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HomeMy WebLinkAboutPermit Plumbing 2009-7-23 _~B!!lf0q~~,~f1J~Il!;J;h;l!!\.'iJ, ;, .".y..... ...", ......... ......... -., '...T'.....,\;i_..""~, '1: ' CITY OF SPRINGFIELD I Building/Combination Permit " Status Issued PERMIT NO: <':OM2009-01068 ISSUED: 07/23/2009 APPLIED: 07/23/2009 EXPIRES: 01/2312010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 54] -726-3676 Fa. 541-726-3769 Inspection Line SITE ADDRESS: 344 21ST ST ASSESSOR'S PARCEL NO.: 1703361306800 Springtield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: 50 Feet of new sewer line Owner: MORRISON KATHRYN L Address: 344 N 21 ST ST SPRINGFIELD OR 97477 I" CONTRAC:TOR ~N~ORMA TION I Contractor Type Plnmbing Contractor JENCOURT ROTO ROOTER License ]82531 , Expiradon Date 06111'/2010 Phone 541-689-] 711 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Building: Lot Siz~: Sq Ft 1st Floor: I Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft qarage/Ca;port Sq Ft Otber: Occupant Load: I, nla 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: I PUBLIC IMPROVEMENTS I Description NOTICE: I nle> t-'tKIVIII ::iHALL EXPIRE; ;~ 7-;;;: ',;Cni\ AUTHORIZED UNDER THIS pl:Malnatiom1lescrintion I COMMENCED OR IS ABANDO~II::n fOOl'? .' ANYT' nn "fO '-'-t-'-tj $'Pe'r Sq'Ft Square Footage "pe,O ,-:-ons ru" on I ' I' B'd A . . _. ..~ . or m~ tip ler or I mount Sidewalk Type: , I Downsponts/Drains: ' U to ATTENTluN: UregrJn law reqlllres VO " lollow rules adopted by the Oregon Utility Notification Center. Those rule: are set forth in OAR 952-001-0010 through OAR 952-001- __.......... ,,_.. ~....... .....I...+~in f'('lnip~ nfthe rules by -';;Iiing the c'enter.; (Note: the tele~hone number lor the Or~gon Utility Notification Center is 1-800-332-2344). j . Value" Date Calculated Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee I of 2 Status Iss u ed CITY OF SPRI[~uJ<lJ1,LD Building/Combination Permit PERMIT NO: COM2009-01068 ISSUED: 0~/23/2009 APPLIED: 0i7/2312009 EXPIRES: 01/23/2010 VALUE: ' 225 Fifth Street, Springfield, OR 541-726-3753 Phoue 541-726-3676 Fa. 541-726-3769 Inspection Line Total Value of Project Fees Paid I $9.12 $3.80 $76.00 7/23/09 7/23/09 7/23/09 ,J' Receipt Number I' 2200900000000000837 , 220~900000000000837 2200900000000000837 Fee Description + 12% State Surcharge + 5% Technology Fee Sanitary Sewer - 1st 100 Feet Amount Paid Date Paid Total Amount Paid $88,92 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 Relluired Insnections 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 alld do herebv certify that all information hereon is true and correct, and I further certify that any and all work performed shalll:be done in accordance with the Ordinances of the City of Springtield alld the Laws of the State of Oregon pertaining to the work described herein, alld that NO OCCUPANCY will be made of allY structure without permission of the Commullity Servises Division, Building Safety. I further certify that ollly contractors and employees who are in compliance with ORS 701,005 wi1J"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 from the street, that the permit'car ' is located at the front of the property, alld the approved set of plans will remain 011 the site at all times during constructio . ~~ (!~L S-/' ( l? 5:.) () ( Owner or Contractors Signature ~ Date / 11 t. Pa2e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~ri:Q~;,.....ijj,,'...... .,f.. .'..' _.... ,.. .- ..... ...,.~,...~.w...'" .~.." Job/Journal Number COM2009-0 1068 COM2009-0 1 068 COM2009-0 1 068 Payments: Type of Payment Check cReccintl RECEIPT #: 2200900000000000837 Description Sanitary Sewer - 1 st 100 Feet + 5% Technology Fee + 12% State Surcharge Paid By JENCOURT Received By njm Check Number Batch Number Page 1 of I City of Spripgfield Official Receipt Development Services Department Public Works Department " Ii ,I Date: 07/23/2009 12:56:59PM Item Total: Authorization Number Amount"Due 76,00 3,80 9,]2 $88.92 Ii How Received Amount Paid 1097 In Person Payment Total: $88,92 $88. 92 7/23/2009