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Home My WebLink AboutPermit Plumbing 2009-4-20 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00523 ISSUED: 04/20/2009 APPLIED: 04/20/2009 EXPIRES: 10/20/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5595 B ST ASSESSOR'S PARCEL NO.: 1702334200800 Spring\ield TYPE OF WORK: Plumbing Only TYPE OF USE: Demolition Residential PROJECT DESCRIPTION: Pump and \ill septic tank Owner: Address: WHITED RICHARD JOHN PHILLIP 5595 B ST SPRINGFIELD OR 97478 Contractor Type Contractor Quires you to ,..............An I::l.W re .....".., AI 1 CPII'.......~. -- ~ h tnp ure'dU1\ '-'....-~ jo\IPG0NTRACX~Rrl'INVFcORNrNJ1IOl'I~ i~~\~ Not,,,w...' 0010IhrOuY"u.....- b . OAR 952-001- . 5 Of.the rules 'L . . In Y may obtain cOple Llcefiseone J<;xplratlOn Date 0090. ou (Note' the tel"P" . _~11;"''II"1 the center. , ':'1:'&-" 1\lntiticatlOn Phone nlJ1B{l)I:~ING-INF0RMl\\EIO"'~) . # of Units: Primary <?ccupancy Group: Secoudary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Slories: Lot Size: R-3 Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: NOTlreiukled BUildi:,~~,r>c I~ T~~WORKJccupant Load: I Dl:;viia~mN~JJ!i<tll;~I!}J!jj1 j IS NU I I\U "'V, ,,~~! - 'IS ABANDONtlJ ~OR REQUIRED PARKING COM~~~~~~f~ 8~RIOD Total: ANY 1if~tyrel trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: Froutyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I y aluation Des~riDtion I Description Type of Construction $ Per Sq Ft or mnltiplier . Square Footage or Bid Amount Value Date Calculated Paee 1 01'2 Status Issued 225 Fifth Sireet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee Sanitary' or Storm Sewer Cap Amouut Paid $6~96 $2.90 $58.00 Total Amouut Paid $67.86 Total Value of Project F,"ee's Paid, I Date Paid I. Plan Reviews , 4/20/09 4/20/09 4/20/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00523 ISSUED: 04/20/2009 APPLIED: 04/20/2009 EXPIRES: ] 012012009 VALUE: Receipt Number 2200900000000000408 2200900000000000408 2200900000000000408 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 work day. I B~rl?\1'\'r~\i IrI~~ec~jon~_ Septic Tank Pumped: After septic tank has been pumped and Iilled. Please provide the inspector with receipt and verificatiou from company performing pump and fill. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all iurol'matio" hereon 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 pertainiug to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Commuuity Services Divisiou. Buildiug Safety. 1 further certify that only coutractors 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, 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 ti~C~/ ~ Owner or COlltrac~ Signature Page 2 of 2 Date 225 Fifth Street Sr,ringfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00523 COM2009-00523 COM2009-00523 Payments: Type of Payment Cash cReceintl RECEIPT #: . 2200900000000000408 Date: 04/2012009 Description Sanitary or Storm Sewer Cap + 5% Technology Fee + 12% State Surcharge Paid By RICHARD WHITED Item Total: <":heck Number Authorization Received By Batch Number Number How Received CJC In Person Payment Total: Page I of I 12:1I:04PM Amount Due 58.00 2.90 6.96 $67.86 Amount Paid $67.86 $67.86 4/20/2009