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HomeMy WebLinkAboutPermit Plumbing 2006-02-23trftrl Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-7263676Fax 541:7 26-37 69 Ins pe ction Line Building/Co mbination Permit PERMIT NO: COM2006-00215 ISSUED: APPLIED: E)(PIRES: VALUE: 02t23t2006 02t23t2006 08123t2006 pre\ SITE ADDRESS: 2991 Yolanda St Springfield TYPE OF ASSESSOR'S PARCEL NO.: 1702193300800 TYPE OF USE: PROJECT DESCRIPTION: 4701f water line and drywell stub out for parcel3 Site Work Only New Residential "*Owner: Address: DUKES DAVID E & LAT'RIE S 29SSYOLANDAA\rE SPRINGFIELD OR 97477 s you to Contractor TvDe Contractor EXPRESS COMP Expiration Date 09n9t2007 Phone 541-747-302sINC Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: t'l0I'Trees TH'S f the ru/es by # of Unib: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontlard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: egon uti/i Lot Size:-800_ff2 tificati Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: AU UNDEB TH'S PER fr4tT RE IF nla 7HE WORK REQUIRED PARKING Total: Handicapped: Compact: ,S NOT Sidewalk Type: DownspoutVDrains $ Per Sq Ft or multipfier Square Footage orBH Amount Description Type of Construction lof2 VaIue Date Calculated ;z-ffi1;";,;t1 II # Height 1 FIILD Status: Issued 225 Fifth Street, Springfield, OR 541:1263753 Phone - 541:726-3676Fax 541:7 263769 Inspection Line OF SPRIN Building/Co mbination Permit PERMIT NO: COM2006-00215ISSUED: 0212312006 APPLIED z 0212312006E)?IRESz 0812312006 VALUE: Fee Description + l0Yo Administrative Fee + 8%o State Surcharge Fixture Water Line - lst 50 Feet Water Line - Each Addtl 100' Total Amount Total Value of Project Date PaidAmount Paid $12.90 $10.32 $14.00 $4s.00 $70.00 $152.22 Receipt Number 1200600000000000196 1200600000000000r96 1200600000000000196 1200600000000000196 1200600000000000196 2t23t06 2t23t06 2t23t06 2t23t06 2t23t06 Fees Paid To Request an inspection call the24 a.m. wiII be made the same working work day. hour-recording at 726-3769. AII inspection requested before 7:00day, inspections requested after 7:00 a.m. wiII -be made the foltowing Water Line: Prior to filling trench and including required testing. Dryrvell: Engineered Dryrvell is Required. provide the City with a copy of the DEe application to keep on file. By signature,I state and agree, that I have carefully examined the completed application work and do hereby certify that altinformationhereon is true and correct, and I furth er certify that any and all perf'ormed shall be done in accordancewith the Ordinances of the of Springfield andCity and that NO OCCUPAIYCY witt be made of any stTucture without permission of the Community Services Division, herein, Building Safety.I further certify that only contractors and employeeswho are in compliance with ORS 701.005 witt be usedon this project. I further agree to ensure that all required inspections are re quested at the proper time, that each address is readable fromthe street, that the card [s located at the front of the property, and the approved set of plans will remain on the siteat all times the Laws of the State of Oregon pertaining to the work described or Contractors Signature 2of2 Date 2 225 Fifth Street St.*n"id, Oregon 91411 sZtqie-1159 Phone "#fflHfiffitriflf;ffil* 0212312t06 3:14:35PMDate: Job/Journal Number coM2006-00215 coM2006-00215 coM2006-0021s coM2006-00215 coM2006-00215 RECEIPT #:1 DescriPtion Water Line - lst 50 Feet Water Line - Each Addtl 100' Fixture + 8% State Surcharge + lOo/o Administrative Fee Amount Due 45.00 70.00 14.00 10.32 12.90 Item Total: Number Payments: Tlpe of PaYment Received BY Batch Nunber Number How Received Amount Paid Paid BY DAVID DUKES djb OO+:09 In Person PaYment Total: $152.22ffi irb r(' i ,| 2/2s/2006 l of 1 3Fn$lemat'o I t