HomeMy WebLinkAboutPermit Plumbing 2009-5-8
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/Combination Permit
PERMIT NO: COM2009-00627
ISSUED: 05/08/2009
APPLIED: 05/08/2009
EXPIRES: 11108/2009
VALUE:
Status
Issued
SITE ADDRESS: 9iM Itl, ER IIElblll'~ 9Il,. SPRINGFIETYPE OF WORK: Plumbing Only
ASSESSOR'S PARCEL NO.: RIVER HEIGHTS SUB L
TYPE OF USE: New
PROJECT DESCRIPTION: Install approx 60' storm line for subdivision plat approval
Residential
Owner: BREEDEN BROS INC
Address: 366 E 40TH STREET #250
EUGENE OR 97405
Phone Number: 541-686-9431
I CONTRACTOR INFORMATION ~
Contractor Type
Plumbing
"
Contractor License
PACIFIC EXCAVATION 135018
BUILDING INFORMATION.
Expiration Date
04/23/20 II
Phone
541-726-7380
# 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 INFORMATION ~
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
ATTENTION: Oregon law requires you to
s_" . ...... _ .. ."
.~.._.. --.-... .....~....r--......"" "".. .,,~ "--'......u., ..~,"',"
~olification Center. Thcl,P,IJIl!;J<:,::Il\1.pRQ;IIIj:MENTS ~
St t I J!:l OAR 952-001-0010 througn UAH <J~~-UU1- S'd Ik T
ree mprovementJ090, You may obtain copies of the rules by I ewa ype:
Storm Sewer Available~lIing the center, (Note: the telephone NOJ;J~81!"Pouts/Drains-:
Special Instruction: number for the Oregon Utility Notification THIS PER'MrT SHAl
Center is 1-800-332-2344), AU l EXPIRE IF THE WORK
THOR/ZED UNDER THIS PERMIT IS NOT
00MMENCED OR IS ABANDO
I ~ "I 100.
Valuation Description ~
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Dale Calculated
Pa!!e I of2
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CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00627
ISSUED: 05/08/2009
APPLIED: 05/08/2009
EXPIRES: 11/08/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 I nspection Line
Total Value of Project
Fees Paid j
$9.12
$3.80
$76.00
5/8/09
5/8/09
5/8/09
Receipt Number
2200900000000000498
2200900000000000498
2200900000000000498
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Storm Sewer - 1st 100'
Amount Paid
Date Paid
Total Amonnt Paid
$88.92
I Plan Reviews 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.
l Reuuired Insuections I
Storm Sewer Line: Prior to filling trench.
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 withont permission of the Commnnity Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
~~~ 5-R-Oi
Owner or Contractors Signature
Date
Page 2 of 2
225 Fiftl) Street
Springfield, Oregon 97477
541-726-3759 Phone
iir~~
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200900000000000498
Date: 05/08/2009
8:53:50AM
Job/Journal Number
COM2009-00627
COM2009-00627
COM2009-00627
Payments:
Type of Payment
CreditCard
cRcccioll
Description
Storm Sewer - 15t 100'
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
SUSAN BREEDEN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
76.00
3.80
9.12
$88.92
Amount Paid
llh
09458C Phone
Payment Total:
$88.92
$88.92
Page 1 of I
5/8/2009