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Home My WebLink AboutPermit Plumbing 2009-8-26 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01259 ISSUED: 08/26/2009 APPLIED: 08/26/2009 EXPIRES: 02/26/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2505 J ST ASSESSOR'S PARCEL NO.: I70336II03200 Springfield TYPE OF WORK: Plumbing Only PROJECT DESCRIPTION: Replace sanitary sewer TYPE OF USE: Repair Residential Overlay Dist: # Street Trees Rqd: , NOTICC~~dL~;~k~~~~lRE \nHEW01\~ THIS ~ER~\~ ~~ni=R TH\S PERMli ~S NO , ~~vi~~~i.~~~EM~N~~~N~ufJ? ANY 180 DAY Pt\wu. Sidewalk Type: . Downspouts/Drains: Owner: DELORME PATRICK G & BERTHA Address: 2505 J ST SPRiNGFIELD OR 97477 I CONTRACTOR INFORMATION 1 Contractor Type Plumbing Contractor License GARYS Ro6ifERl&!\piJU~lijiN~ IS~:RS<n;:~::Uf4Ji~~/ IUIIUVY I,,,...d ....~~............ -. ...- -...... # Notificati I.rBUIIJDlNGlINFORMNFlONil'rth in OAR 952-001.UU1U tnrougn Vf\n <>o",-u01- 0090, You majllof,Storiespies of the rules by R;31lling the cHeight otSt,.;,~'tifrtHlephone number for tt<I:ype'Of''He!11ility Notification VB CenteWiit~rC'FY\ll!;32-2344). Range Type: Energy Path: Sprinkled Building: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION 1 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard ~etback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pa2e I of 2 Phone Number: 541-747-2089 Expiration Date 02/28/201 I Phone 541-935-6350 nla Lot Size: Sq Ft I sl Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated CITY OF ~rKll~tJl'1J!.LD Status Issued Building/Combination Permit PERMIT NO: COM2009-01259 ISSUED: 08/26/2009 APPLIED: 08/26/2009 EXPIRES: 02/26/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid 1 $9.12 $3.80 $76.00 8/26/09 8/26/09 8/26/09 Receipt Number 2200900000000000970 2200900000000000970 2200900000000000970 Fee Description + 12% State Surcharge + 5% Technology Fee Sanitary Sewer - 1st 100 Feet Amount Paid Date Paid Total AmountPaid $88.92 I Plan Reviews 1 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 Reollired InsnectionsJ 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 and do hereby certify that all information hereon is true and correct, and I 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 Stale 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 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 card is located at the front of the property, and the approved set of plans will remain on the site at all ~~::;:t(5' ~p ?f~c1tr01 ~_ AV1{ / Owner or Contractors Signature Date Page 2 of 2 225 Fifth .Street Spri~gfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1259 COM2009-0 1259 COM2009-0 1259 Payments: Type of Payment Check cRcceint I RECEIPT #: Description Sanitary Sewer - I st 100 Feet + 5% Technology Fee + 12% State Surcharge Paid By PATRICK DELORME "r,,!~~Q~'!L~I"II.1 ':, ' ,i 4'" - -! ~----;;" "A!;: , .~~~r_J City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000970 2:03:55PM Date: 08/26/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1118 In Person Payment Total: Amount Due 76,00 3,80 9,12 $88.92 Amount Paid $88,92 $88.92 Page 1 of 1 8/26/2009