HomeMy WebLinkAboutPermit Plumbing 2009-5-9
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: COM2009-00631
ISSUED: 05/09/2009
APPLIED: 05/0812009
EXPIRES: 11/0912009
VALUE:
Status
Issued
SITE ADDRESS: .028 RI'.'ER II~H'lIITg 9R SPRINGFIETYPE 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
I CONTRACTOR INFORMATION ~
Contractor Type
Plumbing
Contractor
PACIFIC EXCA V A TlON
License
135018
Expiration Date
04/23/2011
Phone
541-726- 7380
BUILDING INFORMATION ~
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strnctnre
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 PARKlNG
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
ATTENTION: Oregon law requires you to
,......"v.. I Ulll;i~ o.uufJl\::n.' . ," ,.,.... t ".....,,,,, I . ''''''''
Notification Center. TI.p',lJB'A,G,IMP'RQv'E:lI:'\ENTS ~
Street Improvements: In OAR 952-001-0010 tnrough OAR 952-001-
0090. You may obtain copies of the rules by
Storm Sewer Available: calling the center. (Note: the telephone
Speciallnstrnction: number for the Oregon Utility Notification
Center is 1-800-332-2344).
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Sidewalk Type:
Notes:
N DownspoutsfOrains:
OTlCE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
r.n~JJnnt'r..I"'rl"'\ f'\n ,'" . -....
. \ - -- ......,. IU ilUf"'\l\lUUI\JtU U
I Valuation Description ~Jr 180 DAY PERIOD.
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
~~\
Sta tus
Issued
CITY OF SPRINGFIELD
Building/Combina'tion Permit
PERMIT NO: COM2009-00631
ISSUED: 05/09/2009
APPLIED: 05/08/2009
EXPIRES: 11/09/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phonc
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'
Storm Sewer Each AddtlIOO'
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
2200900000000000502
2200900000000000502
2200900000000000502
2200900000000000502
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 Reauired Insoections .
Storm Sewer Line: Prior to tilling trench.
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that auy and all work performed shall be done in accordance with
the Ordinances of the City of Springfield aud the Laws of the State of Oregou 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.
1 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 eusure 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.
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'5 - '8 -0,\
Owner or Contractors Signature
Date
Paee 2 of 2
225 Fifth Street
Springfield; Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200900000000000502
.Date: 05/08/2009
9: 14:38AM
Paid By
SUSAN BREEDEN
Item Total:
Check N umber Authorization
Received By Batch Number Number How Received
Amount Due
76.00
19.00
4.75
IIAO
$111.15
Job/Journal Number
COM2009-00631
COM2009-00631
COM2009-00631
COM2009-0063 I
Description
Stonn Sewer - 1 st 100'
Storm Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
CreditCard
Amount Paid
Ilh
02265c Phone
Payment Total:
$111.15
$111.15
cReceintl
Page I of I
5/8/2009