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Home My WebLink AboutPermit Plumbing 2009-5-8 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 2.'2.0 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00626 ISSUED: 05/08/2009 APPLIED: 05/08/2009 EXPIRES: 11/08/2009 -\'t'"\ bt ~\D\VALUt \\e\. t\-\-<> Cr" Status Issued SITE ADDRESS: 919 RI','ER IInSIITS BR SPRINGFIETYPE OF WORK: Plumbing Only ASSESSOR'S PARCEL NO.: RIVER HEIGHTS SUB L TYPE OF USE: New PROJECT DESCRIPTION: Install approx 20' 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 EXCA V A TlON 135018 BUILDING INFORMATION ~ Expiration Date 04/23/2011 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMA nON ~ REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: ATTENTION: Oregon law requircl'pl'fBLrC IMPROVEMENTS ~ follow rules adopted by the Oreg_.. ~'''''J -NOTICE: Street I~mxe.m~I!~:Center. Those rules are set forth THIs"~triMI'rTSAAll Storm seWG9~~ailiiti~?1-001 0 thlough OAR 952-001- AUTlDQWilSPBum:flr~if~XPIRE IF THE WORK Special Insl~~clib~~ may obtain copies of the rules by COMME ,,~"' , I HIS PERMIT IS NOT calling the cenler. (Note: the telephone NCED OR IS ABANDONED FOR Notes: number for the Oregon Utility Notification ANY 180 DAY PERIOD Center is 1-800-332-2344). . I Valuation Description ~ Description Typt' of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculat~d h':\'- ~ Pa2e I 01'2 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2009-00626 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 Inspection Line Total Value of Project Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee Storm Sewer - 1st 100' Amount Paid Date Paid Receipt Number $9.12 $3.80 $76.00 5/8/09 5/8/09 5/8/09 2200900000000000497 2200900000000000497 2200900000000000497 Total Amount Paid $88.92 I Plan Reviews ~ 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. I Reouired Inspections ~ Storm Sewer Line: Prior to filling trench. By signature, I state and agree, that I bave carefully examined tbe 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 Springlield 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 fnrtber 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 of the property, and the approved set of plans will remain on the site at all ~~~ ~-~-O~ Owner or Contractors Signature Date Page 2 of2 2251 Fifth.Street Sp~ingfield, Oregon 97477 541-726-3759 Phone iii~~f City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000000497 8:45:58AM Date: 05/08/2009 Job/Journal Number COM2009-00626 COM2009-00626 COM2009-00626 Payments: Type of Payment CreditCard cReceintl Description Stonn Sewer - I sl 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 Ilh $88.92 $88.92 05277c Phone Payment Total: Page I of I 5/8/2009