HomeMy WebLinkAboutPermit Plumbing 2009-8-25 (2)
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: 0212512010
VALUE:
~
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SITE ADDRESS: 1650 GLENWOOD BLVD
ASSESSOR'S PARCEL NO,: 1703343300800
Eugene
TYPE OF WORK: Plumbing Ouly
TYPE OF USE: New
PROJECT DESCRIPTION: Install sauitary and storm water conveyance
Owner: SANIPAC INC
Address: PO BOX 10928 ATTN ACCT DEPT
EUGENE OR 97440
AT L..cONTRACTOR INFORMA nON I
I TEN ,'.fiJ_ .. --.~:::I'''''''' ',",:H iL.ll"..I1l'--.,,:) il,)U LV
Contracto~ollow rules adopted by the Oreg~iiYty
TWIN RIVER~ipr}lfMBiNGEfNchose rules armlltforth
"-~"''''''-Q';'~"--'-'' .
0090. Yd~Buil~m'NG-INFhi1.MAild'~lsUVbY'.
n, ,- ,;" I
calling the center. (Nl?te: the telephone
number for ftlJg~tg~, Utilitx Notification
Centll"/~~t ~.J;~~t2~44)
'fype 0 ea'i. '-
Water Type: '
Range Type:
Energy Path:
Sprinkled Building:
Contractor Type
Plnmbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
n/a
~
I DEVELOPMENT INFORMA nON I
NOnCE:
THIS Pl@r~!:I.aY3~!s.H EXPIRE IF THE WORK
AUTIJO #IStreetlifrees-Rgd:S P
1 I, L~l,' , IWJf ~hl ERMIT IS I~OT
CO'nMEPaved,Dnve q:
1\1 6l..loiLJt'C6vet'a ~:NDONED FOR
ANY 180 DAY PERIOD. g
..I PUBLIC IMPROVEMENTS,.....
Commercial
Expiration Date
03/ll/201l
Phone
54 J -688-1444
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:,
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
. Compact:
Sidewalk Type:
Downspouts/Drains:
I Valuation Descrilltion ,
$ Per Sq Ft
_ or multiplier
Square Footage
or Bid Amount
Paee 1 of 2
Value
Date Calculated
-'
1
...., ,,~...""
Status
Issued
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 Descriptiou
+ 12% State Surcharge
+ 5% Techuology Fee
Fixture
Sanitary Sewer - 1st 100 Feet
Sanitary Sewer Each Addtl 100'
Special Waste Connection
Storm Sewer - 1st 100'
Storm Sewer Each Addtl 100'
Amount Paid
$31.92
$13.30
$19.00
$76.00
$38.00
$19.00
$76.00
$38.00
Total Amount Paid
$311.22
I Plan Reviews I
Date Paid
8/25/09
8/25/09
8/25/09
8/25/09
8/25/09
8/25/09
8/25/09
8/25/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01247
ISSUED: 08/25/2009
APPLIED: ' 08/25/2009
EXPIRES: 0212512010
VALUE:
Receipt Number
2200900000000000959
2200900000000000959
2200900000000000959
2200900000000000959
2200900000000000959
2200900000000000959
2200900000000000959
2200900000000000959
To Request an inspection calI the 24 hour recording at 726-3769. AII 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 folIowing
work day.
I Reouirerllnsnections I
Underground Plumbing: Prior to filliug the trench andincludiug required testing.
Sanitary Sewer Line: Prior to filling tre~ch and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
By signature, I state and agree, that 1 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 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction. .
.~,'
,
....,.
::>
Owner or Contractors Signature,
Paee 2 of2
"it",,{ o~
Date
225'Fift~''Street
;/Spritlgfi~id, Oregon 97477
541~726-3759 Phone
Job/Journal Number
COM2009-0 1247
COM2009-01247
COM2009-01247
COM2009-0 1247
COM2009-0 1247
COM2009-01247
COM2009-01247
COM2009-0 1247
RECEIPT #:
City of Springfield Official Receipt
Development ServiCes Department
Public Works Department
'2200900000000000959
II :27:30AM
Date: 08/25/2009
Item Total:
Check Number ,Authorization
Received By Batch Number Number How Received
cjc 02563c In Person
Payment Total:
Amount Due
76,00
38.00
76,00
38.00
19.00
19.00
13,30
31.92
$311.22
Description
Sanitary Sewer - 1st 100 Feet
.. Sanitary Sewer Each Addtl 100'
Storm Sewer - 1st 100'
Storm Sewer Each Addtl 100"
Special Waste Connection
Fixture
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment .PaidBy
CreditCard DENNIS CAUDELL
cReceint 1
Amount Paid
$311.22
$311.22
'"
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8/25/2009