HomeMy WebLinkAboutPermit Plumbing 2010-6-24
+
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00812
ISSUED: 06/24/2010
APPLIED: 06/23/201 0
EXPIRES: 12/24/2010
V i\LUE:
:' . ~"j'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2249 37th St "'L;' .. .'
ASSESSOR'S PARCEL NO.: RIVER HEIGHTS SUB L
.Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Install approx 150' storm line for subdivision plat approval- River Heights Dr lot 013
Owner: BREEDEN BROS INC
Address: 366 E 40TH STREET #250
EUGENE OR 97405
Phone Numher: 541-686-9431
Contractor Type
General
I CONTRACTOR INFORMATION I
Contractor License
1'1. ,".1
BREEDEN BROS INC 'I 27
. BuiLDING INFORMATION I
Expiration Date
12/04/2010
Phone
541-686-9431
# of Units:
Primary Oeenpaney Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
E'nergy Path:
'Sjihnkled'i3liilcting.
:.-'\:,i-l: .r'
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Oeeu'pant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRE'D PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethaeks:
Overlay Dist:
# Street Trees Rqd:
Paved.Drive Rqd:
% of Lot Coverage:
,.
Total:
Handicapped:
'. Compact:
Storm Sewer Available:
Specia\~vr~~~n:
Notes,TH/S PERMIT SHALL EXPIRE IF T
AUTHORI? ~Inc T.. __ HE WORK
,~~~I~~NgX$ ~E~:~tB'A'NDONED CNi~;~~tion Descri
I PUBLIC IMPROVF..MEllIl1Tli:ilN: Oregon law req,uires you.~o
!!lIlu" ""Rs adopted by the Oregon Utility
". '. 1ii6tification Cenl\i~eWl!JseruPlas are set forth
,.;. '~".' :~: . Jim OAR 952-001 ilg~~tl(''6'mMl~~.952-00by1'
0090. You may obtam 'Copies oTln~ rules
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Genter is 1 ~800-332-2344).
Street Improvements:
Description
Tvpe of Construction
$ Per s<irt(' '),;", ,S!l,u~re Footage
or multiPlier"''''' 1".\,. or'Bid Amount
. ~,:.!. . .
Value
Date Calculated
;,'t~"r~.~'t.;
, ~f:~~-
'frY)"'
,r;::,c.!
Pa2e ] of 2
...J.~.~.i,...".._
'.~. ~~"~~ ::};',! {H
,('r-fl~'>-_' ill;
'it; ,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'. Total Value of Project
I. Fees Paid___
".
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Storm Sewer - 1st 100'
Storm Sewer Each AddtllOO'
Amount Paid
$11.40
$4.75
$76.00
$19.00
Total Amount Paid
$111.l5~,;;
.....
1..A~lanR.f~ie.ws ,
Date Paid
6/24/10
6/24/10
6/24/10
6/2411 0
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00812
ISSUED: 06/24/2010
APPLIED: 06/23/2010
EXPIRES: 12/24/2010
VALUE:
Receipt Number
2201000000000000739
2201000000000000739
2201000000000000739
2201000000000000739
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.
ReQuired InsDections ~
Storm Sewer Line: Prior to filling trench,. 'f"""
- ,
,.
" ''!!
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 structure without permission of the Community Services Division, Building 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 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 front ori~e"property,and the approved set of plans will remain on the site at all
times during construction. ;:';-1..;;::1" .h-::..~.,,:-,~' . h
,:JfgJ,5,;t ~il:~ 1';
!;:;Y'::"i
:"" ,
. ;:~, ., 1
Paee 2 of 2
L:".:l',.,,/
,
6 '2Y-{"O
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~~Q~.,1tL iN...... ".':
~""'---."
, ,-
"',.,,J .....,
.'...._,-v_,,.'",'.v........'
City of Springfield Official. Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000739
Date: 06/24/2010
9:42:02AM
Job/Journal Number
COM20 1 0-00812
COM2010-00812
COM201O-00812
COM20 1 0-00812
COM2010-00813
COM2010-00813
COM2010-00813
COM2010-00813
Payments:
Type of Payment
Check
cReceintl
Description
Stonn Sewer - 15t 100'
Stonn Sewer Each Addtl 100'
+ 12% State Surcharge
+ 5% Technology Fee
Storm Sewer - 15t 100'
Stonn Sewer Each Addtl 100'
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
BREEDEN HOMES
~.i ;,;,_,~ '. ~
!',.!.'I-"
,[!
Received By
njm
Check Number
Batch ~umber
- ~A
, ,~
d',
-"If ~.t I,
.,
'f',"
,
.'.
"'.!
"
\ .,'~,
..,1
,;' _J,': "
..,-'r'
Pa.ge I of I
Item Totat:
Authorization
Number How Received
Amount Due
76.00
19.00
11.40
4.75
76.00
19.00
11.40
4.75
$222.30
Amount Paid
19081
$222.30
$222.30
Stonnwater In Person
Payment Total:
6/2412010
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
_"_"'1' ,
2201000000000000739
Date: 06/24/2010
9:46:12AM
Job/Journal Number
COM2010-00812
COM2010-00812
COM2010-00812
COM20 I 0-00812
COM2010-00813
COM20 I 0-00813
COM20 1 0-00813
COM20 1 0-00813
Payments:
Type of Payment
Check
cReceil1tl
Description
Storm Sewer - 1 st 100'
Storm Sewer Each Addtl 100'
+ 12% State Surcharge
+ 5% Technology Fee
Storm Sewer - 1 st 100'
Storm Sewer Each Addtl 100'
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
BREEDEN HOMES
'"I'
Received By
njm
-Check Number
Batch Number
:~~_.;:_~w.
,"
,iu;mH .''' .~%Olj ,
h.._.'w
. :1
"."..'~'
. .~~~~~,.
<~:i
.".,'
),nj,j.;:,
-fV-;; ,
t,"-::
"
, Page I of 1
"
Item Total:
Authorization
Number
Amount Due
76.00
19.00
IIAO
4.75
76.00
19.00
llAO
4.75
$222.30
How Received
Amount Paid
19081 Stormwater In Person
Payment Total:
$222.30
$222.30
6/24/2010