The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2005-4-19 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00441 ISSUED: 04/19/2005 APPLIED: 04/1912005 EXPIRES: 10/19/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1049 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703264413000 Springfield TYPE OF WORK: Plumbing Only PROJECT DESCRIPTION: Replace approx 133lfsanitary sewer TYPE OF USE: Repair Residential Owner: JONES FAMILY TRUST LLC Address: PO BOX 95 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Plumbing License Contractor MIGSON CONTRACTING LLC I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: ATiF;,tJTION: Or~IEUtlgft(Q~I~ you to follow rules adopt~fMijrt!FehGregon Utility Notif-mtion CentelWiTft6~jNles are set forth in OAR 952-001-0006tl1e~ OAR 952-001- 0090. You may o~fT~~iU8:of the rules by calling the cent~t'r~:lfRiJltb1ephone n/a ""'IIILyl . 4.! ll~,.p~~JL ~~I:! ,i Ll:[iu.1"L~...!' ATION Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: - #Btreet Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Phone Number: 541-914-0554 Expiration Date Phone 541-998-8361 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Non c F!,PUBLIC IMPROVEMENTS I THIS PERMIT SHALL EXPIRE If lH~ W~M\i~idewalk Type: AUTHORIZED UNDER THIS PERMIt ~~ N@OownspoutslDrains: COMMENCED OR IS ABANOON~O H~~ ANY 180 DAY PERIOD. Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Pa2e 1 of2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit' PERMIT NO: COM2005-00441 ISSUED: 04/19/2005 APPLIED: 04/1912005 EXPIRES: 10/19/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl100' Amount Paid Date Paid Receipt Number $5.90 $4.13 $45.00 $14.00 4/19/05 4/19/05 4/19/05 4/19/05 1200500000000000469 1200500000000000469 1200500000000000469 1200500000000000469 Total Amount Paid $69.03 I Plan Reviews I 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. LReouired Insoections I 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 pr~rty, and the approved set of plans will remain on the site at all times during construc~~o~I1~_";~ -=y_' _~-- --- ;;;--/ <:: ~ ~~ ~-19r05 o;(.;r or CODtrac:rre Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department Job/Journal Number COM2005-00441 COM2005-00441 COM2005-00441 COM2005-00441 Payments: Type of Payment Check 4/1912005 RECEIPT #: 1200500000000000469 Date: 04/19/2005 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received MIGSON CONTRACTING LLC djb 1185 In Person Payment Total: Page 1 of 1 1l:25:08AM Amount Due 45.00 14.00 4.13 5.90 $69.03 Amount Paid $69,03 $69.03