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Home My WebLink AboutPermit Plumbing 2004-6-5 e I CITY OF ~ndNGFI~LD Building/Combination Permit PERMIT NO: COM2004-00655 ISSUED: 06/04/2004 APPLIED: 06/04/2004 EXPIRES: 12/04/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1048 LONG RIDGE DR ASSESSOR'S PARCEL NO.: 1802064107700 Springfield TYPE OF WORK: Plumhing Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace approx 501f water line Owner: WRIGHT LELA I & KAREN L Address: 1048 LONG RIDGE DR SPRINGFIELD OR 97478 Contractor Type Plumhing I CONTRACTOR INFORMATION I Contractor License READY ROOTER DRAIN CLEANING & R SW2524 BUILDING INFORMATION I Expiration Date 02/18/2005 Phone 541-744-7991 VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: .'-A ""I' U) I DEVELOPMENUNJj'~1RiINutaw~O~80on Uti\~ity . '" rules BClU{Jt.. 'i rules are lRt D PARKING follOW nt8f "(hose R Q!\2 o. Overlay.mw.catlon Ce 010 through 0"'; 1ll\\:bY # StredMO'~A$f%2-001-Obt In copies 01 the a'llli!'apped: Paved Drj,VlbRlflfou may 0 a tNote' the tele o!!UIJI~t: % ofLot.tiiv~~B"":the center. Utility Notilica COlli""=' h Oregon 4) number !or~_~", ~_800-332-234 . I PUBLIC IMPROVEMEN'tg,- # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Front yard Sethack: Side 1 Sethack: Side 2 Sethack: Rearyard Sethack: Solar Sethacks: Street Improvements: Storm Sewer Availahle: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Description Tvpe of Construction I Valuation NeWfiWi~nll SHAll EXPIRE IF 'TM~{ \~~~~ I ,,!~, - illER lHIS PER S Per Sq Ft AUllsQW7f~oll eS ABANOnNFO FOR D Cic'l ,... I d or multiplier COwm\\BIIi:AQ. tl 'Vlirue ate a cu ate ANY 180 DAY PERIOD. Total Value of Project Paeelof2 , ., CITY VI' ~nuNGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2004-00655 ISSUED: 06/04/2004 APPLIED: 06/04/2004 EXPIRES: 12/04/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Fp.p.~P.'lW Fee Description + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Refund - + 10% Administrative Refund - + 7% State Surcharge Refund - Water Line - 1st 50 F Water Line - 1st 50 Feet Water Line - 1st 50 Feet Amount Paid Date Paid Receipt Number $4.50 $4.50 $3.15 $3.15 $-4.50 $-3.15 $-45.00 $45.00 $45.00 6/4/04 6/4/04 6/4/04 6/4/04 6/4/04 6/4/04 6/4/04 6/4/04 6/4/04 1200400000000000847 1200400000000000849 1200400000000000847 1200400000000000849 1200400000000000848 1200400000000000848 1200400000000000848 1200400000000000847 1200400000000000849 Total Amount Paid $52.65 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 Relluirp.d In~"p."~iOl1~ I Water Line: Prior to mling trench and including required testing. By signature, 1 state and agree, that 1 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. ,jO ~AY( .......... t/'I/o Lj Owner or Contractors Signature Date Page 2 of2 225 Fifth Street SJringfield, Oregon 97477 541-726-3759 Phone , Job/Journal Number COM2004-00655 COM2004-00655 COM2004-00655 Payments: Type of Payment CreditCard 6/4/2004 RECEIPT #: ~l .ty of Springfield Official Receipt .evelopment Services Department Public Works Department 1200400000000000849 Date: 06/04/2004 Description + 7% State Surcharge + 10% Administrative Fee Water Line - 1st 50 Feet Paid By DAVID N[CHOLS Received By djb Page 1 of 1 Item Total: Check Number Authorization Batch Number Number How Received 000402 029124 [n Person Payment Total: 9:27:00AM Amount Due 3.15 4.50 45.00 $52.65 Amount Paid $52.65 $52.65