HomeMy WebLinkAboutPermit Plumbing 2009-9-28
CITY OF SPRINGFIELD'
Building/Cqmbination Permit
"
Status
Issued
PERMIT NO: COM2009-01437
ISSUED: 09/28/2009 '
APPLIED: 09/28/2009
EXPIRES: 03/28/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phune
541-726-3676 Fax
541-726-3769 Inspectiun Line
SITE ADDRESS: 770 S 42ND ST
ASSESSOR'S PARCEL NO.: 1802052201100
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Resideutial
PROJECT DESCRIPTION: Water line fur 770 & 780 S. 42nd Street
Owner: HASTINGS ROBERT & JACQUELINE
Address: 2375 PIONEER PIKE
EUGENE OR 97401
I CONTRACTOR INFORMA~ION'
Contractor Type
Plumbing
Contractor
OWNER
, License
Expiration Date Phone
BUILDING INFORMATION I
,
# ufUnits:
Primary Occupancy Gruup:
Secundary Occupancy Gruup:
Primary Cunstructiun Type
Secundary Cuustructiun Type:
, # uf Bedruums:
# uf Studes:
Height uf Structure
Type uf Heat:
Water Type:
Range Type:
En'ergy Path:
Spriukled Building:
Lut Size:
Sq Ft 1st Fluur:
Sq Ft 2nd Fluur:
Sq Ft Basement:
Sq Ft Garage/Carpurt
Sq Ft Other:
Occupant Luad:
nla
I DEVELOPMENT INFORMATION I
, REQUIRED PARKING
,
Fruntyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Sular Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: ,
% uf Lut Cuverage:
. Tutal:
: Handicapped:
Cumpact:
I PUBLIC IMPROVEMENTS'
Street Impruvements: AI Il:N liON: SfcU'~alll.rtype:1uires you to
follow rules adopted by tne Oregon Utility
Sturm Sewer Available: Notification CerDu.wnsp.uu!slP.r,!i!l!~ set forth
Special Instructiun: in OAR 952-001-0010 through OAR 952-001-
NOTICE: 0090, You may obtain copies of the rules by
Nutes: ' calling the center. (Note: the telephone
~~~ ,~~~~I! SHALL EXPIRE IF THE WORK number for the Oregon Utility Notification
COM~;ENCED ~Rul~~~~~~~~~'~~I~~:~i'~n DescriDtio'n 1'~IILt" " I-OUU-00~.~;j44).
ANY i 80 DAY PERIOD. ' ,
$ Per Sq Ft Square Fuutage .
Descriptiun Tvpe ufCuustructiun Value Date Calculated
ur multiplier ur Bid Amuunt
Paee 1 uf 2
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phune .
541-726-3676 Fax
541-726-37691nspectiuri Line
Fee Descriptiun
+ 12% State Surcharge
+ 5% Technulugy Fee
Water Line - 1st 100'
Water Line - Each AddtllOO'
Amuunt Paid
$11.40
$4.75
$76.00
$19.00
TutaI Amu~nt Paid
$111.15
Tutal Value uf Pruject
F~esPai~ I
Date Paid
9/28/09
'9/28/09
9/28/09
9/28/09
I Plan Reviews I
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: <20M2009-01437
ISSUED: 09/28/2009
APPLIED: 09/28/2009
EXPIRES: 03/28/2010
VALUE:
Receipt Number
1200900000000001095
1200900000000001095
1200900000000001095
1200900000000001095
To Request an inspection call the 24 hour recording at 726~?769. 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 ..~e(Jllir.ell ~,n,~'1edi~.J?~ .
Water Line: Priur to. filling trench and including required testing.
By signature, I state and agree, that I have carefully examined the cumpleted applicatiun and do. hereby certify that all
information hereon is true and correct, and I further certify that any a~d all work performed shal~be done in accordance with
the Ordinances uf the City uf Springfield and the Laws uf the State uf Oregun pertaining to. the wurk described herein, and
that NO OCCUPANCY will be made uf auy structure withuut permissiun uf the Cummunity Services Divisiuu, Building Safety.
I further certify that unly cuntracturs and empluyees who. are in cumpliance with ORS 701.005 wil.! be used un this pruject.
I further agree to. eusure that all required inspectiulls are requested at the pruper time, that each ~ddress is readable frum the
street, that the permit card is lucated at the frunt uf the pruperty, aud the appruved set uf plans will remain un the site at all
times during construction.
~ A~\ ~~~
Owner ur Cuntracturs signa~le
Paee 2 uf2
~-~1---"&CJ
Date
225 Fifth Street'
Springfield, Oregon 97'477 .
541-726-3759 Phone
Job/Journal Number
COM2009-01437
COM2009-01437
COM2009-01437
COM2009-0 143 7
Payments:
Type of Payment
Cash
Change
Job/Journal Number.;,\.
COM2009-01437 ..'
COM2009-01437
COM2009-01437
COM2009-01437
Payments:
Type of Payment
Cash
Change
cReceint1
RECEIPT#:
Qesc~~iptio~' .' ,'.:
. Water Line - 1st 100'
Water Line - Each Addtl 100'
. + 5% Techn?logy Fee
+ 12% State,Surcharge
Paid By
ROBERT HASTINGS
RO~ERT HASTINGS'
De~cription .
Water Line -'1st 100'
Water Line - Each AddtllOO'
+ 5% Technulogy Fee
+ 12% State Surcharge
Paid By
ROBERT HASTINGS
ROBERT HASTINGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001095
Date: 09/28/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How'Received
njrn In Person
njm In Person
Payment Tutal:
Item Total:
Check Number Authorization
Received By Batch Number Number How'Received
njm
nJrn
In Person
In Person
I'
Payment Tutal:
Page I uf I
8:37:35AM
Amount Due
76,00
19,00
4,75
11.40
$111.15
Amount Paid
$120,00
($8,85)
$111.15
Amount Due
76,00
19,00
4,75
11.40
$111.15
Amount Paid
$120.00
($8,85)
$111.15
9/28/2009