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Home My WebLink AboutPermit Plumbing 2009-5-1 . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00596 ISSUED: 05/01/2009 APPLIED: 05/01/2009 EXPIRES: 11/01/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6883 FORSYTHIA ST ASSESSOR'S PARCEL NO.: 1802031101800 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair PROJECT DESCRIPTION: Water line - (Emergency Repair due to water leak). Residential Owner: Address: TOWERY JEFFREY R & DORIS G 6883 FORSYTHIA ST SPRINGFIELD OR 97478 I CON!RACTOR INFORMATION. Contractor Type Mechanical Contractor HARVEY & PRICE CO License 77 Expiration Date 10/31/2010 Phone 541-746-1621 BUILDING I~FORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Prim3rY 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 2'nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: AT~- Compact: % of Lot Coverage: 10" I "NT/ON- 0 ' " ,/QV; rWe ' I egon I I\OIJfiCQI,.-.._ ~ adODtClrl L aw reOl1i...... I PUBLIC IMPROVEMENisl; 952'oo7!~e;- Th;~e'~:1 Oreg;nU~/~O o ' You",o',~, 10throl' esares t Iy , ' Cql/tng th Sidewall<:ITyp.e:Jgh OAR 9 e forth nUmber e center fI~uPles of 52-Oat_ c/or Do_w~~outs/Drl\jM:t the rUles b enter is I_~gon Utility N elephone Y 00-332 23 otlflca.tio -, 44). n Street Improvements: Storm Sewer Available: Special InstrJ!.~rtiqR:.. , Nu ILt. 0 K Notes: THIS PERMIT SHALL EXPIRE IF THE W R '\iITHORIZED UNDER THIS PERMIT ~S_ NOT :;OMMENCED OR IS At)AI~UUi"F" r..~ ';NY 180 DAY PERIOD. I Valuati?nDescriotion I Description Type of Construction $ Per Sq Ft ' or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00596 ISSUED: 05/0112009 APPLIED: 05/0I/2009 EXPIRES: II/01l2009 VALUE: 225 fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 fax 541-726-3769 luspection Line Total Value of Project Fefs P~i,~J Fee Description + 12% State Surcharge + 5% Technology Fee Water Line - 1st 10,0' Amount Paid Date Paid $9.12 $3.80 $76.00 5/1/09 5/1/09 5/1/09 Receipt Numher 2200900000000000464 220p900000000000464 2200900000000000464 Total Amouut Paid $88.92 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. Re(]J~ired In,sne,ctions I Water Line, Prior to filling trench aud iucluding required testing. By signature, I state and agree, that I have carefully examiued the completed application and do herehy certify that all information hereon is true and correct, aud 1 further certify that any and all work performed shall he done in accordance with the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will he made of any structure without permission of the Commnnity Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will he used nn this project. I further agree to ensure that all required inspections arc requested ai the prop'cr 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?(~/ 5--;(-dcr Owner or Contractors Signature ~ Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00596 COM2009-00596 COM2009-00596 Payments: Type of Payment CreditCard cReceiol1 RECEIPT #: Description Water Line - l5t 100' + 5% Technology Fee + 12% State Surcharge Paid By DORRIS G T,oWREY City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000464 Date: 05/0112009 Item Total: Check Number Authorization Received By Batch Number Number How Received njrn 070306 Phone Payment Total: Page 1 of 1 10:09:46AM Amount Due 76,00 3,80 9,12 $88.92 Amount Paid $88,92 $88.92 5/1/2009