HomeMy WebLinkAboutPermit Plumbing 2006-4-25
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.ITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-00489
ISSUED: 04/25/2006
APPLIED: 04/25/2006
EXPIRES: 10/25/2006
VALUE:
. .
"
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 743 CREST LN
ASSESSOR'S PARCEL NO.: 1703341407400
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Trenchless replacement ofsanitary sewer.
Owner:
Address:
KOIVULA MICHAEL G
723 CREST LN
SPRINGFIELD OR 97477
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~:z(;:ONTRACTOR INFORMATION I
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Contracto~o,*<V Q'~~-0 ~ Lic~-9S't:~ Expiration Date
TRENCHl:.~S~~l3I'rf:3SERVICES INC 1~~6J~"~....Z~,,, OS/28/2007
~~~i'~~""i BUILDING INFORMA:f.iON;I-~0~~~~.:,>;\
,( S ~~ S ~- ,- ~)' ", Cy ,IJ 7
<:'. ~~" -0'- " $:)' ,:1 b - p, v . '<' ....:y 7-.{) c-
# of Units: -\~~<,-~'~ \::)<<:--~'0 # of Stories: ~,ro:\o<S' ~,f)C'-~r:' )J~~fSize:
Primary Occupan~JGro.up,:~ ('{) \ <<<0 Height of Stnfcture (J'\. ,,~;' 0""" .:':J' ~,Sq Ft 1st Floor:
~'. ,""" <".....-~'-' ''\ <Ii- Q 0 ,",-, ' "
Secondary OccupaDc'y.'Gr..oup:,~ (~\' Type of H~at::,,('1 A...~~ ,~(' .: - ' .' .~' ", ~q Ft 2nd Floor:
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Primary Construction~1,:y'p,e~' (,~ Water.C:rype:.J ({;<" ,,<0 (f' . .... ",. 'J';: Sq Ft Basement:
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Secondary Construction:T-vp'e: Range Tripe:?>' <:5 ,f,>,' " J;v Sq Ft Garage/Carport
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# of Bedrooms: ~ Ei1e'rgy"Pa~h:~ d-' . ",-, '...;J Sq Ft Other:
t'~ ~- ',() "'\~ ....\.. ~I
'SprinkleiJ Building:~.." Ii/a Occupant Load:
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,,"" .'~ /"-. '" -
Contractor Type
Plumbing
Phone
541-741-1744
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I DEVELOPMENT. INFORMATION I
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Frontyard Setback:
Side 1 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 I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 2
"
.
.ITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-00489
ISSUED: 04/25/2006
APPLIED: 04/25/2006
EXPIRES: 10/25/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paw
$5.90
$4.72
$45.00
$14.00
4/25/06
4/25/06
4/25/06
4/25/06
Receipt Number
2200600000000000514
2200600000000000514
2200600000000000514
2200600000000000514
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Amount Paid
Date Paid
Total Amount Paid
$69.62
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.
I Re(vdred Ins~tion~
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
times during construction.
~T-~'PtGS,
Owner or Contractors Sign~ Ire
If/',~-/O~
, I
Date
Pae:e 2 of 2
275 Fifth Street
Springfield, Oregon 97477
:i~n -726-3759 Phone
C.,f Springfield Official Receipt
D opment Services Department
Public Works Department
RECEIPT #:
2200600000000000514
Date: 04/25/2006
2:32:09PM
Paid By
DA VID CRAIG
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Jmp 313729 In Person
Payment Total:
Amount Due
45.00
14.00
4.72
5.90
$69.62
Job/Journal Number
COM2006-00489
COM2006-00489
COM2006-00489
COM2006-00489
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
CreditCard
Amount Paid
$69.62
$69.62
cReceint I
Page I of I
4/25/2006