HomeMy WebLinkAboutPermit Plumbing 2009-8-25
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I Addlm: i650.GleriwaO'i.Bf"d
I Ciri:' Eugl!l)e I $ht"Oregonl ZIP: ~'140
I Phone: 1~.\1\ 73';.1,;37 I F..: 154ir954~3923
I E.nuil: do:lye@sanipac,com, .
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01247
ISSUED: 08/25/2009
APPLIED: 08/25/2009
EXPIRES: 02/25/2010
VALUE:
SITE ADDRESS: 1650 GLENWOOD BLVD
ASSESSOR'S PARCEL NO.: 1703343300800
Eugene
TYPE OF WORK: Plumbing Ouly
TYPE OF USE: . New
PROJECT DESCRIPTION: Install sanitary and storm water conveyance
Owner:
Address:
Commercial
SANIPAC INC
PO BOX 10928 ATTN ACCT DEPT
EUG,ENE OR 97440
C. ontractorr I License
. ," TFII'TV'Iw."
TWIN RIV.ER~}'~'(I\1~.~~~.',IN~€~la~~ re~uirp'q\7fiP,s,.^
. 'catio I, ,BUILDING-INFORM'AiJlIrnII!~ity
, , r " ~.. I f
.Ii ',,::'2-001-001 n h.-;'-'" 'C~ C\ e se orth
U090. You may ~1~f~~~Jr~es~9h OAR 952,001_
calling the ceM~irgh'f.?f'Sjjliiclffiil!ie rules by
number fer th ~1;Yr.~~of'H'~t!he telephone
C ewater~TyP'<,llty Notification
enter IfUng&iTjplll2344).
Energy Path:
Sprinkled Building:
Contractor Type
Plumbing
# of Units:
Primary Occupaucy Group:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:'
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I CONTRACTOR INFORMATION I
Expiration Date
03/1\12011
Phone
541-688-1444
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Fi Basement:
Sq F! Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
,
REQUIRED PARKING
Total:
Handicapped:
Compact:
"I;
Overlay Dist:
NOnCE' # StreetTrees Rqd:
T . Paved Drive Rqd:
HIS PERMl%QJrJ.1ot eoyei!iigefF THE WORK
~~;!:?r~,~~~~ ~~D~R THIS PERMIT IS NOT
ANY 1il:-P.~Bj;i(i~PROVE'MENTS;IFOR
Sidewalk Type:
,\..~.".,.-
';, ;; Downspouts/Drains:
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01247
ISSUED: .08/25/2009
APPLIED: 08/25/2009
EXPIRES: 02/25/2010
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 I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Sanitary Sewer. 1st 100 Feet
Sanitary Sewer Each AddtJ 100'
Special Waste Connection
Storm Sewer. 1st 100'
Storm Sewer Each Addtll 00'
Amount Paid
Date Paid
$31.92
$13.30
$19.00
$76.00
$38.00
$19.00
$76.00
$38.00
8/25/09
8/25/09
8/25/09
8/25/09
8/25/09
8/25/09
8/25/09
8/25/09
Receipt Number
2200900000000000959
2200900000000000959
2200900000000000959
2200900000000000959
2200900000000000959
2200900000000000959
2200900000000000959
2200900000000000959
Total Amonnt Paid
$311.22
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 Rell\1\',oed InsnectionsJ
111 III
Underground Plumbing: Prior to filling the trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
By signature, lstate 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 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 ou 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
times during construction.
Owner or Contractors Signature
Date
Paee 20f2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Pu!Jlic Works Department
Job/Journal Number
COM2009-0]247 .
COM2009-0]247
COM2009-01247
COM2009-01247
COM2009-01247
COM2009-0J247
COM2009-0 1247
COM2009-0 1247
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200900000000000959
Date: 08/25/2009
Description
Sanitary Sewer. 1st ]00 Feet
Sanitary Sewer Each Addtl 100'
Storm Sewer. ] st ] 00'
Storm Sewer Each AddU 100'
Special Waste Connection
Fixture
+ 5% Technology Fee
+ ]2% State Surcharge'
Paid By
DENNIS CAUDELL
Item Total:
t:heck Number Authorization
Received By Batch Number Number How'Received
cjc 02563c In Person
Payment Total:
Page 1 of 1
11 :27:30AM
Amount Due
76,00
38.00
76,00
38,00
]9,00
]9,00
13.30
31.92
$311.22
Amount Paid
$3 11.22 .
$311.22
812512009