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Home My WebLink AboutPermit Plumbing 2009-8-14 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01l83. ISSUED: 08/14/2009 APPLIED: 08/14/2009 EXPIRES: 02/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 472 SCOTTS GLEN DR ASSESSOR'S PARCEL NO.: 1703271304900 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace 201fwater line Owner: Address: EITNIER DIANE E 472 SCOTTS GLENN DR SPRINGFIELD OR 97477 Contractor Type Plnmbing I CONTRACTOR INFORMATION I Contractor License GARYS ROOTER & PLUMBING SERVICE L 174640 Expiration Date 02/28/2011 Phone 541-935-6350 VB - BUII\DINGIINF0RMWiI','ON rquires you to ......."....n II..W;:;,., Cl,UUf.Jlt:U uy me Oregon Utility ~rIP8fsibr1C!;;enter. Those rules are set~ottSize: 1n"~RQS~ ~n1 N)1nth h ' 'Height'ofStructure roug OAR 952-Sq1F't 1st Floor: OOT~!JeYSfJmgm obtain copies of the n.ileSqJ!,t 2nd Floor: W~r~~ t'tpf:enter. (Note:.the telephoSq Ft Basement: nR';lIPgWctt~t~e. Oregon Uti lily NotificatSq1Ft GaragelCarport Energy p~Hlr IS 1-800-332-2344). Sq Ft Other: Sprinkled Building: nla Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I DEVELOPMENT INFORMATION J Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING 'Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS' NOTICE: Sidewalk Type: THIS PERMIT SHALL OOJa,ns\fooHlbWORl< AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: I V aluation DescriJ~tion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated' Paee I of2 _1?!-~I~~,;~!!~~'-J;\\~;;~ihr~~ !' ;b ~,,~ - - .... _ ;i~!-<_'.' -~ !!f - Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01183 ISSUED: 08/14/2009 APPLIED: 08/14/2009 EXPIRES: 02/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fees Paid' Fee Description + 12% State Surcharge + 5% Technology Fee Water Line - 1st 100' Amount Paid Date Paid Receipt Number $9.12 $3.80 $76.00 8/14/09 8/14/09 8/14/09 1200900000000000928 1200900000000000928 1200900000000000928 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, Re'1uired Insoections , Water Line: Prior to filling trench an~ 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 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. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furtber agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ~ ~ ~/ly/tJ9. O~r Contractors Signature Date Page 2 01'2 225 F.ifth -Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1183 . COM2009-0 1183 COM2009-0l183 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Water Line - I st 100' + 5% Technology Fee + 12% State Surcharge Paid By AARON MUSTIN City of Springfield Official Receipt Development Services Department Pnblic Works Department 1200900000000000928 Date: 08/14/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received djb o 1407b In Person Payment Total: Page I of I II :36:45AM Amount Due 76.00 3,80 9,12 $88.92 Amount Paid' $88.92 $88.92 811 4/2009