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Home My WebLink AboutPermit Plumbing 2005-02-22Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 5 4l-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00210ISSUED: 0212212005APPLIEDz 0212212005 EXPIRESz 0812212005 VALUE: SITE ADDRESS: 1093 MILL ST Springfield TYPE OF WORI( Plumbing Only ASSESSOR'S PARCEL NO.: 1703352202101 TYPE OF USE: Repair PROJECT DESCRIPTION: relocate sanitary sewer approx 1501f into private easement PhoneNumber: 541-344-5274 Expiration Date 02n7t2008 Residential Phone 541-726-9854 Owner: Address: WILLIAM JACKSON PO BOX 10067 EUGENE OR 97440 Contractor Type Plumbing Contractor BARNES HIGH TECH PLUMBING INC License 83311 TRACTOR INFORMATION BUILDING IN R-3 # of Stories: lHIS PER AUTHORi lro uunr-n requires Y cu to Lot Size: by the Orego Uii\rtY Sq Ft lst Floor:n AlT T hose 0 0090.Sprinkled the Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: NOTICE ru\es are 952-00 set tort6q Ft 2nd Floor: Sq Ft Basement: through OAR coPies ol the rules Ft Garage/Carport Ft Other: Load: vN to\\ Noti in Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: MlI SHALL CED OR IS COMt.JlEN 80 OAY PERIO D REQUIRED PARI(NG Total: Handicapped: Compact: ANY $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description TYPe of Construction Page 1 of2 VaIue Date Calculated \ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Valuation Description Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00210ISSUED: 0212212005APPLIED: 0212212005EXPIRES: 0812212005 VALUE: Fee Description + l0oA Administrative Fee + 7o/o State Surcharge Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' Total Amount Paid Amount Paid $5.90 $4.13 $45.00 $14.00 $69.03 Total Value of Project Date Paid 2t22t0s 2t22t0s 2t22t0s 2l22t0s Receipt Number 2200500000000000202 2200s00000000000202 2200500000000000202 2200500000000000202 tr'ees Paid Plan Reviews To Request an inspection call the24 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. 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 Springlield 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. z/24 os- Owner or Contractors Pase 2 of 2 Date Kequtreo rnsDeeuoLll 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Clty of Springfield Official Receipt 'elopment Services Department Public Works Department RECEIPT #: 2200500000000000202 Date: 0212212005 1:32:00PM Job/Journal Number coM200s-00210 coM2005-00210 coM2005-00210 coM200s-00210 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' + 7Yo State Surcharge + l0%o Administrative Fee Amount Due 4s.00 14.00 4.13 s.90 Item Total:$69.03 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check RAYMOND JACKSON djb 4420 In Person $69.03 Payment Total : --569.-67 212212005 Page I of I lffIroxaD