HomeMy WebLinkAboutPermit Plumbing 2009-6-10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00823
ISSUED: 06/10/2009
APPLIED: 06/09/2009
EXPIRES: 1211012009
VALUE:
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Status
Issued
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 512 W QUINAL T ST
ASSESSOR'S PARCEL NO.: 1703274100101
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Replace less than 100lfsanilary sewer
TYPE OF USE: Repair
Residential
NnTlr.F'
I PUBtI,ID1MiRRO\lI'lMlElNlfstfRE IF THE WORK
HU I nUtllLt:U OI~Utt\ I MI"s PE~M!~!jk~We:
COMMENCED OR IS ABANDONED FOR '
ANY 180 DAY PERIOD. Downspouls/Drains:
Owner: HOUSING AUTHORITY & URBAN
Address: 177 DA Y ISLAND RD
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor, License
REA D Y R Ol'J1fIEIHD'R1AiN.'0llE'A1N:i~ c;e8J l<<Sl192}\240
l~IlUV\l U"-- ....."".."....::.... L~ :.-:.;:- ;. ..l....~'
Notificatil"BUlLDlNG1INF0RMAIfJ0N Ilrth
in OAR 952.001-0010 tnrougn UAh"O,,-v01-
0090, You ma~ QIiStories;)ies of the rules by
R-Jalling the cHeight Q'fiSlr.iJdilfree1ephone
number for tI'Rype'ol)He,Wiiity Noliflcalion
VB centcWllterlItypci\32-2344).
Range Type:
Energy Path:
Sprinkled Building:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I V aluation Desc~iDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pace I 01'2
Expiration Date
02/25/20 II
Phone
541-744-7991
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: '
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Dale Calculated
6~IiiING.~Oj
-I ,..... ...,"
I~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00823
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 Valne of Project
Fe/>, Paid I
, 1111111"
Fee DescriPt,ion
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 109 Feet
Amount Paid
Date Paid
Receipt Number
$9.12
$3.80
$76.00
6/10/09
6/10/09
6/10/09
,
1200900000000000644
1200900000000000644
1200900000000000644
Total Amount 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.
I Reollired Tn'n~c~~,o~,'J
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 done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the w~;'k described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
[ further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project,
[ further agree to ensure that all required inspections are requested at the proper time, that each ~ddress is readable from the,
street;th-al'tbe permit card is located at the front,of the property, and the approved set of plans will remain on the site at all
tim~s during tonstruction.
I? / " 0-r"cl'-OJ
U'\ t ;/i-:>
Owner or"C6htractors 'gnature Date
I
Paee 2 of 2
I
225 Filth StflCet
Springfield, Oregon 97477
541-726-3759Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200900000000000644
Date: 06/10/2009
8:43:02AM
Job/Journal Number
COM2009-00823
COM2009-00823
COM2009-00823
Description
Sanitary Sewer - 15t 100 Feet
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
CreditCard
Paid By
DA VID NICHOLS
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
Amount Due
76,00
3,80
,
9,12
$88.92
Amount Paid
djb
03557d In person
Payment Total:
$88,92
$88,92
cReceintl
Page I of I
6/10/2009