HomeMy WebLinkAboutPermit Plumbing 2006-12-13Building/Combination Permit
NO: COM2006-01601Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
PERMIT
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12n3t2006
12n312006
06n312007 r \
SITE ADDRESS: 337 IOTH ST
ASSESSOR'S PARCEL NO.: I703351415300
PROJECT DESCRIPTION: Replace approx 25lf sanitary sewer
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Phone Number: 541-747-7916
Residential
Owner:
Address:
CHRISTIAN CHERRY
337 1OTH ST
SPRINGFIELD OR 97477
Contractor Tvpe
Plumbing
Contractor
GARY'S ROOTER SERVICE
License
129990
Expiration Date Phone
06t24t2008
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
oh of
NoncErHlsPER/}4IIS HALORIZE
UN ! ExPt
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
VB
nla
AUTH
Sidewalk Type:
Downspouts/Drain s:
ARKING
BT /F
$ Per Sq Ft
or multiplier
ittr t ,v0IDoN,
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Tvpe of Construction
Pase 1 of2
ED F0&
Value Date Calculated
CUN IKA(-I l(rN I
You
s
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01601ISSUED: 1211312006APPLIEDz 1211312006
EXPIRES: 06/1312007
VALUE:
Amount Paid
Total Value of Project
Date Paid
Fee Description
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Sanitary Sewer - lst 50 Feet
Total Amount Paid
$4.50
$2.25
$3.60
$4s.00
t2n3t06
t2/13106
t2n3t06
t2n3t06
Receipt Number
120060000000000r752
120060000000000r 7s2
1200600000000001752
1200600000000001752
$s5.35
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.
Reouired Insnect
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 Springfield 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
0
Owner or Contractors
Pase 2 of 2
Date
_r ees raro I
225 Fifth Street
Spr.ingfield, Oregon 97 47 7
541-726-3759 Phone
Cit of Springfield Official Receipt
I .:lopment Services Department
Public Works Department
RECEIPT#: 1200600000000001752 Date: 1211312006 l:20:07PM
Job/Journal Number
coM2006-01601
coM2006-0 r 601
coM2006-01601
coM2006-0160t
Description
+ 5%o Technology Fee
+ 8% State Surcharge
+ l0% Administrative Fee
Sanitary Sewer - lst 50 Feet
Amount Due
2.25
3.60
4.50
4s.00
Item Total:$55.35
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard CHRISTIAN CHERRY djb 134671 In Person
Payment Total:
$55.3s
-ffi
cReceint I Page I of I t211312006
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