HomeMy WebLinkAboutPermit Plumbing 2009-9-11
CITY OF SPRINGFIELD
Building/Combination Permit
.
Status'
Iss u ed
PERMIT NO: COM2009-01344
ISSUED: 09/11/2009
APPLIED: 09/11/2009
EXPIRES: 03/11/2010
VALUE:
225 Fifth Street, Spriogfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: '177 19TH ST
ASSESSOR'S PARCEL NO.: 1703364201100
Springtield TVPE OF WORK: Plumbing Only
TVPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace 100lfsanitary sewer line
Owner: ANDERSON DAVID W & KAREN A
Address: 177 N 19TH ST
SPRINGFIELD OR 97477
Phone Number: 541-747-6861
I CONTRACTOR .INFORMA TlON ,
Contractor Type
Plumbing
Contractor License Expiration Date
ROVAL FLUSH ENVm0NMElNJTA:.!<'~)!:,I.n'I!..<;;,I~Jfi~L_ ,,_ I 12/23/2009
".", ""' ........_ _ _, ^ . . J -- .....
1~II:mIL~ING.INFORMj\'TI<?N"egon Utilily
in OAR 952-001-001 ci th--- 'UOv' ,are set torlh
0090 #'of,Stories:bl. rough OAR 952-001,ot Size:
. IV..../IIClV U BIn caple tth
caIIHeight,of,Structure t s 0 e rules b"q Ft 1st Floor:
.,,~ "- vv,,,,,,. (I~o e' th I I "
numif,yp~.:,qflffga-!i(egon Uiilit eN e ephone Sq Ft 2nd Floor:
WajHlrY.p,~: 1'800-332-l34 ollt/callon Sq Ft Basement:
Range Type: 4). Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: II/a Occupant Load:
Phone
541-895-2072
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction" Type
Secondary Constructi'on Type:
# of Bedrooms: "
R-3
VB
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
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 1~~ii~V7EMENTS'
AUTHOR'/Z~;; ~~~LL E'i?M~I~ fflE\VD
COMMENCED OR ER TID'~~RMW?~a"Il~K
ANY 180 DAY PER:gtBANDONED FOR VOT
Notes:
I V~Iu~tion Des~riRtio~ I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
Status
Iss u ed
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee'
Sanitary, Sewer - 1st 100 Feet
Total Amount Paid
Total Value of Project
Fees Pai~ I
Amount Paid
Date Paid
9/11/09
9/11/09
9/11/09
CITYOF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01344
ISSUED: 09/11/2009
APPLIED: 09/11/2009
EXPIRES: 03/11/2010
VALUE:
Receipt Number
1200900000000001051
1200900000000001051
1200900000000001051
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. '
$9.12
$3.80
$76.00
$88.92
I Plan Reviews I
~~'1uir.ed rn.srection~ I
I'
Sanitary Sewe~:Line: Prior to filling trench and including required testing.
By signature, I state and agree, that I have carefully examined the completed application aud do hereby certify that all
iuformation bereon is hue and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordiuances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the wo'rk 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 o,~ly contractors and employees who are in compliance witb ORS 701.005 will be used on tbis 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 or plans will remain on the site at all
times du~ing construction.
/}zd~9fA}1H/
Owner or Con/actors Signature
Pal!e 2 of2
Date
;/(0 ,
225 Fifth Street
"'" "
Springtleld, Oregon 97477
541-726-3759 Rhone'
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0 1344
COM2009-0 13,44
COM2009-0 1344
Payments:
Type of Payment
CreditCard
cRcceintl
RECEIPT #:. 1200900000000001051
Date: 09/11/2009
Description
Sanitary Sewer - 1st 100 Feet
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
JEFFREV BOWERS
Item Total:
Check Number Authorizntion
Received By Batch Number Number How Received
djb 05579b In Person
Payment Total:
p
Page I of I
9:57:59AM
Amount Due
76.00
3.80
9.12
$88.92
Amount Paid
$88.92
$88. 92
9/1112009