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