HomeMy WebLinkAboutPermit Plumbing 2009-6-10
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00825
ISSUED: 06/10/2009
APPLIED: 06/09/2009
EXPIRES: 12/10/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1687 KELLY BLVD
ASSESSOR'S PARCEL NO,: 1703274100101
Springfield TYPE OF WORK: Plnmbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace less than 1000f sanitary sewer
Owner: HOUSING AUTHORITY & URBAN
Address: 177 DA Y ISLAND RD
EUGENE OR 97401
,-, ,-"I CONTRACTOR INFORMATION'
Contractor 01.1 10 License
READY ROOTER QM,~:~:iEE~~U'i,('J'~ R S~92524
:f\\:,\'\-nol't Ot~~:A'I)'BUiLDiNG' INFORMATION I
1>' 0'1'1 IUles ad~el. '\\WOv ~ \1 01\\'1 ~;~\es b'i
# of Units: 10\\I'calion ce~ OOW 1\1\0 Rof<!>to'r",S:~one,
t-\r'\\\ \ (}.i\-'. o'fl'tJOJt--r'\\\
Primary Occupancy Gr~uPOp.,? 952' K'-3 oblain c \!,I,e!ght~o~'~,\['t.~'!Ire
Secondary Occupancy Gf'o't!D. ,\oul1'a'ien\et. ~\'\~ "Exp,el~~~~~t:
Pnmary ConstructIOn T~~ca\ling 1\1~~ne O{ego O.~J1.!er.Jrype:
Secondary Construction TYRll:,'l'bet 10nlet is ~ .'00 Range Type:
# of Bedrooms: ell. Energy Path:
Sprinkled Building:
Contractor Type
Plumbing
Expiration Date
02/25/20 II
Phone
541-744-7991
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:,
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer A vailnble:
Special Instruction:
.~ '1'1.11' \NO\\~
I PUBLIC IMPRQ.YAi\'I;F;NXS I S"'~\.\. t1\:lI\'l~~~~11 IS \''IV .
. ~L\'Iw~.1 ~Q ,I-\IS en \,0\\
1\,\IS f l- ICD \.l\~rdewalk ~~'B{;~<-v
'\1\,\0\\1 <- Q IS ~\S
~v ~t~Ct.D CDoWlffll?utslDrains:
COWl " Dp.,'/ \:It.\\ ,
p.,~'/ ,\\)v
Notes:
I V aluation DescriDti~n I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
Status
Issued
CITY OF ~Y~lNGFIELD .
Building/Combination Permit
PERMIT NO: COM2009-00825
ISSUED: 06/10/2009
APPLIED: 06/09/2009
EXPIRES: 12/10/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726.3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fcc
Sanitary Sewer - 1st 100 Feet
Amount Paid
Date Paid
$9.12
$3.80
$76.00
6/10/09
6/10/09
6/10/09
Receipt Number
1200900000000000646
1200900000000000646
1200900000000000646
Total Amount Paid
$88.92
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. AII 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 Insnec~j'lns I
Sanitary Sewer Line: Prior to filling trench and including required testing.
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 further certify that any and all work performed shall be dOlle ill 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 allY structure withollt permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who arc in compliance with ORS 701.005 will be used on this project.
I further agree to'ensllre that all reqllired inspections are requested at the proper time, that each address is readable from the
stre51'_?h~ the permit ~ardk'S li;)led at he front.OJ_t e property, and the approved set of plans will remain on the site at all
times dunn constructIOn. '
(f! /., b--:/'& --e::;::> (' ,
Afi/~ ' ~
O'-;;.,r o/C~tr~ctors Si{nature Date
/
Paee 2 of2
225 Fifth Street
Sprlngfieltl, Oregon 97477
541-726-3759 Phone
~~~_D.. .'...
:. ...
~. .
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009.00825
COM2009-00825
COM2009.00825
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
1200900000000000646
Date: 06/10/2009
Description
Sanitary Sewer - 15t J 00 Feet
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
DA VID NICHOLS
Item Total:
Check Number Authorization
Received 8y Batch Number Number Bow Received
djb 03557d In Person
Payment Total:
Pa,ge I of I
8:44:48AM
Amount Due
76,00
3,80
9,12
$88.92
Amount Paid
$88,92
$8K 92
6/1 0/2009