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Home My WebLink AboutPermit Plumbing 2009-5-9 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line )l \!lA '.? \ '"' ~L ~~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00630 ISSUED: 05/09/2009 APPLIED: 05/08/2009 EXPIRES: 11109/2009 VALUE: Status Issued SITE ADDRESS: M I KI v ilK ".LIGHTS BR SPRlNGFIETYPE OF WORK: Plumbing Only ASSESSOR'S PARCEL NO.: RIVER HEIGHTS SUB L TYPE OF USE: New PROJECT DESCRIPTION: Install approx 150' 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 Contractor Type Plumbing I CONTRACTOR INFORMATION ~ 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: n/a I DEVELOPMENT INFORMATION ~ 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: I PUBLIC IMPROVEMENTS . Street ImproverrienfsNTION: Oregon law requires you to NOTICE' Sidewalk Type: Ioll.ow rules adopted by the Oregon Utility .' VOIQ!: IF THE WORK . Storm Sewer t~Yi\.l!~!'Jr.Dn Center. Those rules are set forth THIS PERWPT,,\;M~l.k,!ffir:litls: T IS NOT Speciallnstrufi\i~I).\R 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMI 0090.You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note:the telephone ANY 180 DAY PERIOD. number for the Oreaon Utllltv Notification Center is 1-800-33,,-':~ ~ ~). I Valuation Description ~ Notes: Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 ~~:\\ CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2009-00630 ISSUED: 05/09/2009 APPLIED: 05/0812009 EXPIRES: 1110912009 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 I Fee Description + 12% State Surcharge + 5% Technology Fee Storm Sewer - 1st 100' Storm Sewer Each Addtll 00' Amount Paid Date Paid Receipt Number $ 11.40 $4.75 $76.00 $19.00 5/8/09 5/8/09 5/8/09 5/8/09 2200900000000000501 2200900000000000501 2200900000000000501 2200900000000000501 Total Amount Paid $111.15 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 Insoections I 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 Springtield and the Laws of the State of Oregon pertaining to the work described 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 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. :itvl-uvt fJ~~ 5 - ~ - O~ Owner or Contractors Signature Date Pa2e 2 of 2 225 Fift!d,treet Springfield, Oregon 97477 541-726-3759 Phone ~~G~4t4 WIt..... City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000000501 Date: 05/08/2009 9:09:43AM Paid By SUSAN BREEDEN Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 7116C In Person Payment Total: Amount Due 76.00 19.00 4.75 11.40 $111.15 Job/Journal Number COM2009-00630 COM2009-00630 COM2009-00630 COM2009-00630 Description Storm Sewer - I SI 100' Slorm Sewer Each Addtl 100' + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment CreditCard Amount Paid $111.15 $111.15 cReccintl Page I of I 5/8/2009