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HomeMy WebLinkAboutPermit Plumbing 2009-12-4 ,,",; CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01733 ISSUED: 12/04/2009 APPLIED: 12/04/2009 EXPIRES: 06/04/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726,3753 Phone 541-726-3676 Fax 54 I -726-3769 Inspection Line SITE ADDRESS: 7025 GLACIER DR ASSESSOR'S PARCEL NO,: 1802022300700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Residential PROJECT DESCRIPTION: ~epair waterline to residence. Owner: BOWDEN GARY L & JUDY P Address: 42003 MCKENZIE HWY law requIres you to SPRINGFIELD '<J\l'.I::JI'Il, IPN: oregt Odn by the Oregon Utility ~ " ,_..IA" ..rlQD e " B~"h ,Vf...... -. C tEU ln05t1IU.'O-Q....- t1ot\flcatlOn -o~~looomrRWafr~l~ nON I In OAR 952 \ ,({ IV! f.. J~l'" 0090 You may 00 II ". the telephone ' ,Contractor Type Conlr&'lt!?ilg the center. (~~t~iility Notificatiorl--icense Expiration Date Phone number for the. O~e~M <I<lll.2a44\. "'__U1.9""; :.1 ! , I BUILDING I~FORMATlON I ;, # of Units: Primary Occnpancy Grollp: Secondary Occupancy Group: Primary Constrllction Type' Secondary Construction Type: # of Bedrooms: R3 # of Storie~:",..._,..(,..-...._ '7f, Height o(Si'ructure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: 1; ;'0 t'tHIVIIT PPtmLl~F~~M/IIj!,t ~~~~E~~~~ ~Ru,Sn I Ml~ PERMIT IS NOT ,ANY 180 DAY PERIOtB!\NDO~ED FOR Overlay Dist: # Street Trees Rqd: raved Drive Rqd: 'Yo of Lot Co~erage: ,REQUIRED PARKING Total: , Handicapped: Compact: Front yard Setback: Side I Setback: ,Side 2 Setback: Rearyard Setback: Solar Setbacks: Sidewalk Type: Downspouts/D,rains: Notes: I Valuati~~ Des~,ription I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value ': Date Calculated paee I of 2 _Sf.!"I!...,~I!I~'?: "',. ,~ .f.: 1:;A... ~~ ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01733 ISSUED: 12/0412009\ APPLIED: 12/04/2009 EXPIRES: 06/04/2010 VALUE: Status Issued 225 Fifth Street, Springlield. OR 541-726,3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fe~s Paid I Fee Description + 12% State Surcharge + 5% ,Technology Fee Water Line - 1st 100' Amount Paid Date Paid Receipt Number $9.12 $3.80 $76.00 1214/09 1214/09 12/4/09 1200900000000001305 1200900000000001305 1200900000000001305 Total Amount Paid $88.92 Plan Reviews ,I To Request an ins'pection 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. I Relluired InSIlf'ct;lIIIS I Water Line: Prior to filling trench and including required testing, 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any strncture withont 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 <lgrce to ensure that all required inspections arc rC<luested at the proper time, that each adcjress is readable from the street. that the permit curd is located at the front of the property, and the approved set of plans will remain on the site at all times during constructioll. Il~- 1JtAA~ Owner or Con~ctors Signature _6R~ be-c., j a:t7 ~/ f Date I I Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 f ,....... 541-726-3759 Phone ' Job/Journal Number COM2009,OI733 COM2009-0 1733 COM2009,01733 Payments: Type of Payment CreditCard ( cReceiotl RECEIPT #: Description Water Line -1st 100' + S% Technology Fee + 12% State Surcharge Paid By GARY'S ROOTER AND PLUMB .f~~61i Itil, , City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001305 Date: 12/04/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received 04336] In Person Payment Total, Page] of] 3:05: 15PM Amount Due 76,00 3,80 9,12 $88.92- Amount Paid , $88,92 $88.92- ] 2/4/2009