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HomeMy WebLinkAboutPermit Plumbing 2005-07-26Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541 :7 26-37 69 I nspe ction Lin e PRIN Buildin g/Co mbination Permit CITY OF PERMITNO: COM2005-00972ISSUED: 0712612005 APPLIEDz 0712612005E)PIRES: 0112612006 VALUE: SITE ADDRE$S: 1384 PARI(ER ST ASSESSOR'S PARCEL NO.: 1703253312300 Springfield TYPE OF TYPEOF USE: Plumbing Only Alteration PROJECT DESCRIPTION: Sewer replacement & reverse plumbing Expiration Date 05t28t2007 Residential Phone 541-741-1744 - Owner: Address: WIGGINSROWLANDK&EM 1384 PARI(ERST SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor TRENCHLESS PIPE SERVICES INC License 15s663 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontlard Setback: Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: # ofStories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: nla nrber for the O e regon Utitity Notification Center is 1-800-332 -2344). $ Per Sq Ft or muhiplier Square Footage or Bful Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Tvpe of Construction lof2 Value Date Calculated sFBlf,tOFtEr*o -LL.iL Status: Issued 225Ilfth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Frx 541 :I 26-37 69 I ns pe ction Line CITY OF S Buildin g/Co mbinatio n Permit PERMIT NO: COM2005-0097 2ISSUED: 0712612005 APPLIEDT 0712612005E)PIRES: 0112612006 VALUE: Fee Description + l0o/o Administrative Fee + 7o/o State Surcharge Fixture Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' Total Amount Amount Paid $8.70 $6.09 $28.00 $45.00 $14.00 $10r.79 Total Value of Project Date Paid 7t26t0s 7t26t0s 7126t05 7t26t05 7t26t05 Receipt Number 1200500000000001071 1200500000000001071 1200500000000001071 1200s00000000001071 1200s00000000001071 To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 . a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Renrrired Insnections By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the wonk described herein, and that NO OCCT PANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certi$ ftat 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 streef 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 construction. Owner or Contractors 2of2 TEESTAIq ] z/tt,h s nat{ / 225Fitth Street Sirringfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt :velopm ent Services Department Public Works Department RECEIPT#: 1200500000000001071 Date: 0712612005 e:52:18AM Job/Journal Number coM200s-00972 coM2005-00972 coM200s-00972 coM2005-00972 coM200s-00972 Description Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' Fixture + 1Yo State Surcharge + l0% Administrative Fee Amount Due 4s.00 14.00 28.00 6.09 8.70 Item Total:$101.79 Payments: Tlpe of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check TRENCHLESS PIPE SERVICE LKW I 1069 In Person $101.79 Payment Total: -TidTF 712612005 lofl {xlrmm.at