HomeMy WebLinkAboutPermit Building 2010-3-22
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00344
ISSUED: 03/22/2010
APPLIED: 03/22/2010
EXPIRES: 09/22/2010
VALUE:
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1997 INLAND WAY
ASSESSOR'S PARCEL NO.: 1803023307600
Springfield TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: Replace approx 20lfwater line
TYPE OF USE: Repair
Residential
I PUBLIC IMPROVEMENTS ~ ~\~~
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Owner: LOHNE JOSEPH T & EVELYN L
Address: PO BOX 11263
EUGENE OR 97440
Contractor Type
Plumbing
I CONTRACTOR INFORMA TION ~
Contractor License
DRAIN RAIDER ROOTER SERVICE LLC 170530
I BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks: '
Overlay Dist: '
# Street Trees Rqd:
, Paved Drive Rqd:
0/0 of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Page 1 of 2
Expiration Date
06/19/2010
Phone
541-338-8848
u/a
Lot Size: ",
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value,
Date Calculated
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00344
ISSUED: 03/22/2010
APPLIED: 03/22/2010
EXPIRES: 09/22/2010
VALUE:
Status
Issued
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 100'
Amount Paid
. Date Paid
$9.12
$3.80
$76.00
3/22/]0
3/22/10
3/22/10
Receipt Number
1201000000000000249
1201000000000000249
1201000000000000249
Total Amount Paid
$88.92
I Plan Reviews ~
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To Request an inspection call the 24 hour recordingat 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.
[ Reauired Insnections I
Water 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 here'on 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 structure without permission of the Community Services Division, Bnilding Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree t~ ensure that all reqnired inspections are requested at the proper time, that each address 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 ihe site at all
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Owner or Contractors Signature Date
. i ~!
Page 2 01'2
225 Fifth. S~reet
Springfield, Oregon 97477
54]-726-3759 Phone
Wif~
City of Springfield Official Receipt
Development Services Department
Publie Works Department
RECEIPT #:
1201000000000000249
Date: 03/22/20]0
1I:32:01AM
Job/Journal Number
COM20 I 0-00344
COM20 1 0-00344
COM20 1 0-00344
Payments:
Type of Payment
CredilCard
cReceintl
Description
Water Line - 1st 100'
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
DRAIN RAIDER ROOTER
SERV
Item Total:
Check Number Authorization
Received By Batch Number Number How H.eceived
Amount Due
76.00
9.12
3.80
$88.92
Amount Paid
djb
$88.92
033 136 In Person
Payment Total:
$88.92
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Page 1 of]
3/22/20 I 0