HomeMy WebLinkAboutPermit Plumbing 2009-9-17
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01378
ISSUED: 09/17/2009
APPLIED: 09/17/2009
EXPIRES: 03/17/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Liue
SITE ADDRESS: 1629 F ST
ASSESSOR'S PARCEL NO.: 1703362116500
Spriugfield TYPE OF WORK: Plumbing Ouly
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace sanitary sewer Iiue
Owner: HUNT KYLE
Address: 1629 F ST
SPRINGFIELD OR 97477
Phoue Number: 541-729-5482
I CONT~CTOR INFORMATION I
Contractor Type
Plumbing
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupaucy Group:
Secoudary Occupancy G~oup:
Primary Coustructiou Type
Secondary Coustructiou Type:
# of Bedrooms:
# of Stories:
R-3 Height of Structure
Type of Heat:
VB ATTENwa'th"fype',n law requires you to
follow rtRangttyp'e:l by the Oregon Utility
NotificatiE1~tgytpatif:hose rules are set forth
In OAR 9~~(H'rlklgd'B'1ill:m/'Qh OAR 9t'jfr'p01-
0090. YouPmav obtain coores of the rules bv
Lol Size:
Sq Ft IsI Floor:
Sq Ft 2ud Floor:
Sq Ft Basemeul:
Sq Ft Garage/Carport
Sq Ft Olher:
Occupaul Load:
~~"._~ ~....- ---~-~ ,...--'-....... - '.' ,
Frontyard Setback:
Side 1 Setback:
Side 2 Selback:
Rearyard Setback:
Solar Selbacks:
f_DEYELOP,MENT ~NFO~~~II?~' l'i~n
Center is 1,800-332-2344).
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Haudicapped:
Compact:
Street Improvemeuts:
Storm Sewer Available:
Special Instruction:
I PUBLIC I~PROVEMENTS I
NU II t;t:: Sidewalk Type:
THIS PERMIT SHALL EXPIRE Ijj ;ijjfs~lGml . .
AUTHORIZED UNDER THIS PER~m8IS NOT rams.
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Noles:
I V aluation Descri9tio~ I
Description
Type of Coustructiou
$ Per Sq Ft
or multiplier
Square Foolage
or Bid Amounl
Value
Date Calculated
Page 1 of 2
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01378
ISSUED: 09/17/2009
APPLIED: 09/17/2009
EXPIRES: 03/17/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Totai Value of Project
1 Fees Paid I
IIIIII
Fee Description
+ 12 % State Surcharge
+ 5% Techuology Fee
Sauitary Sewer - 1st 100 Feet
Amouul Paid
Date Paid.
Receipt Number
$9.12
$3.80
$76.00
9/17/09
9/17/09
9/17/09
1200900000000001076
1200900000000001076
1200900000000001076
Total Amouut Paid
$88.92
,
I Plan Reviews ~
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, Rellllired Tn,nedion,'
Sauilary Sewer Line: Prior to filliug Ireuch and includiug required testiug.
By signature, I state aud agree, Ihat I have carefully examiued the completed applicatiou aud do hereby certify that all
iuformatiou hereou is true and correct, and I furlher certify Ihat any aud all work performed shall be done in accordauce witb
Ihe Ordinauces of the City of Spriugfield and Ihe Laws ofthe Stale of Oregou pertaiuing to Ihe work described herein, and
that NO OCCUPANCY will be made of auy structure without permissiou of tbe Commuuity Services Divisiou, Building Safety.
I furlber certify tbat ouly coutractors aud employees who are in compliauce wilh ORS 701.005 will be used on this project.
I furtber agree to eusure tbat all required inspectious are requested al tbe proper lime, thai each address is readable from the
street, that tbe permit card is located at tbe front of the property, and Ihe approved sel of plans will remain ou the sile at all
times duriug const?!)r . '. 9 /;710 '7
Owuer or contra'tt~~~ture Date I t
Paee 2 of2
225~ifthStreet
Springfield, Oregon 97477
541 c 726c3759'Ph'one--'''- ................_...
Job/Journal Number
COM2009-01378
.COM2009-01378
COM2009-01378
Paymeuts:
Type of Payment
CreditCard
cRcceiotl
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200900000000001076
Date: 09/17/2009
Description
Sanitary Sewer - 1st 100 Feet
. + 5% Technology Fee
+ 12% State Surcharge
Paid By
KYLE HUNT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 01723 b In Person
Paymeut Tolal:
Page 1 of 1
2:27:28PM
Amount Due
76.00
3.80
9.12
$88.92
Amount Paid
$88.92
$88.92
9/17/2009