HomeMy WebLinkAboutPermit Plumbing 2010-1-20 ,-s~.'.r..~'."'I,~.G'1" ;."".:"~iiI."::'.. .~1 . ,'. "'."" .1 , . h :'," ".~.. _.'" .,". .,/' J 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 r-Ii>R...'R'.JN .'3..."'...I.,E,L.",.,. ,. ,.."..,'"..".,.. 'WI;:!.~' ,,,.', r " '!"I ~ '^:~~:; " ,- ',," it " ., 0,_,;,',.""",,,.__...1 J 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