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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