HomeMy WebLinkAboutPermit Plumbing 2009-11-16
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. 225 Fifth Streel;'Sprio'gfield, OW., '
541-726-3753 Phone . ....... -;~
541-726-3676 Fax'
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01657
ISSUED: 11/16/2009
APPLIED: 11/16/2009
EXPIRES: 05/16/iolO
VALUE:
SITE ADDRESS:.; :(;'80Q ST"; \
ASSESSOR'S PARCEL NO.: 1703261300800
Springfield TYPE OF WORK: Plumbing Only
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PROJECT.DESCRIPTio!,;.;:, ;~~P.~ox 250lf water service
TYPE OF USE:
Residential
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Owner:
Address:
KIT & KAREN CHAN FAMILY LLC
2222 MARTIN LUTHER KING JR BLV
EUGENE- OR 9740("":"
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"l "". I CONTRACTOR INFORMATION I
tontract~r Ti~!~;r'~+contractor 0 I License Fxpiration Date
: " JlT.T"NTION: regon aw r~t1)JJres you ftI-
Plumbmg . RIGHT WAY PLUM,I:W~G ....__ _~_~.~...~' 'h'\;'?\l.bMl'lllljli'l! 12/16/2010
, N~l!lJ:l3(}t'NGel'\'TioRmN9"" a're set forttt
, III JAt,'"oi.Lu "W (~ "" "J,J.IIJAR 952-001.
0090.#YirlSfllA'J!;9btain copies of the rules blot Size:
caIlFragiJll(~\lffet&MPte:.t,he telephone Sq Ft 1st Floor:
nump~p'~Q{ftf:i~9.regon Ulihty NotificatiOllsq Ft 2nd Floor:
Wa~,lI.nf%~ 1-800-332-2344). Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Otber:
Sprinkled Building: n/a Occupant Load:
# of Units: .
Primary Occupancy;.croup: .
Secondary Occupancy Group:
Primary Construction Type
, Secondary Construction Type:
# of Bedrooms: ; " -
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: '>R-3
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Frontyard Setb~~k: i~ . ~: ,
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Side 1 Setback: , , ,
S'lde 2 Setback':"~'"'' \. ~,
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Rearyard Setback: ';'.
Solar Setbacks:
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Street Improvements: ..'~"".J. :~}:!~.
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Storm SewerAvailable:; , \
Special Instruct;on: :
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Notes:
Description
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;. Type of Construction
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Phone
541-484-3787
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I 'DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
. % of Lot Coverage:
Total:
Handicapped:
Compact:
..1 PUBLIC IMPROVEMENTS I '_"/C{:""'''''''' ~
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Qi\Ct:' ).\. tIJ'\R~lf~ ~\lroi
~\-I\S I'E"'WI~ ~~EP. i\-l\sg~~r?!ns:
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COWlWlHI~~~'{ I'EP.\OO.
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.1 Valua_tion Dcscrilltion ,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Issued
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CITY OF SrKll~GFIELD'
Building/Combination Permit
.. PERMIT NO: COM2009-01657
ISSUED: 11/16/2009
APPLIED: 11/16/2009
EXPIRES: 05/16/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone '. .
541-726-3676 Fax " !'"..= ,'. ,c\i;;.\.:"
541-726-3769 Inspectlori:Lin''':'~:'f.:"tf:i
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Total Value of Project
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Fees P'lid I
Fee DescriPtion,,.-," y,,::,{;.;<
+ 12% State Surcharger;
+ 5% Technology'Fee
Water Line - 1st 100'
Water Line - E~ch AddtI 100'
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'Amount Paid
Date Paid
Receipt Number
$13.68
$5.70
$76,00
$38.00
11116/09
111] 6/09
11116/09
11/] 6/09
2200900000000001294
220090000000000]294
220090000000000]294
2200900000000001294
Total Amount Paid
$133.38
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I Plan Reviews I
To Request a~ 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.
..', " _.1. ..,_ _,:~ :t"' , Rellllired !nsnedillns I
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Water Line, 'Prior to filling trench and including required testing.
By signature, I state and agree, thatI have carefully examined the completed application and do hereby certify that all
information hereon is true and co....ect, 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 structurc witbout permission of the Community Services Division, Building Safety.
I further certify !haton]y 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 inspcctions 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
times during construction.
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~ner or Contractors Signature
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Date
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I'ace 2 of 2
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541-726-3759 P~~t!l;;~f':;:,,,,"";~~ii1 '-_.fi~ ,:
CitY of Springfield Official Receipt
Development Services Department
Public Works Department
,\.; . RECEIPT #:
2200900000000001294
Date: 11/16/2009
9:50:33AM
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Job/Journal Number r.. ',' Descrip~ion :. 1-:._.~"
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COM2009-01657 Waterline ..1 st:1 00'
COM2009-0 1657 Water Line. Each Addtl 100'
COM2009-0 1657 + 5% Technology Fee
COM2009.0 1657 + 12% State Surcharge
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Received By
Item Total:
Check Number Authorization
Batch Number Number How Received
Amount Due
76,00
38,00
5,70
13.68
$133.3H
Payments:
Type, of Payment
CreditCard
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",Paid' By.
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'.,RIGHTW A Y. PLUMBING
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Amount Paid
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075047 In Person
Payment Total:
$133,38
$133.3H
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cReceint I
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11/16/2009