HomeMy WebLinkAboutPermit Plumbing 2009-8-31
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01275
ISSUED: 08/31/2009
APPLIED: 08/31/2009
EXPIRES: 02/28/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: . 804 C ST
ASSESSOR'S PARCEL'NO.: 170335\309600
Springfield TYPE OF WORK: Plumhing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Sanitary Sewer Line
Owner: OWNER UNKNOWN
Address: 125 E 8TH AVE STE 400
EUGENE OR 97401
I C?NTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor License
RELIABLE PLUMBING & MECHANICAL 182964
_ I BUILDING INFORMATION I
Expiration Date
11/01/201 I
Phone
541-689-4235
# of Units: .
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor: -
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DE':ELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Sethack:
Side I Setback:
Side 2 Set hack:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive R'ld:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PU~LIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:'equires you to
ATTENTION: ureyulI ,a" . . on Utility
~~I;i~~~~~~~~~~~r~e~hbho~~hr~hl~lt~ ~;~_~~~
. OAR 952-001-0010 t roug
NnTlr.F' In_ __ ,,__. _^" ~htoin r.noies of the rules by
THIS PERMIT SHALL EXPIRE I~II t1t VVU,1i1\ , ,.,v;;liing ine center. (Note:tne leleJ.J1'~;i~n
AUTHORIZED UNDER THIS PE~' .valuatIOn Descrmtion lumber for the Oregon Utility Notlhc
n, Center is 1_800-332-2344).
. . COMMENCED OR IS ABi\NDONfs-pePSq Ft Square Footage
DescrIptIOn NY 1Sllype oflGonst~uctlOn It' I' B'd A
/"\ v LJMT rcnluu. or mu Ip lef or I mount
Notes:
Value
Date Calculated
Page I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01275
ISSUED: 08/3112009
APPLIED: 08/3112009
EXPIRES: 02/2812010
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
+ 5% Technology Fee
Encroachment Permit
Sanitary Sewer - 1st 100 Feet
Amount Paid
Date Paid
Receipt Nnmher
$9,12
$3.80
$6.98
$139.50
$76,00
8/31109
8/31109
8/31109
8/31109
8/31109
3200900000000000613
3200900000000000613
3200900000000000613
3200900000000000613
3200900000000000613
Total Amount Paid
$235,40
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 ,R~{Jllir~d h~S11ectiolls 1
Sanitary Sewer Line: Prior to filling trench and indu'ding 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 State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structtire 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 o.n 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 co~ ~
c:P/
Owner or Contractors Signature Date
Paee 2 of2
.,
225 Fifth Stretj(
, Springf~ld, O'/egon 97477
". '
541-72b-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0 1275
COM2009-0] 275
COM2009-0 1275
COM2009-0 1275
COM2009-01275,
Payments:
Type of Payment
Check
cReceiotl.
RECEIPT #:
Date: 08/31/2009
3200900000000000613
,Description
Sanitary Sewer - 151 100 F:eet
+ 5% Technology Fee
+ 12% State Surcharge
Encroachment Pennit
+ 5% Technology Fee
Paid By
AARDVARK EXCA V A TION
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ikw 10197 In Person
Payment Total:
I
Page 1 of 1
10:13:47AM
Amount Due
76.00
3.80
9.12
139,50 .
6.98
$235.40
Amount Paid
$235,40
$235.40
8/3 1/2009