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Home My WebLink AboutPermit Plumbing 2005-1-24 :. . ~ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00098 ISSUED: 01124/2005 APPLIED: 0112412005 EXPIRES: 07/24/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 1206 LA WNRIDGE AVE ASSESSOR'S PARCEL NO,: 1703261103224 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair PROJECT DESCRIPTION: Replace water line approx 701ftotal, 2 lines serving duplex in same trench Residential Owner: JACK WAYMIRE Address: PO BOX 70052 EUGENE OR 97401 I CONTRACTOR INFORMATION. Contractor Type Plumbing Contractor GARY ALAN MUSTIN License 129990 Expiration Date 06/24/2006 Phone 541-463-7568 I BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Lot Size: Height of Structure Sq Ft 1 st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: quires you tliR Ft Basement: f," Raligel1YPf:lregon lawhre Oregon Util~ Ft Garage/Carport ,. '\I~.nergy/Path"pted by t a I 5 ra set ,Slllft Other: Nuttl~P.rJI!~ejJEBUUili.1g~05e ruhe ..n~a.. 952-&FP'pant Load: __ _^.. ^1'\4nthrnlln Uf\l1 I DEy.iLOP.M';.~;;';'I\\}AA"'''l\:1l1l; ll1e ruh,ali uV ter \\'lUl" ..v.llep one REQUIRED PARKING . calling the cen, Utility Notification m_~.hiedllYJDlffil, Orego~ ""2-2344). # Str~s'~~~Ouvv Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: CE' Downsl!o."tsLDFaJn~: NOTI. EXPIRE IF 'tit 'Nun' lHIS PERMIl SHA~~ lHIS PERMIl IS NOi AUiHORIZEO UNO,S ABANOONED FOR rnMMENCEO OH_ -., ....,.. --~,v3, I ~N1 IUV ...,.1. Valuation DescriDtion Notes: Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of2 . . CITY OF SrK11'1lJt<u'LIJ Building/Combination Permit PERMIT NO: COM2005-00098 ISSUED: 01124/2005 APPLIED: 01124/2005 EXPIRES: 07/24/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fpps PaW Fee Description + 10% Administrative Fee + 7% State Surcharge Water Line - 1st SO Feet Water Line - Each Addtl 100' Amount Paid Date Paid Receipt Number $5,90 $4,13 $45,00 $14,00 1/24/05 1/24/05 1/24/05 1/24/05 2200500000000000091 2200500000000000091 2200500000000000091 2200500000000000091 Total Amount Paid $69,03 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. ~irplll~ 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 1 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, 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project, 1 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. JJ'~ /})J;/ ____.- / - V . Owner or Contractors Signature 1-- .:zi/~~D Date Paee 2 of2 225 Fifth Street , . springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00098 COM2005-00098 COM2005-00098 COM2005-00098 Payments: Type of Payment Check 1/24/2005 . RECEIPT #: Deserlptlon Waler Line - Isl50 Feet Waler Line - Each AddU 100' + 7% State Surcharge + 10% Administrative Fee Paid By GARYS ROOTER SERVICE ap~ ~, 2200500000000000091 Reeelved By djb Check Number Bateh Number , Page I ofJ lIlY of Springfield Official Receipt .elopment Services Department Public Works Department Date: 01124/2005 Item Total: AuthoriZation Number How Received 1111 In Person Payment Total: 2:35:04PM Amount Due 45.00 14,00 4.13 5,90 $69,03 Amount Paid $69.03 $69,03