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Home My WebLink AboutPermit Plumbing 2009-5-8 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '1 ~ VL- CITY OF SPRINGFIELD Building/Combin.ation Permit PERMIT NO: COM2009-00628 ISSUED: 05/08/2009 APPLIED: 05/08/2009 EXPIRES: 11108/2009 VALUE: Status Issued SITE ADDRESS: 8;!9"RI','ER HEltil. ",.m SPRINGFIETYPE OF WORK: Plumhing Only ASSESSOR'S PARCEL NO.: RIVER HEIGHTS SUB L TYPE OF USE: New PROJECT DESCRIPTION: Install approx 95' Storm Sewer Line for Subdivision Plan Approval Residential Owner: Address: BREEDEN BROS INC 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 INFORMATION ~ Expiration Date 04/23/2011 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 ~ Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description ~ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00628 ISSUED: 05/08/2009 APPLIED: 05/08/2009 EXPIRES: I 1/08/2009 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phonc 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid ... Fee Description + 12% State Surcharge + 5% Technology Fec Storm Sewer - IslIOO' Amonnt Paid Date Paid Receipt Number $9.12 $3.80 $76.00 5/8109 5/8/09 5/8/09 2200900000000000499 2200900000000000499 2200900000000000499 Total Amount Paid $88.92 I Plan Reviews I 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 InsDections ~ I Storm Sewer Line: Prior to tilling trench. By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all wo.rk performed shall be done in accordance with the Ordinances or the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structnre 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. [ fnrther 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. ~-eJL;*O~ 5- '6-0'\ Owner or Contractors Signature Date Page 2 of2 ,-' 225 Fifth S~ect . Springh~ld, Oregon 97477 541-726-3759 Phone .~~r:~;~i WlL.... City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000000499 8:57:43AM Date: 05/08/2009 Job/Journal Number COM2009-00628 COM2009-00628 COM2009-00628 Payments: Type of Payment CreditCard cReceintl Description Storm Sewer - I st 100' + 5% Technology Fee + 12% State Surcharge Paid By BREEDEN BROS Item Total: Check Number Authorization Received By Batch Number Number How Received llh 09429C Phone Payment Total: Amount Due 76.00 3.80 9.12 $88.92 Amount Paid $88.92 $88.92 Page 1 of 1 5/8/2009