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.
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Date I . / I
Owner or Contractors Signature
Page 2 01'2
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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-"'...,,.'
~ '
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. . ,,- -: ,..,.'~ '. - ~"..,-
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
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