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HomeMy WebLinkAboutPermit Plumbing 2009-12-15 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01789 ISSUED: 12/15/2009 APPLIED: 12/15/2009 EXPIRES: 06/15/2010 VALUE: ,." Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3957 HA YDEN BR\lJGE RD ASSESSOR'S PARCEL NO.: 1702190003300 Springfield TYPE OF WORK: Plumbing Only PROJECT DESCRIPTION: Replace approx 251f sanitary sewer line TYPE OF USE: Repair Commercial Owner: CITY OF EUGENE Address: CITY HALL EUGENE OR 97401 ,', I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor TWIN RIVERS PLUMBING INC License 17695 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I BUlLIJING INFORMATION I ATTENTlOI'Oi,Ron law requires YOU,t~ follow rule tic ~~lf'Dy the Oregon Utility Notification //{ f. "f~6'S!ff1lres are set forth In OAR 952 f-tlO~ltli'ltbugh OAR 952-001- 0090 You fl66i81tPt'opies of the rules by caliing t~r.Y(l'll:lte: the tele~ho~e number fo~lO'rl!!\tJn Utility Notification Cerilll'illl<~344). nla I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay IJist: # Street Trees Rqd: Paved Drive Rqd: o/~.of Lot ,Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date 03/1112011 Phone 541-688-1444 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: NOTICE: "0".':" THIS PERMIT SHALL fxpm~YWtWfWaRK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 1 RO nAY PFRlon I Valuation DescriDtion I Notes: Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Paee I of 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0I789 ISSUED: 12/15/2009 APPLIED: 12/15/2009 EXPIRES: 06/15/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P~id I Fee Description + 12% Slate Surcharge + 5% Technology Fee Sanitary Sewer - 1st 100 Feet Amount Paid Date Paid Receipt Number $9,12 $3,80 $76,00 12115/09 12/15/09 12115/09 2200900000000001386 2200900000000001386 2200900000000001386 Total Amount Paid $88,92 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a,m, will be made the same working day, inspections requested after 7:00 a,m, will be made the following work day, , R,eouired Insnections I Sanitary Sewer Line: Prior to filling trench and including required testing. By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with lhe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this projecl, I further agree to cnsure that all required inspections are requested althe proper time, that each address is readable from the street, lhat the permit card is located at the front of the property, and lhe approved set of plans will remain on the site at all times during construction. ~6~ {Z--/t"S"/o9 Date I . / I Owner or Contractors Signature Page 2 01'2 I - - - _ I I ,-0 MS''''''>-lG-- I I f"'1y-,ueGS I I ---___...:..L -, --- I ~P'_ACE_6>I_lS'nN."- 4' v.Jrn.\ ----------- E:V-(~.,..,.J& I Y~A:~$ .."eAr.J 4/. r ,~ I QID- _ _ _"n~ 10 y"i:'~-r'N6-- _ _ Z~#-, I I I I I ~ I, ,4~S I BI\~~lt L-eveL- I I -.+,..- -.--/.., :;::.e.eNT vl-1Tq i I i I ; i I ..---.....-.-.-,- H-Al(bGf-.l 'Bir Db6 n t...-r,e.~lfl 0,J 'PL.-A "I(, ?f'rD( OICB TvJo.J e.'v'GK.S V't-..u'l ;;"...tG- I Z--/{~(O"l 225 Fifth Street , . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number. COM2009-0 1789 COM2009-0 1789 COM2009-0 1789 Payments: Type of Payment Check cReceintl RECEIPT #: Description Sanitary Sewer - 1st 100 Feet + 5% Technology Fee + 12% State Surcharge Paid By TWIN RIVERS PLUMBING INC 8.G.I~;,~"""',.,"I-"'...,,.' ~ ' ~ - . . ,,- -: ,..,.'~ '. - ~"..,- City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001386 Date: 12/15/2009 11:23:07AM 'Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 76,00 3,80 9,12 $88,92 Amount Paid djb In Person $88,92 31068 Payment Total: $8H.92 c Page I of I 12/1512009