnJi/a
_ '1 ; - --* 1....:I:.a...II.I........j:,,..~tl"....
IIU~"~'~' po"~ L ,'-' -.-;t-.. - - , -
I 6EN~i!HiMEBlitilW.oimWTION I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load: ,
REQUIRED PARKING
Overlay Dist:
#.Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
. NOTICE: sidewiwof<<: .
THIS PERMIT Sl-IflllEXP1RE ~~f~'NO"lrains:
~~~~:~~~D U~~~ ;~~ri~~EO fOR
ANY 180 DAY PERIOD.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
01: Bid Amount
Value
Date Calculated
Palie I of2
~~.rAI~p.F,lfl!o;,!:l.'
I '
. --, ',,,
eu i: OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00447
ISSUED: 04/02/2009
APPLIED: 04/02/2009
EXPIRES:' 10/02/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
54 J -726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fe~.s P~idJ
Fee Description
+ 12% State Surcharge
+5% Technology Fee
Sanitary or Storm Sewer Cap
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$58.00
,
4/2/09
4/2109
4/2/09
2200900000000000327
2200900000000000327
2200900000000000327
Total Amount Paid
$67.86
I Plan Reviews ,
To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
workday.
I Renuired Insnect'lns ,
11,,, 111111'
Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as
reqoired by the code,
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information he.'eon is true and correct, and I 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 reqnested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
. ,
J JY2 ~A--1
0/~<J
Date
Owner or Contra<;tors Signature
Page 2 of 2
22.5 Fifth Street
.(" . . -~
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journ:ll Number
COM2009:00447
COM2009-00447
COM2009-00447
Payments:
Type of Payment
CreditCard
cReceintl
. RECEIPT #:
Description
Sanitary or Stonn Sewer Cap
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
JENNIFER MA TTHEWS
8~.~._~~H_~_~~ ~Jjl_'" ,.....;:.......'..'.
ilL' Ai'
,.,~ ~
... i
""'0"','- .~__.__.__.,_.~_,' .,',_'....:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000327
Date: 04/02/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
41200c In Person
Payment Total:
Pa.ge I of I
12:01:02PM
Amount Due
58.00
2.90
6.96
$67,86
Amount Paid
$67.86
$67,86
4/2/2009