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HomeMy WebLinkAboutPermit Plumbing 2009-5-8 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 2.'1 ?Jt:.., ~\-\-'"' ~t CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00625 ISSUED: 05/08/2009 APPLIED: 05/08/2009 EXPIRES: 11108/2009 VALUE: Status Issued SITE ADDRESS: lIolS RIVER liD',.,",!> p~ SPRINGFIETYPE OF WORK: Plumhing Only ASSESSOR'S PARCEL NO.: RIVER HEIGHTS SUB L TYPE OF USE: New PROJECT DESCRIPTION: Install approx 60' Storm Line for Subdivision 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 License PACIFIC EXCAVATION 135018 BUILDING INFORMA TlO~ Expiration Date 04/23/20 II 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Front yard Setback: Overlay Dist: Side I Setback: # Street Trees Rqd: - Side 2 Setback: Paved Drive Rqd: Rearyard Setbackj<\TTENTION: Oregon law requirl'A> ylil1dtJCoverage: Solar Setbacks: follow rules adopted by the Oregon Utility . I .... ," ."" _ ..'_ ,. "T"I_ __... ..1...._ ....",.. ....,,+ +......+ in OAR 952-001-0010 throl cRUm)IGJIMP- 0090. You may obtain 'COPI~>> VI lllC I UI\;io"J !oJ Street Improvement~lIing the center. (Note: the telephone Storm Sewer Availliblilber for the Oregon Utility Notification Special Instruction: Center is 1-800-332-2344). VEMENTS Sidewalk Type: Notes: DO\\'nspo u ts/D rai os: NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS- NOT '"' ft,,~ ~..... .... ........,VlL.1 I Valuation Descriptio;.ty 180 DAY PERIOD. Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I ofl ~~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee Storm Sewer - 1st 100' Total Amount Paid Amount Paid $9.12 $3.80 $76.00 $88.92 Total Value of Project Fees Paid ~ Date Paid I Plan Reviews ~ 5/8/09 5/8/09 5/8/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00625 ISSUED: 05/08/2009 APPLIED: 05/08/2009 EXPIRES: 11/08/2009 VALUE: Receipt Number 2200900000000000496 2200900000000000496 2200900000000000496. 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 InsDect~ Storm Sewer Line: Prior to filling trench. By signature, I state and agree, that I bave carefully examined tbe 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 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 withont 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 :W~J~ ~ Owner or Contractors Signature Paee 2 01'2 t:;- o~ ~ - Date 225 Fifth Street Sprin.gfield~Oregon 97477 541-726-3759 Phone ~j:o.F;~... '.~..... ~..... ~...; City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000000496 Date: 05/08/2009 8:39:00AM Job/Journal Number COM2009-00625 COM2009-00625 COM2009-00625 Payments: Type of Payment ered itCard cReceintl Description Stonn Sewer - I st 100' + 5% Technology Fee + 12% State Surcharge Paid By SUSAN BREEDEN Item Total: Check Number Authorization Received By Batch Number Number How Received Ilh 01512C Phone Payment Total: Amount Due 76.00 3.80 9.12 $88.92 Amount Paid $88.92 $88.92 Page I of I 5/8/2009