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Home My WebLink AboutPermit Plumbing 2009-5-9 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Q. \D ~ 3"l+t1 \,L CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00633 ISSUED: 05/09/2009 APPLIED: 05/08/2009 EXPIRES: 11/09/2009 VALUE: Status Issued SITE ADDRESS: ~O 1\.1, Ell. tiEl..." I" !lK SPRINGFIETYPE OF WORK: Plumbing Only ASSESSOR'S PARCEL NO.: RIVER HEIGHTS SUB L TYPE OF USE: New PROJECT DESCRIPTION: Install approx 10' 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 Plnmbing Contractor PACIFIC EXCA V A T10N License 135018 Expiration Date 04/23/2011 Phone 541-726-7380 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occnpaney 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 1 st 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 Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: ATTENTION' 0 NOTICE: Storm Sew;eJiIb-xa,ibWr~d;;P~n~aw requires you to THIS PERMIT S?Im.'e~m:'i",.HE WORK Special h~~trHStiJm0n Cente:eTh y the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001 00' ose rules are set forth R Notes: 0090. You ma ~b 10 through OAR 952-001- COMMENCED OR IS ABANDONED FO callinn tho A~~,~~al~. ~oples of the rules bv ANY 180 DAY PERIOD. number for the Oreg'~~~uir',;'" lel~?~:;.~~ Center is 1-800_33~:J3~Z.IIValuation Descri tion $ Per Sq Ft Square Footage or multiplier or Bid Amount Sidewalk Type: Description Type of Construction Value Date Calculated Page 1 of 2 ",\ r-_ - , Ifr,,:, , CITY OF SPRINGFlELD Ii , Building/Combination Permit j Status Issued PERMIT NO: COM2009-00633 225 Fifth Street, Springfield, OR ISSUED: 05/09/2009 541-726-3753 Phone APPLIED: 05/08/2009 541-726-3676 Fax EXPIRES: 11/09/2009 541-726-3769 Inspection Line VALUE: . Total Value of Project I Fees Paid ~ Fee Description Amouut Paid .Date Paid Receipt Number + 12% State Surcharge $9.12 5/8/09 2200900000000000504 + 5% Technology Fee $3.80 5/8/09 2200900000000000504 Storm Sewer - 1st 100' $76.00 5/8/09 2200900000000000504 Total Amount Paid $88.92 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 Reouired Insoections ~ Storm Sewer Line: Prior to filling trench. 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 [ 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 descrihed herein, and that NO OCCUPANCY will be made or any structure without 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 times during construction. :iJ~~ 6 - ~ - 6'1 Owner or Contractors Signature Date Page 2 of 2 .......- 225 Fifth Street " Springfield, Oregon 97477 541-726-3759 Phone &Cj~!;~ IIfr City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000000504 Date: 05/08/2009 9:24:45AM Job/Journal Number COM2009-00633 COM2009-00633 COM2009-00633 Payments: Type of Payment Cred itCard cReceintl Description Storm Sewer - 1st 100' + 5% Technology Fee + ] 2% State Surcharge Paid By SUSAN BREEDEN Item Total: Check Number Authorization Received By Batch Number Number How Received lIh 07108C Phone Payment Total: Amount Due 76.00 3.80 9.12 $88.92 Amount Paid $88.92 $88.92 Pa.ge 1 of 1 5/8/2009