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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: _s.F!.cm.,...'..,N.,9",."'..'..~~. ii" ..~' 1Iz.~ ' !} . '" r II ;''''.. . .. "> It .... . . -"-,-".., "-~. '--"',' ;.,...~..,' .,' 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