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HomeMy WebLinkAboutPermit Plumbing 2009-6-9 _$feRlNQ~llil"I)' f Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00818 ISSUED: 06/09/2009 APPLIED: 06/09/2009 EXPIRES: 12/09/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2355 YOLANDA AVE ASSESSOR'S PARCEL NO.: 1703244402200 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Public PROJECT DESCRIPTION: Replace water line , Owner: SPRINGFIELD SCHOOL DISTRICT 19 Address: 525 MILL ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type ..,.9Jntractor _ I \\nli'\ ~~'S LH I BUILDING INFORMATION I License 'W"ID.oq Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary 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 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION 1 " :: REQUIRED PARKING Total: Handicapped: Compact: Front yard Setback: Overlay Dist: Side 1 Setba~!HENTION: Oregon law requires yotliAtreet Trees Rqd: Side 2 Setb~~0W rules adopted by the Oregon Ulllly,ed Drive Rqd: Rearyard !:?~!I1~~.k":lion Center. Those rules are set%I()~ Lot Coverage: Solar Setb:lcks:~R 952-001-0010 through OAR 952-001- ................. ~,___ ,__~_. _1_..._~_ __~:__ _.J'"I-..... ~,.1_..... L-... - - - -. . - - . ---J -.- I ~ . calling the center. (Note: the IFPUBm(]; IMPROVEMENTS I number for the'Oregon UtilOtty t\lVllll'-'l;.l.UVII Street ImpJ'ovemen~ior;ter is 1-800.332-2344). . Sidewalk Type: ' Storm Sewer Available: . Downspouts/Drains: Special Instruction : Notes: NOTICE: THIS PERMIT SHALL EXPIRE:IF THE WORK ^ lIT) 'rr.l""Il""7!'"'"n 1Ift.ln"-"'" "'rl "..... ....~....~ ft...... ,..... ......... ....... "....., ,..-....... ....,~.J...., I ,t "'-' , """ "",,, IV I~J, Description Tvpe of Construction I Valuation Descr1fti~~E'~CED OR IS ABANDONED FOR "I,r r uu DAY PERIOD. $ Per Sq Ft Square Footage' Value Date Calculated or multiplier or Bid Amount Pae:e I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00818 ISSUED: 06/09/2009 APPLIED: 06/09/2009 EXPIRES: 12/09/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726'3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fe~s Paid I Fee Description + 12% State Surcharge + 5% Technology Fee WaleI' Line - 1st 100' Water Line - Each AddtlIOO' Amount Paid Date Paid $ 13.68 $5.70 $76.00 $38.00 6/9/09 6/9/09 6/9/09 6/9/09 Receipt Number 3200900000000000434 3200900000000000434 3200900000000000434 .3200900000000000434 Total Amount Paid $133.38 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 Reollil'ed Insnections 1 Water Line: Prior to filling trench and including required testing. By signature, I state aud agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be doue 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 Servi"es 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 requested at the proper time, that each address is readable frum the street, that lhe permit card is located at the front of the property, and the approved set of plans wIll remain on tbe site at all times during construction. 'fL--~~ 1 .IWt-~ r ~/ a/fJ 7 Date! { OWD.er or Contractors Signature Pae:e 2 of 2 225,Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00818 COM2009-00818 COM2009-00818 COM2009-00818 Payments: Type of Payment Check cRt':ceintl . RECEIPT #: Description Water Line - 1st 100' Water Line - Each AddU 100' + 5% Technology Fee + 12% State Surcharge Paid By TWIN RIVERS PLUMBING City of Spl'ingfield Official Receipt Development Services Department Public Works Departmcnt ,. 3200900000000000434 Date: 06/0'9/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received njm 31026 In Person Payment Total: Page I of 1 2:09: 13PM Amount Due 76.00 38.00 5.70 13.68 $133.38 Amount Paid $133.38 $133.38, 619/2009