HomeMy WebLinkAboutPermit Plumbing 2009-10-28
Status ' issti'~d:';V: . ::;;,;,:f:;,:';,
225 Fifth Street, Springfield, OR"";:' : :~,.'
541-726-3753 Phone
541-726-3676 Fax .,'. :::'. .
541.726-3769 InspectionLine.:.:}/;if,:. i'. '
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CITY OF SPRINtJJ:<lJ!.LD
Building/Combination Permit
PERMIT NO: COM2009-01583
ISSUED: 10/28/2009
APPLIED: 10/28/2009
EXPIRES: 04/28/2010
VALUE:
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Springfield TYPE OF WORK: Plumhing Only
SITE ADDRESS: ,,285 S 32ND ST
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. ASSESSOR'S MRCEL.NO.: ..1702313106200
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PROJECT DESCRIPTION, Sewer and water
Owner:
Address:
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BIDWELL DAVID BROCK.
285 S 32ND$T''i.':,,'i:>i(L;:i
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SPRINGFIELD' OR 97478
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Contractor Type
Plumbing
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# of Units: i' ,; ':1' ,.:1~' I
Primary Occnp~ncy Group:
Secondary Occupancy Group:
Primary Construction Type'
Secondary Construction Type:
# of Bedrooms:
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Frontyard Setb~ck: \
Side 1 Sethack: H ... ,; . t'
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
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Street Improve~ent~: -. '.'
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Storm Sewer Availahle:"
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Special Instruction: 1 ; .
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Notes:
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Description ! Type ~f Construction
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TYPE OF USE: Repair Residential
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I DEVELOPMENTINFORMATION ,
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Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Co>:erage:
'1.....,_.:..-.
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Expiration Date
0212812011
Phone
541-935-6350
'.: ;P" ~~,:i;i. . fll I CONTRACTOR INFORMATION'
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Contractor TTFNTtON: .QrlLQon law re.CLul!'~s leiFfdlse
GARYS Rltih!}~.f>.rl,'-Ihm.ffw~ ~~~~
. . Notificaiior' BlJ11'OOI~lMNpt1'RMiT8;n
. ,~"in OAR 95..-11J! !e '. I uJ! ' -
0090. You maYiP8t~m~ieS of the rules by
Rl~lIing the ceatqr.,,~ii : the telephone
number lor thytll'e ~'/iWWOtlficatlOn
. '. VB Center~lr ype: -2344). . "
" . Range Type:
Energy Path:
Sprinkled Bnilding:,,,',....' ,_,,/a
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other,
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
.Compact:
I PUBLIC IMPROVEMENTS,. 'J..
NOi\Ct~ srV',\,\" E'f.1'\?E \f ~~~e:
1HIS PEPJJ\~; UNDER l\1IS PE~a r0<t\ uts/Drains:
AU1\10R12 D OR IS ABANDO
COMME~CD~Y pE.RIOD.
ANY1Bu .
Iy aluati~n D~scriDtion I
$ Per Sq Ft
or multiplier
Sq uare Footage
or Bid Amount
Paee 1 of2
Value
Date Calculated
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01583
ISSUED: 10/28/2009
APPLIED: 10/28/2009
EXPIRES: 04/28/2010
VALUE:
Status . IssN~q,'d~'.' ,\;;f{'ji1I{.\:.,
225 Fifth StreetiSpringfleld;'OR' r;':~ '
. 541-726-3753 Phone' .- . '.
,541-726-3676Fa~:".",:"".., ,
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. 541-726-3769 Insl"ii:tionLine: ::;,",{ '. '.
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Total Value of Project
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Fe~s PaidJ
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" Fee Descri~th~n~;~r~'et 'i_~~}?
+ 12% State Surcharge':'."
+ 5% Technology.Fee
Sanitary Sewer - 1st 100 Feet
Water Line - 1st 100'
Amount Paid
Date Paid
$18.24
$7.60
$76.00
,.. $76.00
10128109
10128109
10128109
10128109
Recei~t Number
1200900000000001202
1200900000000001202
1200900000000001202
1~00900000000001202
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Total,AnioiliitPaid' .c', .c.' $177.84
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Plan Reviews I
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To Request an inspection call the 24 hour recording at 726-3769. All in~pections 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
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work day. ';.. ...1i..,.;-"... .>"'i'
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Reowired I nsnections ,
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Water Line: Prior,to filling french and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
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By signature, I state'~nd.agree, thai'i have carefnlly examined the completed application and do hereby certify that all '
information hereon is true and correct, and 1 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 OCCUP AN,CY:will be made of any strncture 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 he used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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
times during construction. '.)
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'Owner or Contractors Signature
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Date
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City of Springfietd Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
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Sprihglietd, Oregon 97477
541-726-3759'Ph6Iie',
. ,::!,;' ; ::IlliCEIPT #:
1200900000000001202
Date: 10/28/2009
1:05:08PM
Job/journal Number .~;?. :>'~'~s~~"~'i'ptio~::::J,i.;lf;'~:'l:,:~t:,' .
COM2009-01583 :~.. ,Sanitary Sewer'j'lst 100,Feet
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COM2009-01583 '. Water Line - 1st' 100' .
COM2009-01583 '.+ 5% Teclmololn' Fee ,.,:
C0M2009-0 15 83' :,+ q% State,SUJ'charge:,
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 02884b In Person
Payment Total:
Amount Due
76.00
76.00
7.60
18.24
$177.84
Payments: . ,;.~:r:_::;i "t /.~
Typ~ of Payment. ,,')'aid,By ,:. .
CreditCard ' ;,:':AARONMUSTIN "i:
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Amount Paid
$177.84
$177.84
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