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Home My WebLink AboutPermit Plumbing 2004-5-5 Status Issued -. .- 'CITY OF ~rK11'\juFIELD Building/Combination Permit PERMIT NO: COM2004-00340 ISSUED: 05/05/2004 APPLIED: 03/26/2004 EXPIRES: 11/05/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Springfield TYPE OF WORK: Plumbing Only SITE.ADDRESS: 1554 A ST ASSESSOR'S PARCEL NO.: 1703363104603 TYPE OF USE: New Residential PROJECT DESCRIPTION: Repair Sanitary Sewer Owner: R & R PERKINS LLC Address: 326 MAIN ST SPRINGFIELD OR 97477 # of Units: # of Stories: Primary Occupancy Group: R-3 lie; t. ~ Secondary Occupancy Grou/tmNTION: o.eaon _' ~ Primary Construction Type ~~ . ~~ Secondary Construction T~~~~cat\On ~ ~~ . @52.cl1)i. # of Bedrooms: N'o ......,,"'C014otO~ . ~_~ 'nO,,"~ QbtOlftcaPoi~'_"7 "non Voumay ~. .........o..m~ c:allingtl\8~" 11.;: 'A~~J\TION I llIumber tor ~: eenter 1& 1 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Contractor Type Sewer SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I Contractor License ROYAL FLUSH ENVIRONMENTAL SERVIC I, BUILDING INFORMATION I Expiration Date Phone 541-895-2072 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: % of Lot Coverage: . ' I PUBLIC IMPROVEMEl'n:S I Not\CE. 'HAll EXPIRe'~ Inl; "u.... 11'115 PERM\l 5 NoER 11'115 PERM\115 NOl AU1HORIZEO UOR IS ABANOONED FOR COMMENCED AN'{ 180 ot-.'{ PERIOD, Sidewalk Type: Downspouts/Drains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Description Type of Construction Total Value of Project Paeelof2 . . CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2004-00340 ISSUED: 05/05/2004 APPLIED: 03/2612004 EXPIRES: 11/0512004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Fees Paid I $4.50 $3.15 $45.00 5/5/04 5/5/04 5/5/04 Receipt Number 1200400000000000650 1200400000000000650 1200400000000000650 Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Amount Paid Date Paid Total Amount Paid $52.65 I Plan Reviews , To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Relluired Insnections , 1 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 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 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 times7).:;t~~ ~/S/O'f ownerj~o:(t~actors Signature Date . Pa!!e 2 of2 225.,F,ifth Street Springfield, Oregon 97477 541-726-3759 Phone . ~ AY of Springfield Official Receipt ~~elopment Services Department Public Works Department RECEIPT #: 1200400000000000650 Date: 05/05/2004 I:05:32PM Job/Journal Number COM2004-00340 COM2004-00340 COM2004-00340 Description + 7% State Surcharge + 10% Administrative Fee Sanitary Sewer - 1 st 50 Feet Paid By ROYAL FLUSH Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1375 In Person Payment Total: Amount Due 3,15 4,50 45,00 $52.65 Payments: Type of Payment Check Amount Paid $52,65 $52.65 ~ 5/5/2004 Page 1 of 1 ) '- -, ) l / f I , ~ r' .~._- qt- ()~ -3r;1 ~P~0 Pj~ 7-dJ,:>-Cf0 X1&)1.-I:0"-- ~kP"-,m,i'.1LA .'