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Home My WebLink AboutPermit Plumbing 2009-4-28 (2) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 345 38TH ST ASSESSOR'S PARCEL NO,: 1702311307100 CITY OF SPRINGl'lJ!,LD Building/Combination Permit PERMIT NO: COM2009-00565 ISSUED: 04/28/2009 APPLIED: 04/28/2009 EXPIRES: 10/28/2009 VALUE: Springfield TYPE OF WORK: Plumbing Only PROJECT DESCRIPTION: Replace water line TYPE OF USE: Repair Residential Phone Number: ATTENTION: Oregon law requires youto d 'cd by the Oregon Utility follow rulesa OPlv~,_ _M ""lno 0'" <Alforth NOtlTlGClllUl1 v~~ ";::.:..:'" .~.~~,..., ,,~h f'lAH 952-001- I C(j)N:f,RAe:-TOR'~NF~~MA:nON',f'he rules by vv~v', 'w '~-~enter (Note: the telephone Contractor C~"1~2r t~r the Or~q(,~i\:e.l1s,eNotitExpil'~tion Date GARYS ROOTER & PLu1\ffiIN91~.t:;R~,\,C"'I!0IJ7M402344). 02/28/2011 BUILDING INFORMATION I Owner: Address: NOLA OLTMAN 345 N 38TH ST SPRINGFIELD OR 97478 Contractor Type Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction 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 Tvpe of Construction ,lh? [)~ s- ~ II X 'i7A1<"-c~ 541- Phone 541-935-6350 R-3 # of Stories: Lot Size: 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 NOTI~~rgy Path: , ~ Ft Other: " ,1t:irI""'MI\\'.'i!'llXPIRE IF T.m: WORl')ccupant Load: THh ttilVill _ _nH''T IC: ~lnT I DEJVEJUOPMENT'j~tirQt&U.k~Y~FOR ,. II'" ~'I L,UIVIIVICI',lUl..V ..., . .- ANY 1 gn nAY ~ERIOD. OV'el1ay Oist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: VB REQUIRED PARKING Total: Handicapped: , Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspoutsmrains: I Valuation Descriotion I $ Per Sq Ft or multiplier Sq uare Footage or Bid Amount Value Date Calculated Page I of 2 1, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00565 ISSUED: '04/28/2009 APPLIED: 0412812009 EXPIRES: 10/2812009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P~id I Fee Description + 12% State Surcharge + 5% Technulugy Fee' Water Line - 1st 100' + 12% State Surcharge + 5% Technulugy Fee Fixture Amuunt Paid Date Paid $9.12 $3,80 $76,00 $13,68 $5,70 $1l4,OO 4/28/09 4/28/09 4/28/09 4/29/09 4/29/09 4/29/09 Receipt Number 2200900000000000448 2200900000000000448 2200900000000000448 3200900000000000282 3200900000000000282 3200900000000000282 Tutal Amuunt Paid $222,30 I Plan Reviews ,I 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 Reouired InSllections I Water Line: Priur tu filling trench and including required testing, By signature, I state and agree, tbat I have carefully examined the cumpleted applicatiun and du hereby certify that all information hereon'is true and correct, and l.further certify that any and all work performed shall be done in accordance with the Ordinances uf the City of Springfield and the Laws uf the State of Oregun pertaining tu the wurk described herein, and that NO OCCUP ANCY will be made of any structure without permissiun uf the Cummnnity Services Divisiun, Building Safety, ,I further certly that unly contracturs and employees who arc in compliance with ORS 701.005 will be used on this project. I further-iagree to ensure that,all required inspections arc requested at the proper time, that each address is readable from the street';,{Ii'ai,'t'he permit/'~ll(d1s iocated at the front of the pmperty, and the approved set of plans will remain on the site at all , /d ;.7; .1 ,.I '1ft ltm~s /,j,.7g c07!~c!,t7l ' //#11 !lV1UU, '!- ~q-01 'Uf /1 ' Owner/Ill' Contractors Signature / 1.1 " Date Paee 2 01'2 225,Fiftl<1 Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00565 COM2009-00565 COM2009-00565 Payments: Type of Payment CreditCard cReceint! RECEIPT #: Description Fixture + 5% Technology Fee + 12% State Surcharge Paid By GARY A MUSTIN ii~~: City of Springfield Official Receipt Development Services Department Public Works Department. 3200900000000000282 Date: 04129/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 006854 In Person Payment Total: Page I of 1 II:S2:27AM Amount Due 114,00 5,70 13,68 $133,38 Amount Paid $133,38 $133,38 4/29/2009