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: COM2009-00632
ISSUED: 05/09/2009
APPLIED: 05/08/2009
EXPIRES: 11/09/2009
VALUE:
Status
Issued
SITE ADDRESS: Jl29 Itl, ER IIEIGII'fi3 BR SPRINGFlETYPE OF WORK: Plumbing Only
ASSESSOR'S PARCEL NO,: RIVER HEIGHTS SUB L
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Instllll approx 112' Storm line and 153' Sanitllry Sewer line for Subdivision lIpproval
Owner:
Address:
BREEDEN BROS INC
366 E 40TH STREET #250
EUGENE OR 97405
Phone Number: 541-686-943]
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor License
PACIFIC EXCAVATION 135018
BUILDING ]NFORMATlON i
Expiration Date
04/23/2011
Phone
541-726-7380
# of Units:
Primary Occupancy Group:
Secondllry 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 ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT ]NFORMATION I
Front yard Setback:
Side] Setback:
Side 2 Setback:
Rellryard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC ]MPROVEMENTS I
Street Improvements:
NOTICE'
Storm Sewer A vadaJj!j): '
Speciallnstructio/,~/ti PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY1RO A I
Sidewalk Type:
ATTE _Downsp'outslDrains:
. . N IIUN: CJregon law requires you to
fOll,ow rules adopted by the Oregon Utility
,Notification Center, Those rules are set forth
In OAR :52-001-0010 through OAR 952-001-
Oonn \('\11 mall ....ht....in ,.,.........:~_ _~.t ".
I - , , riling the center. (Noie: the t~i~Ph;;e u,
ValuatIOn DescnptlOnn mber for the Oregon Utility Notification
Cent",r is 1-800-332-2344)
$ Per Sq Ft Square Footage '
It' I' B'd A t Value Date Calculated
or mu Ip lef or I moun
Notes:
DescrhHion
Type of Construction
Paee 1 of2
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00632
ISSUED: 05/09/2009
APPLIED: 05/08/2009
EXPIRES: 11/09/2009
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 I
Fee Description
+ 120/0 State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 100 Feet
Sanitary Sewer Each AddtlIOO'
Storm Sewer - 1 st 100'
Storm Sewer Each Addtll 00'
Amount Paid
Date Paid
Receipt Number
$22.80
$9.50
$76.00
$19.00
$76.00
$19.00
5/8/09
5/8/09
5/8/09
5/8/09
5/8/09
5/8/09
2200900000000000503
2200900000000000503
2200900000000000503
2200900000000000503
2200900000000000503
2200900000000000503
Total Amount Paid
$222.30
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 Inspections M
Storm Sewer Line: Prior to filling trench.
Sanitary Sewer Line: Prior to filling trench and including required testing.
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 1 further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon 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.
I further certify that only contractors and employees who arc 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.
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Owner or Contractors Signature
Date
Pa2e 2 01'2
~A:G~;M
Wir.~
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth StJ:cet
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
2200900000000000503
9:18:27AM
Date: 05/08/2009
Job/Journal Number
COM2009-00632
COM2009-00632
COM2009-00632
COM2009-00632
COM2009-00632
COM2009-00632
Payments:
Type of Payment
CreditCard
cReceintl
Descrilltion
Sanitary Sewer - 15t 100 Feet
Sanitary Sewer Each Addtl 100'
Storm Sewer - 15t 100'
Storm Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
76.00
19.00
76.00
19.00
9.50
22.80
$222.30
Paid By
BREEDEN BROS
Item Tota,l:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
lIh
02456c Phone
Payment Total:
$222.30
$222.30
Pa.ge I of I
5/8/2009