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Home My WebLink AboutPermit Plumbing 2007-6-5 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00815 ISSUED: 06/05/2007 APPLIED: 06/05/2007 EXPIRES: 12/05/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1837 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703252112800 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace approx 60lfwater line Owner: DONALD MILES Address: 1837 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Number: 541- I CONTRA(l:fOR INFORMATION I _llY' .. &'1 ~\" ~ Contractor c...s.~e 0'<- \j e' '0<:1 ,. License TRENCH LESS r.wt~~~ltRP '()'\ 155663 ~, ..,,,- '....;.. .~t... )'.:.... ,e~o A 'Q'\r JlmUUNG.INF@RMATIONI O nV I 111 III III If ~ ~"'('O. ,::,~. (\ ,. :V' ~". # of Units: . ~-<,,\O ~'/).oO~e~'-<;''<J'iS'\O ~6~~fo!)~~\V~ Primary Occupancy Gto#~ >4 ~.s.e ~.'<J'<J'\ iP c,o ~~~~.(}Mf~ ucture: Secondary Occupancy t'Blii,\>:'/).~O'<- .'<J'<J 0'Q'" \. ~Js.pe Il.,rJfeat: Primary Construction T~I'J}\V ~ q,':>"/; ~'\ 0'<-....e \e(f~ Type: Secondary Construction'tYMl'I -l.O'l} 'is'e c; ~e 0 Vllfinge Type: # of Bedrooms: \\:J~q,'<J.fI.\~~ 'O~ e~\'" Energy Path: v~S"'Qe~ cl~'1. Sprinkled Building: I Contractor Type Plumbing Expiration Date 05/28/2009 Phone 541-741-1744 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: . Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: ~~. Paved Drive Rqd: ~'t. ~r;:j ~'\ % of Lot Cove~ge: i\ f;) ~ (.",'(\\l--\~~~~ (.~~ ... ~. .. -.. -..-.. \t~I.PUB~tjMeROV~eNTS I t.\~'\ GW". \)~v" ~Qr " S '(\- ~\:.\) n. \'" \~\ l0\l--\~ x.\) \i" ~l0\)' ~\)\'f, ~\:.~\J ~ '(\:.~ . . c.~~ \~<:j \)~ Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00815 ISSUED: 06/05/2007 APPLIED: 06/05/2007 EXPIRES: 12/05/2007 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 Fee. tlWLI Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Water Line - 1st 50 Feet Water Line - Each AddtllOO' Amount Paid Date Paid Receipt Numher $5.90 $2.95 $4.72 $45.00 $14.00 .6/5/07 6/5/07 6/5/07 6/5/07 6/5/07 1200700000000000707 1200700000000000707 1200700000000000707 1200700000000000707 1200700000000000707 Total Amount Paid $72.57 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. , Re?Jlire11~ 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 herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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 timeSO::O:RO:, ~ ~ Is- ~ 7 Owner or Contradors Signature U Date I I . Paee 2 of2 225 Fifth Street .. . . . Springfield, Oregon 97477 541-726-3759 Phone ~. .~! . .~.. ". ~-.. - Caof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2007-00815 COM2007-00815 COM2007-00815 COM2007-00815 COM2007-00815 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: 1200700000000000707 Date: 06/05/2007 Description Water Line - 1st 50 Feet Water Line - Each Addtl 100' + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received TRENCHLESS BOOKKEPPING djb 120392 In Person Payment Total: Page 1 of1 2:12:33PM Amount Due 45.00 14.00 , 2.95 4.72 5.90 $72.57 Amount Paid $72.57 $72.57 6/5/2007