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HomeMy WebLinkAboutPermit Plumbing 2009-7-27 _~~~I':fEt~lI!~~ ~~ - ._ 'T -=f.} 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 . on lav.rleq~\I ':.';.,~ -Uti\\t'! # 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: -l( ,\,\\)1' I PUBLIC IMPROV,EMENTS I -<,\~ ..,1"\'\ \~ ,~, \'0 \~v Side~'i~tw.\\ ~ . ~~~~'is ~~\) ~CJ,\\Cf(.~w.\\ S:~\)'i:.~sfl~\>.~ ' '0\'O?'2 \t'i:.\) ~ ~ \'0 ~ '\ "!I'0\)~ c,'i:.\) \) "f,\\)\). \>.~(\\<S\w.\~ \\~ ?'2 ...... J -'1')__ IVI . D .~.W~ a uatlOn eSCrIDtJ?n, 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 djb Page I of 1 7/27/2009