HomeMy WebLinkAboutPermit Plumbing 2009-8-31
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01277
ISSUED: 08!3l!2009
APPLIED: 08/31/2009
EXPIRES: 02/28120]0
VALUE:
,>
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3698 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1703343100100
Engene
TYPE OF WORK: Plumbing Only
TYPE OF USE: New
PROJECT DESCRIPTION:, Install sanitary sewer stub for future connection to city service
Owner: MOE STEPHEN S 1-2
Address: PO BOX 847
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
License
695
Contractor
WILDlSH CONSTRUCTION CO
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFORMATION I
ATTENTION:J6rS1~IiJa:" requires youto
folloW rules ~.I1%ya~bhe Oregon UIl,l1tY
Notification C.:t\ll!f.~ tli%\llseare set forth
in OAR 952-0~81J Ii ~~~gh OAR 952-001-
0090, You mid~%.i ,ytlJples of the rules by
calling the fllIW, Tfl'-Rlta: the telephone
number for t Ille~~gf5\\h.:J,tili~Y Notllicatlon
cent~mnl<1S~cByH!!,!!g1t4). nla
I DE~ELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Commercial
Expiration Date
10/22/2011
Phone
541-485-1700
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
NOTICE: Sidewalk Type:
THIS PERMIT SHAll EXPIRE IFIiiNJi.W~rains:
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
1.v~Iuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
'or Bid Amount
Type of Construction
Page I of2,
'Value
Date Calculated
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._.si"~j!,!,~""""~#
J
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01277
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
Total Valne of Project
Fees Paid 1
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 100 Feet
Amonnt Paid
Date Paid
$9,12
$3.80
$76,00
8/31/09,
8/31/09
8/31/09
Receipt Number
2200900000000000982
2200900000000000982
2200900000000000982
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.
Reolliredlnsnections I.
Sanitary Sewer Line: Prior to filling trencb 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 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 cer91' tbat only ,contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agr'e~ to ensure that all required inspections are requested at the proper time, that each address is readable from the
streel, Iha' e ermil card i~oc1 al the front of the properly, and Ihe approved sel of plans will remain on the site al all
Ii \s duriL:iO);jI&-' X? r 04
bntractors~ignature Dale /
'"
Paee 2 of 2
225''Fifth Street
Springfield, Oregon 97477.
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200900000000000982
Date: 08/31/2009
II :46:47 AM
Payments:
Type of Payment
Check
Paid By
MOE PROPERTIES
Item Total:
Check Nu~ber Authol"ization
Received By Batch Number N umber How Received
Amount Due
76.00
3.80
9.12
$88.92
Job/Journal Number
COM2009-0 1277
COM2009-01277
COM2009-01277
Description
San itary Sewer - 1 st 1 00 Feet
+ 5% Technology Fee
+ 12% State Surcharge
Amount Paid
djb
10889
In Person
Payment Total:
$88,92
$88.92
cReceintl
Page I of I
8/31/2009