HomeMy WebLinkAboutPermit Plumbing 2009-9-22
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01403
ISSUED: 09/22/2009
APPLIED: 09/2212009
EXPIRES: 03/22/2010
VALUE:
225 Fifth Streeti'Springfleld, OR',
541-726-3753 Phone
541-726-3676 Fax,
541-726-3769 Inspection Line
, SITE ADDRESS: 2778 WHITWORTH LN
ASSESSOR'S PARCEL NO.: 1703361111305
Springfield TYPE OF WORK: Plumbing Only
. ,
PROJECT DESCRIPTION: Rep1ace.sanitary sewer line
TYPE OF USE: Repair
Residential
Owner: MOORE GORDON R & GLADYS L
Address: 2778 WHITWORTH LN
SPRINGFIELD OR 97477
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I ,C?NTRACTOR INFORMATION I
Contractor Type'
General
: Contractor
DUKES AND DUKES CONST
License
65060
Expiration Date
03/16/2011
Phone
541-747-3130
VB
BUILDING INFORMATION I e u\res you to
ATTEN1IUN: U,.,\ojvoob-thre 6regon Utility
~L~tStories:S adopteTdh Y rules are Sl~6t,Size:
H'h 'fS ,...~"t~, ose \
: .S!g 100. tmcture10 th ough OAR 9E8q:'Et 1st Floor:
, . _ ,n n01-QO r '
If'Ype,of,Heat: 'copies onhe pSq lFtl2nd Floor:
W . - T'... ,:'lay obtain S ". B
~ .ater ype: t (Note' the telep 'If", asement:
Range\myp~" c~n ~;~gon Utility NotifiSq\'FfGarage/Carport
Enetgy'Watii'r;;, 1_8.0.0-332-2344). Sq Ft Other:
Sprinkled('BlliIllin~: nla Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
'.
I,DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback: '
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVE.lUJ<;N,:r,s I 1\-1E \NOR\(
,,~.. -' u.'" ";{?\RE 11' ""i
'THIS PERMH Sl~i'dR~H~\!'l:RMli IS ,,1.1
. AU'THORIZED Uib~~mYut~(p}?Nfi~ FO\\
COMMENCED OK I~ ' ,,,
ANY 180 DAY PERIOD.
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
", .,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01403
ISSUED: 09/22/2009
APPLIED: 09/22/2009
EXPIRES: 03/22/2010
VALUE:
225 Fifth Street, Springfield, OR
,541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee ,.
Sanitary Sewer - 1st 100 Feet
Amount Paid
Date Paid
, ,.
$9.12
$3.80
$76:00
9122/09
9122/09
9/22/09
Receipt Number
1200900000000001085
1200900000000001085
1200900000000001085
,
TotalAmount 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
I Rr/lllired T IIslIections I
Sanitary Sewer Line: Prior to filling trench and including required testing.
By signature, I state and agree, that I h'tve 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
':Z"/""'-~ rA-~1
Owner or Contractors Signatur~ Date
,
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541- 726-3159 Phone-~-;- _._~~----,-
I
:'-00
RECEIPT#:
Job/JournaJ Number
COM2009-0 1403
COM2009-0 1403
COM2009-01403
Description ~<
Sanitary Sewer - 1st 100 Feet,
+ 5% Technology Fee'
,+'12% State ~urcharge c
"",: :',-
Payments:
Type of Payment
CreditCard
.'
.'PaidBy
';DA VID'DUKES', ..'
'7,"
cReceintl ,
, City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001085
Date: 09/22/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 02576c In Person
Payment Total:
Page 1 of 1
11 :28:22AM
Amount Due
76.00
3.80
9,12
$88. 92
Amount Paid
$88,92
$88.92
9122/2009