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Home My WebLink AboutPermit Plumbing 2007-11-8 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01660 ISSUED: 11/08/2007 APPLIED': 11/08/2007 EXPIRES: 05/08/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3154 PHEASANT BLVD ASSESSOR'S PARCEL NO,: 1703221303900 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair PROJECT DESCRIPTION: Replace approx 401fwaterline Owner: LAWRENCE WRIGHT Address: 12 GARDEN RD SAN ANSELMO CA 94960 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor TRENCHLESS PIPE SERVICES INC License 155663 BUILDING INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Spritlkled Buil8ing: n/a 6TTw::~mnN~ preaon law regUlres you tl follow rules adoPt~~!~QRMA TION I Notification Center. I In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copilU\0f-~~ftS by calling the center. (Note:Rt5ert4itepftQ~lkqd: number for the Oregon UtjJttytMcn~iv@.tm{ll: Center is 1-800-33~~t Coverage: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VB I PUBLIC IMPROVli,NH,NTS I Residential Expiration Date OS/28/2009 Phone 541-741-1744 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: NOTICE: Downspouts/Drains: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR Street Improvements: Storm Sewer Available: Special Instruction: Notes: - AIIJ Y I ') 6'.Ll.~ ~r:...."_''-'_ Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pae:e 1 of2 Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Water Line - 1st 50 Feet Total Amount Paid CITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO: COM2007-01660 ISSUED: 11/08/2007 APPLIED: 11/08/2007 EXPIRES: 05/08/2008 VALUE: Total Value of Project I Fees Paid I L Amount Paid Date Paid Receipt Number $5.00 11/8/07 1200700000000001384 $2.50 11/8/07 1200700000000001384 $4.00 11/8/07 1200700000000001384 $50.00 11/8/07 1200700000000001384 $61.50 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 Water 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 times ding constr ction. ~~, Owner or Contractors Signature 0 ///de/o7 Date I f Pae:e 2 of2 225 Fiftb Street , ' Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01660 COM2007-01660 COM2007-01660 COM2007-01660 Payments: Type of Payment Check cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001384 2:55:00PM Description Water Line - 1st 50 Feet + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By Received By TRENCHLESS PIPE SERVICES djb INC Page 1 of 1 Date: 11/08/2007 Item Total: Check Number Authorization Batch Number Number How Received Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid 15234 In Person $61.50 Payment Total: $61.50 11/8/2007