HomeMy WebLinkAboutPermit Plumbing 2009-3-26
CITY OF SPRINGFIELD
Building/Combination Permit
Status
OK to Issue
PERMIT NO: COM2009-00397
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/26/2009
09/2612009
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 740 28TH ST
ASSESSOR'S PARCEL NO.: 1703361111300
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
PROJECT DESCRIPTION: Site Utilities for Residential Duplex Development
Residential
Owner:
Address:
DUKES DAVID E & LAURIE S
PO BOX 71095
EUGENE OR 97401-0182
I CONTRACTOR INFORMATION 1
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATION 1
# 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 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
. I DEVELOPMENT INFORMATION I
ATTENTION: Oregon law requires YOu (0 . " REQUIRED PARKING
follow rules adopted by the Oregon Utility . NOTlCE-.
FroqlY.~.rHi~t~~t~nter. Those rules are set forth Overlay Dlst: " Total: r.: ORK
Sideil1 setb,a~!.<~-001-0010 through OAR 952-001- # Street Trees Rqd: THIS PERMIT SHALL E>H'J~aiJ!ipWd: w
Side."2JSetbi'-c": may obtain copies of the rules by Paved Drive Rqd: AUTHORIZED UNDER Tldidrrf'p'ii8tl':IIIT IS NOT
RearyardiS~tback:enter. (Note: the telephone % of Lot Coverage: COMMENCED OR IS ABANDONED FOR
SolarlSetliacks:lr the Oregon Utility Notification ANY 180 DAY PERIOD.
t">.................. :_ -4 nt'\ro ...........,.... ,........ ~,
. - --- --. "'"
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk'Type:
Downspouts/Drains:
Notes:
I Valuation Desc~Iption ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
OK to Issue
PERMIT NO: COM2009-00397
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/2612009
09/26/2009
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
+ 5% Technology Fee
Encroachment Permit
Amount Paid
Date Paid
Receipt Number
$6.95
$139.50
9/3/09 .
9/3/09
3200900000000000629
3200900000000000629
Total Amount Paid
$146.45
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 Reouirl'd InsnectionsJ
, ,
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Backllow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Special: See Plan Review and/or Inspector Notes.
By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 nf 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 he 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
times during construction.
Owner or Contractors Signature
Date
Pa2e 2 of2