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Home My WebLink AboutPermit Plumbing 2005-11-2 ~. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01549 ISSUED: 11/02/2005 APPLIED: 11/02/2005 EXPIRES: 05/02/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ": 541-726-3769 Inspection Line ,. SITE ADDRESS: 1229 LORNE LP ; ASSESSOR'S PARCEL NO.: 1703281103800 Springfield TYPE OF Plumbing Only TYPE OF USE: Residential PROJECT DESCRIPTION: Replace approx 401f water line Owner: MARLENE WILLISON . Address: 1229 LORNE LP SPRINGFIELD OR 97477 Phone Number: 541-747-9190 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor GARY ALAN MUSTIN License 129990 Expiration Date 06/2412006 Phone 541-463-7568 I BUILDING INFORMATION. : #ofUnits: ~E' .i~OR\\ Primary Occupancy . . 11 ~L\. tx\'lIR ~ S MOl .:' Secondary Occupam'l'HIS U\t'" \ili.Oi.illHIS t: . Primary Constructio\\\JY!MlRllEO I 'r~ \S ~9"~ pe: Secondary ConstructitetlltllENCEt) PiRIOD. Range Type: # of Bedrooms: ~~'i ,eo ~ Energy Path: Sprinkled nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I " Front yard Setback: Side 1 Sethack: Side 2 Sethack: Rearyard Sethack: Solar Sethacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Notes: IPUBLIC IMPROVEMENT5.bN' Oregon laW requ~t:~~ljtiiitV 1'.\ , ~, .. . ..tori byJ\1e Or g t 10rth , 110'1'1 rules a(Siire~1k ~.!I'S:-es are se 1 \0 . C nter. 1\105 II.R 952-00 - Noti\icat\~_o~~_~~~PP.Utsll}\1a~~he rules by in OJl,R 9 u may obtain COpl~S h~ telephOne 0090\'1~09 the center. (Notue ti~it" Notilication ca \ h Oregon , ) _"""herlor t e . nnn_'>.?'Z-2344 . . Cen1t:\ ,~ . - I Valuation Descrintion I " Street . Storm Sewer Available: Special Instruction: Description Tvpe of Construction SPerSq Ft or multiplier Square Footage or Bid Amount Value Date Calculated 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01549 ISSUED: 11/02/2005 APPLIED: 11/02/2005 EXPIRES: 05/02/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fees Paid I , Fee Description + 10% Administrative Fee + 7% State Surcharge Water Line - 1st 50 Feet Amount Paid Date Paid $4.50 $3.15 $45.00 11/2/05 11/2/05 1112/05 Receipt Number 1200500000000001662 1200500000000001662 1200500000000001662 - Total Amount $52.65 I Plan Reviews I To Request an inspection can 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. win be made the following work day. ~ln<n~ Water Line: Prior to filling 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 certii)' 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 wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certii)' 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 wiD remain on the site, at all~'m rin. g. co. ns. tructiolL . . ..~ 7 ~ / /- ~:J _ () 7 Own n~ Signature v ~ Date ~ 2 of 2 . '"'; 225 Fifth Street Sllringi'ield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1549 COM2005-0 1549 COM2005-0 1549 Payments: TWe of Payment Cash C~ange :~~ r Job/Journal Nnmber COM2005-01549 COM2005-0 1549 COM2005-0 1549 Payments: T~e of Payment Cash .' Change . :; " '- ,~.. ). ; 't ., '; ? 1 '. 'I 11/2/2005 . RECEIPT #: Description + 7% State Surcharge + 10% Administrative Fee Water Line - 1st 50 Feet Paid By GARYS ROOTER AND PLUMBING GARYS ROOTER ANI> PLUMBING Description + 7% State Surcharge + 10% Administrative Fee Water Line - 1st 50 Feet Paid By GARYS ROOTER AND PLUMBING GARYS ROOTER AND PLUMBING 8~~__I_f!l_q~.J!LD.._. ____.."____ . 1JIIr. , i I , . ' . --* ; .J;i,tty of Springfield Official Receipt .velopment Services Department . Public Works Department 1200500000000001662 Date: 11/02/2005 Item Total: Lheck Number Autnonzation Received By Batch Number Number How Received djb In Person djb In Person Payment Total: Item Total: LOecR ~umoer AutnonzatJon Received By Batch Number Number How Received djb In Person djb In Person Payment Total: I of 1 lO:Ol:06AM Am...nt Due 3.i5 4.50 45.00 $52.65 Amount Paid $53.00 ($0.35) $52.65 Amount Due 3.15 4.50 45.00 $52.65 Amount Paid $53.00 ($0.35) $52.65