HomeMy WebLinkAboutPermit Plumbing 2009-6-9
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: COM2009-00811
ISSUED: 06/09/2009
APPLIED: 06/09/2009
EXPIRES: 12/09/2009
VALUE:
SITE ADDRESS: 6853 MAIN ST
ASSESSOR'S PARCEL NO.:' 1702353306204
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Sanitary sewer cap for modular building
TYPE OF USE: Alteration Public
Owner: CITY OF SPRINGFIELD
Address: 4TH & NORTH A
SPRINGFIELD OR 97477
I CONTRACTOJNJ:WORMATlON I
'''\
\r\t"\... ~\.l
Contractor Type Contractor \.fi-.,?\\l-t. ~\\\J\\\ \~ \l- License
Sewer ll'\~JiA,~H~fhl~W0~~~ii:O 148051
\~~\~ '?'c.~\L~\) ~~~~~ ~LDING INFORMATION I
[>.\)\\-\0 ~Ct.\) 0 <r-,\O\)'
# of Units: O\J\\J\t: ~ '?t: # of Stories:
Primary Occupancy Grol\J,~,\ '\ CO\} \) Height of Structure
Secondary Occupancy G;J\lp: Type of Heat:
Primary Construction Type Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
Sprinkled Building: nla
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
04/09/20 I 0
Phone
541-746-5630
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
\0
,\0" .~~'\ REQUIRED PARKING
'~e'" '0\~ \~
Overlay Dist: \eo.."~e~00 ",e\ \0\ ,{ptal:
# Street Trees Rqd: 0 W'll:<:,e 0 '(>\e ~~~'()~ndicapped:
Paved Drive Rqd: O\e~o 0.'01 "e \"W"oj>.~ \"W~~mpacl:
% of Lot Covel'age:,o\tW ,,'00'" o"~:<:' O~ \:<:,~~<\:<:,0~,00
~(\ ,- '(>" \. ~\ . '" e'~\" '(>\~
:0~\~ ,,\0'" e0\e \ () \\, o\t\e :<:,e" i,.{..\G
~., \ _ (j . (\() '.^ G .n'" . ",0
I PUBLIC IMP-i<wiMBNi~r~';' ~~0 '0~':;;7..",t>,"'1'
. V" ,\0- ,,~0 O<.eg ,,\),'0
\0 f!J\)'. ,,\:<:,e \:<:,e. S(dl'walk Type:
\)'0 ~\\0'" \0\ \ \'"
G'<>' ",-'Oe\ ('.e0\e Downspouts/Drains:
0"'" v . .J
.~
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Paee I 01'2
Value
Date Calculated
Status
Issued
CITY OF SPkl1....l.rl'IELD.
Building/Combination Permit
PERMIT NO: COM2009-008I1
ISSUED: 06/09/2009
APPLIED: 06/09/2009
EXPIRES: 12/09/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I - 726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fp.es P.~id I
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
6/9/09
6/9/09
6/9/09
1200900000000000634
1200900000000000634
1200900000000000634
Total Amount Paid
$67.86
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 Reouil'ed Insnectio~sJ
Sanijary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as
required by the code.
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 I furthel' 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 thaI only contractors and employees who are in compliance with ORS 701.005 will be used onlhis 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
'd::''""''''~;~~ mdrXdlXl
Owner or Contrac ors Signature Date . { / .
Pae:e 201'2
225 Fifth Street
Springficld,.Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00811
COM2009-00811
COM2009-008] ]
Payments:
Type of Payment
INT CHGS
cReceinll
RECEIPT #:
Description
Sanitary or Storm Sewer Cap
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
100-35200-647009-P20534
r~QF~""
I&: - ~
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000634
Date: 06/09/2009
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
INT CHGE
In Person
Payment Total:
Page I of I
9:58:IOAM
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
6/9/2009