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HomeMy WebLinkAboutPermit Plumbing 2009-9-10 _~.~\t'!\~.9!.P.c.~~~,:,~J,..;,~.- .- 4" ''-,' --'V.t ,'. ,--" l"'fl" ,I, .,.. " "'~. ~"I,'- 'Jli' ' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01336 ISSUED: 09/10/2009 APPLIED: 09/10/2009 EXPIRES: 03/10/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1247 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO,: 1703261101600 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace approx 301fwater line Owner: ZARZYCKI DAVID M Address: ,344 RIVER RD EUGENE OR 97404 I . C<;'NTRACTOR INFORMA TION ,. Contractor Type Plumbing Contractor License CARLOS GILBERT MACIAS & RAQUEL TO 110117 I, B~ILDING INFORMATIO~,i Expiration Date 01/03/20 I 0 Phone 541-607-8740 # of Units: ATTENTION: Ore,#JOfISrorties::'Jires you to Primary Occupancy Group: follolRJ31les adopt'Heighflor SIii1l'tuteJlility Secondary Occupancy Group: Notification Center. Type'iiJti'H'eat:1re set forth Primary Construction Type in OArvjp2-001-001WifterL1;yp~AR 952-001. Secondary Construction Type: 0090" You may obt<Range"Jitypef the rules by # of Bedrooms: calling the center'Eh'lirgy:pli'th!elephone number for the Omsnnn k' ',Hill'('B' Mlnd':f;~ation I!rIU e UI lUg: Center is 1-600-332-2344\. I DEVELOPMENT INFORMA nON I Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq,EtOther: , Occupant Load: nla REQUIRED PARKING Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 'Total: Handicapped: . Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I NOT\l,;t: Llr"I!I\~~W'ffi~S,.k Type: THIS PERMIT SHA lif'\" n\:l HI'" Lc. .fIq'{i AUTHORIZED UNDER "H\~ ~~\\IV\.\ uoWlispoutslDrains: COMMENCED OR IS AMNMN@ F~~ ANY 180 DAY PERIOD. Notes: I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01336 ISSUED: 09/1012009 APPLIED: 09/1012009 EXPIRES: 03/1012010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ee' Pai,IU Fee Description + 12% State Surcharge + 5% Technology Fee Water Line - 1st 100' Amount Paid Date Paid Receipt Numher $9,12 $3;80 $76.00 9/10/09 9/10/09 9/10/09 1200900000000001046 1200900000000001046 1200900000000001046 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. ' I RrOl~k~~ .l~~n.ec.tion,' I Water Line: Prior to filling trench 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 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 times during construction. , Date Cj III? / Oq . I t Pa2e 2 01'2 225 Fifth Street Sprihgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1336 COM2009-01336 COM2009-01336 Payments: Type of Payment CreditCard cRcceint 1 RECEIPT #: Description Water Line - 1st 100' + 5% Technology Fee + 12% State Surcharge Paid By DA VlD ZARZYCKI I City of Springfield Official Receipt Development Se\-vices Department , Public forks Department I Date: 09/10/20~9 II :27:22AM 1200900000000001046 Item Total: L:heck Number Authorization Received By Batch Number Number How Reeeh' ~d Amount Due, 76,00 3,80 9,12 $88,92 Amount Paid djb $88,92 $88,92 09717z In Person Payment To al: Page I of 1 9/1 0/2009