HomeMy WebLinkAboutPermit Plumbing 2010-1-20
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
vPERMIT NO: COM2010-00081
ISSUED: 01/20/2010
APPLIED: 01120/2010
EXPIRES: 07120/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
54]- 726-3769 Inspection Line
VSITE ADDRESS: ]820 E ST
ASSESSOR'S PARCEL NO.: ]703362]]9600
Springlield TYPE OF WORK: Plumbiug Only
TYPE OF USE: New
PROJECT DESCRIPTION: Replace approximately ]00 feet of sewer line.
Resideutial
Owuer: HASSEBROCK PATRICIA A
Address: 206 S 13TH ST
COTTAGE GROVE OR 97424
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
NORTH DOUGLAS PLUMBING INC
License
]62624
Expiration Date
01107120] ]
Phone
54]-836-2022
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft ] st Floor:
S'I Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
u/a
1 DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Sular Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
\
ATTt;NTIf"'\M. nro"nn loy, 'MyJtfrAA ""'I Ie
I PUBLIC IMPRCNEM.rnlpSlW!dopted by the Oregon Utility
, I.~,l..~",.._ .knter. Those rulesaruel fortlt
in OAR 952-001-0(}'l1ll1Wl'~'fuqJAA 952-001.
, .po90. You may ob"inv~~l?b~Ilpt..\b,',lJ!les by
'calling the center. . (Nbfe:1nelefe'plione
, . number for the, O!egon Utility Notiflcatloft
Center is 1-800-332-2344).
.
Street Improvements:
. \
Storm Sewer AvaIlable:
Spe~i~niIstr.uction:
. 'V..
TillS PER'M '
Notes', IT SHALL EXP
~'~},~~_RIZED UNDFR TLJ/~Rf IFTHE WORK
- ...."CIVL,tU OR IS - . ff.,v'1/ II; fr-
ANY 180 DAY PERIOtBANDONED FOR V~luation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee] of2
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
~ ~.
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2010-00081
ISSUED: 01/2012010
APPLIED: 0112012010
EXPIRES: 0712012010
VALVE:
Status
Issued
(
Total Value of Project
F~~s Pairl I
Fee Description
+ ]2% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 100 Feet
Amount Paid
Date Paid
Receipt Number
$9.]2
$3.80
$76.00
1120/10
lI201l 0
lI201l 0
2201000000000000049
220]000000000000049
220]000000000000049
Total Amount'Paid
$88.92
I Plan Reyiews I
To Request an inspection call the 24 hour recordi!lg ,at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, insp,ections requested after 7:00 a.m. will be made the following
work day.
I Reouired Insnections I
, 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 hereby certify that all
information hereou is true and correct, and I further certify that any aud all work performed shall be doue in accordance with
the Ordinances of the City of Springfield aud the Laws of the State of Oregon pertainiug to the work described hereiu, and
that NO OCCUPANCY will be made ofauy structure without permissiou of the Community Services Division, Buildiug Safety.
I further certify that only contractors aud employees who are in compliauce with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the frout of the property, and the approved set of plaus will remaiu on the site at all
times during construction. __
/C;P~ /
Owner or Contractors Signature
/~
:/2/7//U
Date
,:.H "
,.
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 1 0-00081
COM201O-00081
COM20 1 0-00081
Payments:
Type of Payment
Check
cRcccintl
RECEIPT #:
Description
Sanitary Sewer - 1 stl 00 reel'
+ 12% State Surcharge
+ 5% Technology ree
Paid By
PATR1CAIA HASSEBROCK
~~,
City of Springfield Official Receipt
Development Services Department
Public Works Department
2201000000000000049
Date: 01120/2010
Item Totul:
Check Number Authorization
Received By Batch Number Number How Received
njrn
326
In Person
Payment Total:
Page 1 of I
]:]]:OIPM
Amount Due
76,00
9,12
3,80
$88,n
Amount Paid
$88,92
$88.92
1/20/2010