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