HomeMy WebLinkAboutPermit Plumbing 2009-12-1
Status
Issued
225 Fifth Street, Springfield; OR
54] -726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01715
ISSUED: 12/01/2009
APPLIED: 12/01/2009
EXPIRES: 06/01/2010
VALUE:
SITE ADDRESS: 260 W H ST
ASSESSOR'S PARCEL NO.: 1703341104900
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Reroute sanitary sewer and cap existing
TYPE OF USE: Alteration
Residential
Owner: LAMARCHE REBECCA M
Address: 976 KELLY BLVD
SPRINGFIELD OR 97477
Contractor Type
Plumbing
I C()NTRACT,OR INFORM;\TION I
Contractor
DRAIN RAIDER ROOTER SERVICE LLC
License
170530
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of C~nstruction
BUILDING ~NFORMA TION I
# of Stories:
R-3 Height of Structure
Type of Heat: ()I) \0
VB Water Type:eo,~\,e$ ~ \)~\~
Rang,""~~eo,e<6~se\\O :\_
~. e~'j!~~ ~tm~~ 1jJ'1.J:P'dJ
~\\O '~ihtWP~~~~ We ,\)\e'J>ia
"1'~ ...\0$ ."'l' - .",,0 - ,,\ ~ c",r{.'V_
\o\\ox.: -, I~,;J~~'&.R ~..._' -
~'O\\ r~ .i,?t I .Iu,~ .,
'" ~....V.!t e;, - ~ \.l(\"!'-
,,,0 '!o~~ ae~e"t},~o{\ ~
r;{)'60,~\{\9, \~\tIJ~~O
~\\\'Oe' ~~/I1lrrees Rqd:
~ ~ved Drive Rqd:
% of Lot Coverage:
Expiration Date
06/19/.2010
Phone
541-338-8848
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
." ~oJ..'
I PUBLIC IMPROVEMENTS 1 \y'\~~ 'II'~'!:)'\;,:.
.-..19\\\<(. ;..'il,,~1, ype::'~
\. ,,-r--. ~ V~.. \) '.
\C~. ~ coV-~\v.5~" ~~~~spoutS/Drains: <
~~'t." \It.\\'\.\) '0~\) \c:, \>-'O~ .'
,y..,\S y..,\)\\\'V ~\) C\\ \\\\)\:).
\'-~;~I\\-I\t.~~~ v'€ .
/'': ,_L
I Valua&iD~scriDtion 1
$ Per Sq. Ft
or multiplier
Square Footage
or Bid Amou~t
Paee I of2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01715
ISSUED: 12/01/2009
APPLIED: 12/01/2009
EXPIRES: 06/01/2010
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
+ 5% Technology Fee
Encroachment Permit
Sanitary or Storm Sewer Cap
Sanitary Sewer - 1st 100 Feet
Amount Paid
Date,Paid
Receipt Number
$16.08
$6.70
$6.98
$139.50
$58.00
$76.00
12/1/09
,12/1/09
12/1/09
12/1/09
12/1/09
12/1/09
1200900000000001288
1200900000000001288
1200900000000001288
1200900000000001288
1200900000000001288
1200900000000001288
Total Amount Paid
$303.26
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.
1 R,ecllIired Tnsneetion.s I
Sanitary Sewer Line: Prior to filling trench and including required testing.
Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped witb an approved material as
required by the code.
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 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 propel' time, that each address is readable from the
street, that tI ermit card is located at the front of the property, and the approved set of plans will remain on the site at all ,
timeSdZ2~.~~ .Li /2~~9
0';;;;':1' or Contractors ~nature Date
Page 2 of2
225 Fift,h Street
Springfield, Oregon 97477
54]-726-3759 Phone
Job/Journal Number
COM2009-0 1715
COM2009-0 1715
COM2009-0 1715
COM2009-01715
COM2009-0 17 J 5
COM2009-0 1715
Payments:
Type of Paymen~
CreditCard
cRcceintl
RECEIPT #:
Description
Sanitary Sewer - 1st 100 Feet
Sanitary or Storm Sewer Cap
+ 5% Technology Fee
+ 12% State Surcharge
Encroachment Pennit
+ 5% Technology Fee
Paid fly
ARTHUR FERREIRA/DRAIN
RAIDER
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001288
Date: 12/0112009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ikw
063830 In Person
Payment Total:
';-;
II :
Page 1 of 1
1J:31:16AM
Amount Due
76.00
58.00
6.70
16,08
139.50
6.98
$303.26
Amount Paid
$303.26
$303.26
\
12/1/2009