HomeMy WebLinkAboutPermit Plumbing 2010-2-8
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00166
ISSUED: 02/08/2010
APPLIED: 02/08/2010
EXPIRES: 08/08/2010
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2627 S Cloverleaf Lp Springfield TYPE OF WORK: Plumbing Only
ASSESSOR:S PARCEL NO.: 1703223400204
TYPE OF USE: Repair
t:idwh &
t.A.l
PROJECT DESCRIPTION: Replacing 30 feet of sewer line
Owner: CASASSA FREDERIC
Address: PO BOX 23741
EUGENE OR 97402
. I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
JENCOURT ROTO ROOTER
License
182531
Expiration Date
06/11120 I 0
Phone
541-689-1711
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I, DEVELOPMENT INFORMA TION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Oyerlay Dist:
# Street Trees Rqd:
'Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: Oregon law rec1tIllltIm\J"ilJItaPROVEMENTS I
St t I ~~ rules adopted by t he l:nA~!!.I C'u.lI,
ree mpro s. I rth
o I cation Center. Those rules are set 0
Storm Sewer ~952-OO1-OO10through OAR 952-001-
SpeciallnstnOOllil; You may obtain copies of the rules by
calling the oemer. (Note: the telephone
IlUmber for the Oregon Utility NotiIIcatIon
Center II 1-800-332-2344).
Sidewalk Type:
Downspouts/Drains:
Notes:
Description
TYlle of Construction
NOTICE:
':"1 rr3 F'EnF.lIT &11.':':' El~rm!; If TP.E '.lI/'YDII
I Valuation Descrintion ilJTHORIZED UNDER THIS PERMIT IS NOT
.,,~MMENCED OR IS ABANDONED FOR
"$ 'P~r Sq Ft Square"'~qtll!?80 DAY PEl\I!dR~ Date Calculated
or multiplier or Bid Amount
Page 1 01"2
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/C9mbination Permit
PERMIT NO: COM20IO-00166
'''ISSUED: 02/08/2010
APPLIED: '02/08/2010
,EXPIRES: 08/08/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~~.s Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 100 Feet
Amount Paid
Date Paid
Receipt Number
$9.12
$3.80
$76.00
2/8/10
2/8/1 0
2/8/10
2201000000000000122
2201000000000000122
2201000000000000122
, . ;'< ~
Total Amount Paid
$88.92 '.
~.
I Plan Reyiews 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.
~eolli~,e~, l"n,~,I],r<;ti,.?I,.~11
Sanitary Sewer Line: Prior to tilling 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 Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of-any structUI'e without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are incompliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections'.~re r~q~'ested at the proper time, that each ~ddress is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction. ' . , "
d."?fE. ,.,;:.':: ~ (P
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I I
Date
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone .
Job/Journal Number
COM2010-00166
COM20 I 0-00 166
COM20 10-00] 66
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Sanitary Sewer - 1st 100 Feet
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
JENCOURT ENVIROMENTAL
SVCS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2201000000000000122
Date: 02/08/2010
2:29:14PM
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
Amount Due
76.00
9.12
3.80
$88. 92
Amount Paid
njm
In Person
$88.92
1143
Payment Total:
$88,92
1'......"t.
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