Loading...
HomeMy WebLinkAboutPermit Plumbing 2009-9-22 , __~B~i'~~~~~'~~! Ji ," "l;'" ,.., 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 , ) 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 ... ;'.. ~ .>;". ,"" 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