HomeMy WebLinkAboutPermit Plumbing 2009-11-16
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01656
ISSUED: 11/16/2009
APPLIED: 11/16/2009
EXPIRES: 05/16/2010
VALUE:
Status
Issued"':' '
" 225 Fifth Street; 'Springfield, ORe
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541-726-3753 Phone:', '.';. ";",,':,
541-726-3676 Fax ",' "
541-726-3769 Inspection Line
SITE ADDRESS;",,";770 QST~~:;;P.:" Springfield TYPE OF WORK: Plumbing Only
ASSESSOR'S PARCEL'NO.: 1703261300900
, l, ' ,', \ TYPE OF USE: Alteration Residential
" PROJECT DES(;RIl'TION: Approx 250lfwater service
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Owner:
Address:
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KIT & KAREN CHAN FAMILY LLC
2222 MARTIN LUTHER KING JR BLV
EUGENE OR 97401')' .'
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Contractor Type,i" :,i Contractor License
Piumbing' iH "';~"RIGHTWAYPLUMBlNG , 49561
I BUILDJNG,INIiOR1\1'AcTiOl'i.'~ti;~
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VB 0090., ,{ou~a8ilriW!pe\Not~tiliW Noti\ioallOn
calling t lh~'Il ~on n",,-i344)'
number tIl~~O--
y prinkled Building, n/a
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I CONTRACTOR INFORMATION .
Expiration Date
12/16/2010
Phone
541-484-3787
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructiiin Type
Secondary Construction Type:
,It ".' '
# of Bedrooms:""'-"'" '-"
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
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I. DEVELOPMENT INFORMATION"
REQUIRED PARKING
Frontyard Setback:" ,-~ .."- _..i :~: -
Side 1 Setback:;; ,~':: '
Side 2 Setback:";.' ;
Rearyard Setback: ,;, ';"
. 11 t.
Solar Setbacks: '
Notes:
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Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: ,..,-,...,' ',",
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I PUBLl\;,l~ROVEl\I,~N~\T\'e 'p'\.Al1 \S ~\J' ','
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1\'\\S?C 't.U \l~UC BP.l>\"~~ .,' ,ype.
f>,\lI\'\O?'\!Cf.U 0\\ \S PI Downspouts/Drains:
COl1ll1lC~ p.'{ ?\:1l-\OU.
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Total:
Handicapped:
Compact:
Street Improvements: . :.... ~,~: .
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Storm Sewer Available:;;eo "'"." ~:: "". ,
Special Instruction: ;: ' \
I Valuation D.cscriotion I
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Description
Type of Construction
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$ Per Sq Ft
or multiplier
Square Footage
, or Bid Amount
Value
Date Calculated
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Pa2e 1 012
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Status
Issued '
, 225 Fifth Street, Springfield, OR". ;,;c,
541-726-3753 Phone,:" :;. :;...;:':.':::':\>:,'
541-726-3676 F~x;!<l;iE~;;. :(;;;.;,~;!!!;c ;
541-726-3769 Inspee'hoD Line '
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Fee DescriPtion;(:' ;t:;tjfY 'Y;;~~!G~: ,
+ 12% State Surcharge,
+ 5% Technology Fee .:-'
Water Line - 1st 100' ;'
Water Line - Each Addtll00' ., r
Total Amount Paid
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Totlll Value of Project
Fees P}'id I
Amount Paid
Date Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01656
ISSUED: 11/16/2009
APPLIED: 11/16/2009
EXPIRES: 05/1612010
VALUE:
11/16/09
11/ 16/09
11/16/09
11/16/09
Receipt Number
2200900000000001293
2200900000000001293
2200900000000001293
2200900000000001293
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. ' ,
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$13.68
$5,70
$76.00
$38,00
, $133.38
Plan Reviews I
Reouired J l1snections I
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Water Line, Prior to filling trench lInd including rcqnired testing,
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By signature, I state and agree, that,I have 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 ofthe City of Springfield a~d the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPAN,CY.will be mad.e of any structurc withont permission of the Community Services Division, Building Safety.
1 further certify;thationiy 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 readllble 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
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Owner or Contractors Signature :,
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l'aee 2 of 2
Date
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22:; Rif:h Stlreet '
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
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.' RECEIPT #:
2200900000000001293
Date: 11/16/2009
JobtJ'ournal N~~b~~":i~'",:";rD~s'c;:iption'"~,:"F, ~~ .
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COM2009-01656: . Water"Line' :'is(IOO'
COM2009-01656 Water Line - Each Addt] 100'
COM2009-01656 + 5% Technology Fee
COM2009-01656 " '..1;:12% Stat",~#~harge,..
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Payments:
Type"of Payment
CreditCard
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r~ai,~ By
"RIGHTWAY PLUMBING
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"Received By
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Page 1 of I
Item Total:
Check Number Authorization
Batch Number Number How Received
075047 In Person
Payment Total:
9:49:45AM
Amount Due
76,00
38.00
5,70
13,68
$133.3~
Amount Paid
$133,38
$133.38
11/16/2009