HomeMy WebLinkAboutPermit Building 2010-4-6
Status Issued,
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
BUilding/Combin1ation Permit
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PERMIT NO: COM20~0-00430
ISSUED: 04/06/2010
APPLIED: 04/06/2010
EXPIRES: 10/06/2010
VALUE: I
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SITE ADDRESS: 1907 J ST
ASSESSOR'S PARCEL NO.: 1703362100100
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Springtield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION:
Owner: BEAL KENNETH W & PATRICIA A
Address: 460 LlNDALE DR UNIT 122
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor License
JENCOURT ROTO ROOTER 182531
BUILDING INFORMATION I
Expiration Date
0611112010 I
Phone
541-689-1711
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
,",,'>
# of Stories:
;,.',
J,-leight of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
I
Sq Ft Basement:
I
Sq Ft GaragelCarport
Sq Ft Other: I
Occupant Load:
I
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REQUIRED PARKING
Total: I
Handicapped:
I
compar
ATIENTION: Oregon law req~MENT INFORMATION I
follow rules adopted by the Or
t-jotilication Center, Those rules are set forth
F,rontyard IfNJ,'!f,~52-001-001 0 through OAR 952!d5,tIay Dist: .
S~de I Setb<!!8~b, You may obtain copies of the rul~et Trees Rqd:
S,de 2 Setba~lIing the center. (Note: the telephollved Drive Rqd:
Rearyard S'l\lJi'i~l5er lor the Oregon Utility NotificatYGI'lf Lot Coverage:
Solar Setbacks: Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
I PUBLIC IMPROVEMENTS I
NOTICE: Sidewalk Type: ,'-,
THIS PERMIT &\M./Jp&WAB&llisTHE WORK
, bi;'t. . 'G ',,.",. AUTHORIZED UNDER THIS PERMIT I~ NOT
" COMMENCED OR IS ABANDONED FOR
. ANY 180 DAY PERIOD, I
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Notes:
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I Valuation Description I
Description
Type of Constrnction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pagel 01'2
Status
Issued
I
CITY OF SPRINGFIELD
Building/CombiJation Permit
I
I
PERMIT NO: COM201O-00430
ISSUED: 04/06/2010
APPLIED: 04/06/2010
EXPIRES: 10/06/2010
VALUE: I
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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," Total Value of Project
L" Fees Paid-i
$9.12
$10.78
$139.50
$76.00
4/6/10
4/6/10
4/6/10
4/6/10
Receipt Number
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1201000000000000299
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1201000000000000299
I
1201000000000000299
I
1201000000000000299
Fee Descrilltion
+ 12% State Surcharge
+ 5% Technology Fee
Encroachment Permit
Sanitary Sewer - 1st 100 Feet
Amount Paid
Date Paid
Total Amount Paid
$235.40
I Plan Reviews ~
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
I
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day. ;. J~ '0"
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L ReOliired Insoections ~
Sanitary Sewer Line: Prior to filling trench and including required testing.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby CerlifY that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done lin 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 strncture withont permission of the Community Services Division, Building Safety.
1 fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will he nsed 'on this project.
I further agree to ensure that all required inspections are reqnested at the proper time, that each-address is readable from the
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Owner or Contractors Signatnre Date
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Page 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Servibes Department
Public Wo~ks Department
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Date: 04/06/2010 I 12:1I:00PM
RECEIPT #:
120100000000000029~
Job/Journal Number
COM2010-00430
COM2010-00430
COM20 I 0-00430
COM20 I 0-00430
Payments:
Type of Payment
Cred itCard
cReceintl
Description
Sanitary Sewer - 1 st 100 Feet
+ 12% State Surcharge
Encroachment Permit
+ 5% Technology Fee
Paid By
ROTO ROOTER
Received By
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Page I 01'.1.
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Item Total:
Check Number Authorization I
Batch Number Number How Received
416090 In Person
Payment Total:
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Amount Due
76.00
9.12
139.50
10.78
$235.40
Amount Pnid
$235.40
$235.40
4/6/2010