HomeMy WebLinkAboutPermit Plumbing 2009-7-27
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01075
ISSUED: 07/27/2009
APPLIED: 07/24/2009
EXPIRES: 01/27/2010
VALUE:
225 FiIlh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-376.9 Inspection Line
SITE ADDRESS: 160 54TH ST APT 1
, , '
ASSESSOR'S PARCEL NO.: 1702333106504
Springfield TYPE OF WORK: Plnmbing Only
TYPE OF USE:
Residential'
PROJECT DESCRIPTION: Replace approx 200lfwater line
Owner: LOUANNE BAKICH KOCH REV TR
Address: 2778 W 29TH AVE
EUGENE OR 97405
I CONTRACTOR INFORMATION.
Contractor Type
Plumbing
Contractor License
READY ROOTER DRAIN CLEANING & R S~92524
Expiration Date
02125/2011
Phone
541-744-7991
I BUILDING INF~MATlON I
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# ofUmts: - ,10N'.0Ieg b'j tntt oHStort~~t lortn
Primary Occupancy Groiip1E.~UleS L~)pted nose!1eig~8f~~trUJllilre
Secondary Occupancy Qto'Up'~ t'o~cente(. 'ot""OuTVP';;\ofHeat:,s b,/
. 'Ca\" ,O~ ,\11 ~. ~~he\\'..u"""
Primary Construction ~p~\11 1'\ 95'2.,c,\?JB-O 'n copw'iiter TYJ'e,:,one
Secondary Constructioni'l1R>~ -.IOU (1ia'j obtaI "\oIRa'.rge:r):~\;3.t\On
, Q090 '\ lIter \\,1 ,...\;f'/ l'\d~\l
# of Bedrooms; irng tne ce o;egon Elri~rg~J''1~t,h:
c3. 'ber lor tne, < _800.spriifRled Bnilding: n/a
nU(1i ~ _n."r \5 \
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
",-, ---..,....-
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard 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 Available:
Spedallnstruction:
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I PUBLIC IMPROV,EMENTS I -<,\~ ..,1"\'\
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Notes:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I on
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01075
ISSUED: 07/27/2009
APPLIED: 07/24/2009
EXPIRES: 01127/2010
.VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
, Total Value of Project
Fees Pai~ I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Water Line -,1st 100'
Water Line - Each AddtUOO'
Amount Paid
Date Paid
$11.40
$4,75
$76.00
$19,00
7127109
7127/09
7127109
7/27109
Receipt Number
1200900000000000843
1200900000000000843
1200900000000000843
1200900000000000843
, Total Amount Paid
, $11 Ll5
Plan Reviews I
To Requ~,st 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, Rer!uired Ins~ecti"ns I
Water Line: Prior to filling trench and. including required testing,
By signature, I state and agree,tha't 1 have carefully examined the completed application and do hereby certify that all
information hereon is true a'nd correct, and 1 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 work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all uired inspections are requested at the proper time, that each address is readable from the
street, t;~~"he ermit card is ocate at the fro,nt Of the property, and the approved set of plans will remain on the site at all
times d6j ~struction, ~ 7_ Z-- 15 rCJ ;7
0.( C"~'~ty.",rure D'.
Paee 2 of 2
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fi(th ,Str'eet
. -
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 I 075
COM2009-0 1 075
COM2009-0 1 075
COM2009-0 1 075
Payments:
Type of Payment
Cred itCard
cReceiotl
RECEIPT #:
Date: 07/27/2009
1:04:33PM
1200900000000000843
Description
, Water Line - 1 st 100'
Water Li~e - Each Addtll 00'
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
76,00
19,00
4,75
11.40
$111.15
Paid By
DAVID NICHOLS
Item Total:
Check Number Authorization
Received By Batch Number Number Ho'Y Received
Amount Paid
00535d In Person
Payment Total:
$111.15
$111.15
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7/27/2009