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Home My WebLink AboutPermit Plumbing 2004-04-27Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00467 ISSUED: APPLIED: EXPIRES: VALUE: 04t27t2004 04t27t2004 10t27t2004 SITEADDRESS: 548S4THST ASSESSOR'SPARCELNO.: 1703353402600 PROJECT DESCRIPTION: Replace 90lf sanitary sewer Springfield TYPE OF WORK: ptumbing Only TYPE OF USE: New Residential Owner: ENGSTROM EVANAddress: 548 S 4TH ST SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor GARY ALAN MUSTIN License 129990 Expiration Date 06/24t2004 Phone 547-463-7568 # of Units: SETBACKS A\{Y Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: R-3 Height of VN SH ALL EB lHts UND OR \S ,1 Overlay Dist: # Street Trees Rqd: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 180 DA\ Paved ENTIO\by rles areru to tod 4) Square Footage or Bid Amount REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: Downspouts/I)rains: $ Per Sq Ft or multiplier Total Value of project Pase I of2 Description Type of Construction Value Date Calculated & Secondary # of Bedrooms: oF' Building/C ombination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00467ISSUED: 0412712004APPLIED: 0412712004 EXPIRESz 1012712004 VALUE: Fee Description + l0Yo 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 $4s.0i) $14.00 $69.03 Date Paid 4t27t04 4t27t04 4t27t04 4127t04 Receipt Number 1200400000000000s45 1200400000000000545 1200400000000000s45 1200400000000000s4s Plan Reviews To Request an inspection call the 24 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. I 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, andthat 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 al the proper time, that each address is readable from thestreet, that the permit card is located at the front of the property, and the appioved sei of plans will remain on the site at alltimes during construction.-2 Contractors Date Paee? of2 I ]{ rrees rato I Keourreo InsDectrons I 225 Fifth Street' Springfield,Oregon9l4Tl 54l-126-3159 Phone orly of Springfield Official Receipt .i.rop-.nt Services DePartment Public Works DePartment RECEIPT #: 1200400000000000545 Date:04/2?/2004 10:15:58AIII Job/Journal Number coM2004-00467 coM2004-00467 coM2004_00467 coM2004-00467 Description Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' + 7% State Surcharge + l|Yo Administrative Fee AmountDue 45.00 14.00 4.13 s.90 Item Total:$6e.03 Type ofPayment Paid By Received By Batch Number Number Cash How Received Amount PaidGARYSPLUMBING AND djb Change Job/Journal Number coM2004-00467 coM2004-00467 coM2004_00467 coM2004-00467 ROOTER GARYS PLUMBING AND ROOTER djb In Person In Person Payment Total: $70.00 ($0.e7) $69J3Description Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' + 7Yo State Surcharge + l0yo Administrative Fee Amount Due 45.00 14.00 4.13 5.90Item Total: $69.03 Type ofPayment NumbeiPaid By Cash Change GARYS PLUMBING AND ROOTER GARYS PLUMBING AND ROOTER Received By Batch Number Number djb djb How Received Amount paid In Person In Person Payment Total: $70.00 ($0.e7) $69.03 4/27/2004 Page I of 1