HomeMy WebLinkAboutPermit Building 2009-9-2
CITY OF I'lrK1J~GFIELD
Building/Combination Permit
PERMIT NO: COM2009-00400
ISSUED: 09/02/2009
APPLIED: 03/26/2009
EXPIRES: 03/02/20]0
VALUE:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2750 WHITWORTH LN
ASSESSOR'S PARCEL NO.: 1703361111302
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Remodel
Residential
PROJECT DESCRIPTION:, Sanitary Sewer Installation
Owner: OLl-II INC
Address: PO BOX 1481
SPRINGFIELD OR 97477
I CONTRACTOR I.NFO~MAT10N 1
...
# of Units:
Primary Occupancy Group:
Secondary Occupancy'Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Contractor Licenseo ' Expiration Date
DUKES AND DUKES CONST . .\~~66Ij:~,~\\'J 03/16i2011
I BUILDING, I~FRRM~T.ION1~e\~~~\. .'
,O\,\',v'- ~eo. \J1 1\)1"" -I>-t' 9S'2. '0'1 , . '.
:\\\:.\,\\#\ O!;Stt'fil,s:\X\OS~\)gn 0 \ \X\e I\)\e~e LotSize:
,I>-"o'l'l t'ii~igbt.'o~r(' 'tr\i<<'1ire~,es 0 'e\e'i'X\O .-0(\ Sq Ft 1st Floor:
0\\ ~\(J\' r ~ v'. au\" \'0.e \. -.,ca\.\
\,\o\\\\cll,tYl1..e~Of I liel.:>l(\ \,\oW'. . 't \,\0\" Sq Ft 2nd Floor:
.(\ol>-?'Water.'fy'I'e:31. ~ (\\.I\'\'~o.AA1' . Sq Ft Basement:
I '<l>V ~6'!~ nO '2.-.."
"Cl9Cl.j{,angeory,pe:Ole'g"Cl-~~ Sq Ft Ga, rage/Carport
\J \"nq ~\\'CI \ OV
cll,lEnerg' <>Ipath'\s - Sq Ft Other: '
'Q'CI' J',.~
(\\)'S'pritillllld-!Suilding: n/a Occupant Load:
Phone
541-747-3130
,Contractor Type
General
, I DEVELOPMENT I~F?R~ATION 1
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbac~s:
Overlay Dist: . . Tot~
# Street Trees Rqd: ~~!ljrapped:
Paved Drive Rqd: ,\~,\y.~\%~"\ct:
% of Lot Coverage: r~...'~\~~ <.~~"0 ~~
. ..., \. '\:.I~"S ~'- .,<.S)~ .
-"- ~:r""" - "In' _(\N'-
I PUBLIC IMPIk'O.VE};(iiJl'Iq;~i\\~~)';::~ \>.,,1>-\....\1
,J I II-~ 'V?:.. ~ ,,~
\~ \\'-(-.'V"?-. .\\,S'V tiftlU""Ik Type:
\>.\J ~S\" ~ ~ .'
\,'V~ CO\)\) DownspoutslDrams:
\>.\\'1 \
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I y aluation D~scr~Dtion ,
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
Or Bid Amount
Value '.
Date Calculated
Paee 1 01'2"
/
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Amount Paid
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 100 Feet
Sauitary Sewer Each Addtl100'
Total AmountPaid
$H.40
$4.75
$76.00
$19.00
$111.15
Total Value of Project
Fees P3id n
Plan Reviews I
Date Paid
9/2/09
912/09
9/2/09
9/2/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00400
ISSUED: 09/02/2009
APPLIED: 03/26/2009
EXPIRES: 03/02/20]0
VALUE:
Receipt Numher
2200900000000000991
2200900000000000991
2200900000000000991
2200900000000000991
j
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,~n".ired lllsne~tion~ 1
By signature, I state and agree, that I have canifully 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 of the property, and the approved set of plans will remain on the site at all
tim4~/
/V !./ -
G{}wner or Contractors Signature '
Paee 2 of 2
~~r
Dal '/
225 Fifth Street
Spri~field, 'Oregon 97477
54]7726-3759 Phone
Job/Journal Number
COM2009-00400
COM2009-00400
COM2009-00400
COM2009-00400
Payments:
. Type of Payment
Check
cReceintJ
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
220090000000000099]
Date: 09/02/2009
Description
Sanitary Sewer - 1st 100 Feet
Sanitary Sewer Each Addt] 100'
+ 5% Technology Fee
+ ]2% State Surcharge
Paid By
DUKES AND DUKES CONSTR
CO
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
l6282
In Person
Payment Total:
Page] of 1
8:22:49AM
Amount Due
76.00
19,00
4.75
11.40
$111.15
Amount Paid
$111.15
$111.15
9/212009