HomeMy WebLinkAboutPermit Plumbing 2009-7-23
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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
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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