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HomeMy WebLinkAboutPermit Plumbing 2009-5-9 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 1. Y?::F:J ~)\ *' 9L 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. ~-eJl~C)\~ '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