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Home My WebLink AboutPermit Plumbing 2009-9-2 CITY VJ:< ~PRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00398 ISSUED: 09/02/2009 APPLIED: 03/26/2009 EXPIRES: 03/02/20]0 VALUE: Status Issued 225 Fifth Street; Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2734 WHITWORTH LN ASSESSOR'S PARCEL NO.: 1703361111500 Springfield TYPE OF WORK: Plumbing Only PROJECT DESCRIPTION: Sanitary Sewer Line Installation TYPE OF USE: Repair Residential Owner: AEBI DAVID A & RONDA L Address: 2734 WHITWORTH LN SPRINGFIELD OR 97477 I CONTRACTOR INFO~A TION . \ w "eC\Ulre~ jV-,\'tV <;:,?".sr-!l,<:tor C?::?~: b~ the oregon ~t;~r\h License .I.!.l1K,",S.:.:\NDnUKJ<;~,,<;:Q~S'f;S ~~e ~;')_()O'\ _ 65060 N~lIiicati~~_~~;':oo'\rJ BUILDi~i(;iiNF0RMAT1()N I in OI'R 9 V ob\r,i" - -, . the tele\,' ;0',. ' , # of Units:' 0090.. '{OUt.:neacenter. \NO#:of\Stu'ries\licatlon \\lng " gar v" .-, ,- Primary Occupancy Gronp:;,a ber lor theor~ oo~",gh,t~of'Structure , Secondary Occupancy Group:I['O center \S '\ 8 Type ot Heat: Primary Construction Type Water Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy Path: Sprinkled Building: Contractor Type General I DEVELOPM~NT I~FORMAT10N 1 Frontyard Setback: Side I Setback: Side 2 Setback: ' Rearyard Setback: Solar Setbacks: Overlay Dist: NOilCE: # Street :.ree~,.,~!\t1F 1HE WORK ERMrl"~e,~IJ?_l\!.veRqd'. M\1 \S N01 1\-11S P Eo;. OliboWoyeragl?F-R FOR AU1\-10RIl U uO'Ru\S 'ABANDONED _....~ ftr./lct-.\r'.i=\1 UU"""- --.........., .I\N)'I I.'~>>LI(J IMPROVEMENTS I Expiration Date 03/16/2011 Phone 541-747-3130 n/a 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: Sidewalk Type: Street Improvements: Storm Sewer Available: Special Instruction: DownspoutslDrains: Notes: I V aluation Descr.iDtio~ , Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Paee 1 of 2 Value, Date Calculated _~~A!l"~~~l~~;" ~I .' ~- . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00398 ISSUED: ' 09/02/2009 APPLIED: 03/26/2009 EXPIRES: 03/02/20]0 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee.s Paid g Fee Description + 12% State Surcharge + 5% Technology Fee Sanitary Sewer - 1st 100 Feet Sanitary Sewer Each Addtl1 00' Amount Paid Date Paid Receipt Number $11.40 $4.75 $76.00 $19.00 9/2/09 9/2/09 9/2109 9/2/09 2200900000000000989 2200900000000000989 2200900000000000989 2200900000000000989 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 Reollired Tnsne,etions I Sanitary Sewer Line: Prior to filling trench and including required testing. By signatnre, 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 shaltbe done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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 readahle 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 timeSdur~~~ 7'hh~ ../- (./ ( I I O~ne ,or Contractors Signature Date Paec 2 01'2 City of Springfield Official Receipt Developmellt Services Department Public Works Department 225 Fifth Street Springfield, 0regon 97477 54] -726-3759 Phone Job/Journal Number COM2009-00398 COM2009-00398 COM2009-00398 COM2009-00398 Payments: Type of Payment Check cReceintl RECEIPT #: 2200900000000000989 Date: 09/02/2009 8:21:30AM Description Sanitary Sewer - 1 st 100 Feet Sanitary Sewer Each Addtl lOO' + 5% Technology Fee + 12% State Surcharge Amount Due 76.00 19,00 4.75 11.40 $111.15 Paid By DUKES AND DUKES CONSTR CO Item Total: Check Number Authorization Received By Bntch Number Number How Received Amount Paid djb In Person $111.15 16282 Payment Total: $111.15 Page I of I 9/2/2009