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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..\\\ ~\ '\k'\ ~~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00634 ISSUED: 05/08/2009 APPLIED: 05/08/2009 EXPIRES: 1II08/2009 VALUE: Status Issued SITE ADDRESS: ..9il1 ftIVE", tturnfU J;lD SPRINGFIETYPE OF WORK: Plumbing Only ASSESSOR'S PARCEL NO.: RIVER HEIGHTS SUB L TYPE OF USE: New PROJECT DESCRIPTION: install approx 50' 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 I Contractor Type Plumbing Contractor License . PACIFIC EXCAVATION 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: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: NOTICE: I PUBLIC IMPROVEMENTS I Street Improm,~e~t~:r:MIT SHALL EXPIRE IF THE WORK Storm Sewer~A\Tail"ole1ED UNDER THIS PERMIT IS NOT Speciallnstrl9ttlmV,ENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: Description Tvpe of Construction ATTENTIOl~~mB~BWPa~i'\~uires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- qn v II 8V obtain copies of the rules by I "~Iling the center. (Note: the Ie epnone Valuation Description lber for the Oregon Utility Notification Center is 1-800-332-2344). $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Notes: Paee I of2 <rj\\ Status Issued ClTY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00634 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 $9.12 $3.80 $76.00 5/8/09 5/8/09 5/8/09 Receipt Number 2200900000000000505 2200900000000000505 2200900000000000505 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 InsDec~ Storm Sewer Line: Prior to filling trench. By signatnre, I state and agree, that I bave 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 Springlield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made of any structnre 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 th'at all required inspections arc 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. 'i) ~ DJuuL- 6 - '3 - 01 Owner or Contractors Signature Date Page 2 of 2 225 Fifth Sf:net Sptingfi'eld, (;regon 97477 541-726-3759Phone ~i City of Springfield Official Receipt DevelopmcntServices Department Public Works Department RECEIPT #: 2200900000000000505 . Date: 05/08/2009 9:30:47 AM Job/Journal Nu.m~er COM2009-0063, COM2009-0063! COM2009-00631 Description Storm Sewer - 1 sl 100' + 5% Technology Fee + 12% State Surcharge Payments: Type of Payme Ilt Paid By Item Total: Check Number Authorization Received By Batch Number Number How Rec~ived . Amount Due 76.00 3.80 9.]2 $88.92 Amount Paid CredilCard SUSAN BREEDEN Ilh 08778C Phone Payment Total: $88.92 $88.92 cReceintl Page 1 of I 5/8/2009