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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 Q.. \ fJ... 0... ~;\oo\\'-, ?L 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 \. ~<ro~ 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. ~~~D~ , :S - <K - O~ 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