HomeMy WebLinkAboutPermit SUB Sanitary Sewer 2009-9-2
-~~'~TJ;~!',~J!J~_~Y~~i~"m,l'
CITY OF SPRINGFIELD
Building/Combination Permit
, , .
Status
Issued
PERMIT NO: COM2009-00399
ISSUED: 09/02/2009
APPLIED: 03/26/2009
EXPIRES: 03/02120] 0
VALUE:
225 fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectton Line
SITE ADDRESS: 2766 WHITWORTH LN
ASSESSOR'S PARCEL NO.: 1703361111303
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Sanitary Sewer Line Installation
O~ner:
Address:
NICHOLS ANDREW R & CINDY A
2766 WHITWORTH LN
SPRINGFIELD OR 97477
.n
I CONTR;\~'FOR~N!FO~MA nON ,.1
, . c.l>I \e'-\~le<;jO\\ -\\01'-"
Contractor Type Contractor e<;j00 \~ \,\\e 0", a.le ",e ~_()()\- . License
General DUKE.~M'lD%LKIi~!=;9NSfof',t\ ::\\\Il'" 'Oi 65060
. f','\\ ';;; ~\}\Il'" C~0\\l~1 C-BI'Jii'DING INF0RMA'flON ,
, \0\\0. -0.\100 ()()\-() \\\ - . ".' ~\O,,,,, ,
\\\Ie S~ 0'O\a. '1:cIO\e.',\,\~ \~
# of Units: ~OO"t\9 ., ",a.'l 'el. "#lof.S'thri~:o.\,
'0 r 'lOv \" e0' 0'" 09-r-
Primary Occupancy Group'r\()9()'. \,\\e e e Ole -I;I,~gtiFof Structure
Secondary Occupancy Group: e-o.\\10<;j 1\01 \'\\ \ \'" \-lType of Heat:
Primary Construction Type 0\}(\\'Oe Ce0\\l Water Type:
Secondary Construction Type: 'Range Type:
# of Bedrooms: Energy Path:
Sprinkled Building: n/a
Expiration'Date
03/1612011
Phone
541-747-3130
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2Ud Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION 1
. . " ~~t.
Overlay Dist: ' .....~~ ~ ~'Q"
# Street Trees Rqd: ~~\~ ~\\\~~
Paved Drive RII<J0..\' \''\:.~ \J ~f0
t~! Lot s~~~rlft"\\\\S ~f:J~~
~(J""''\ nyt\\lI~ \'J\\\)~c. \>-.~\>-.~
,,--. -, "-':: r.......).. ~
I Pl'lBLI?~P.~RY~~~lI'S 1
y.- ~W\.-' \),?-'\ '
c,~\\,\ \'C~
REQUIRED PARKING
Total:
Handicapped:
.:Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrai,ns:
Notes:
I V~luation D.escriotion I
Description
Tvpe of Construction
$,Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 01'2
Status
Issued
CITY VJ:< ~YKll~uFIELD '
Building/Combination Permit
PERMIT NO: COM2009-00399
ISSUED: 09/02/2009
, APPLIED: 03/2612009.
EXPIRES: 03/02/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P3'rl I
1111111111
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 100 Feet
Sanitary Sewer Each Addtl 100'
Amount Paid
Date Paid
Receipt Number
$11.40
, $4.75
$76.00
$19.00
9/2109
912/09
912/09
9/2/09
I
2200900000000000990
2200900000000000990
. 2200900000000000990
2200900000000000990
Total Amount Paid
$111.15
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 ~e<l,uirerl rnsne.ction,~ 1
Sanitary Sewer Line: Prior to filling trench and inclnding reqnired 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 Uurther 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 N'O 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
timesdurin~ction~ /y ~ /"
.~~~~.-
/#-~ ~~;;?
Date :
Paee 2 of2
225 Fifth. Street
Springfield, Oregon 97477
54]-726-3759 Phone
~:R~~~~jJ'
~".'
. - ~ .
- .
- , k - -~
,_,,;,,_..,,> "", ,,'C
;'-~-"-=-'-'--' "...~'
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00399
COM2009-00399
COM2009-00399
COM2009-00399
Payments:
Type of Paymeot
Check
cReceiotl
RECEIPT #:
2200900000000000990
Date: 09/02/2009
Description
Sanitary Sewer-1st 100 Feet
Sanitary Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
Paid By Received By
DUKES AND DUKES CONSTR djb
CO
Page 1 of 1
Item Total:
<":heck Number Authorization
Batch Number Number How ,Received
16282 In Person
Payment Total:
8:22:10AM
Amount Due
76.00
,19.00
4,75
t 1.40
$11 J.\ 5
Amount Paid
$111.15
$111.15
9/2/2009