HomeMy WebLinkAboutPermit Plumbing 2006-06-08Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00701ISSUED: 0610812006APPLIED: 06/0812006EXPIRES: 1210812006
VALUE:#
SITE ADDRESS: 525 10TH ST
ASSESSOR'S PARCEL NO.: 1703351407400
PROJECT DESCRIPTION: Replace approx 40lf water line
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair Residential
Owner:
Address:
Contractor Type
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Contractor License
EUGENE EXCAVATION & PLUMBING INC 138003
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh oI Lot Coverage:
Phone Number: S4l-
Expiration Date Phone
0412712007 541-988-0868
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
" RequrRED PARKING
Total:
Handicapped:
Compact:
MARGARET GLIDDEN
525 1OTH ST
SPRINGFIELD OR 97477
R-3
VN
nla
Sidewalk Type:
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
CONTRACTOR INFORMA
PUBLIC IMPROVEMENTS
Description Type of Construction
Page 1 of 2
Value Date Calculated
iF
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t-
).
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
IJI,V I-LUPMIIN I IN I UKIVIA T TUN I
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Valuation Description I
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: COM2006-00701ISSUED: 0610812006APPLIED: 06/0812006EXPIRES: 1210812006
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ 87o State Surcharge
Water Line - lst 50 Feet
Total Amount Paid
Amount Paid
$4.s0
$3.60
$4s.00
$s3.10
Total Value of Project
Date Paid
6t8t06
6t8t06
6t8t06
Receipt Number
1200600000000000830
l 200600000000000830
r200600000000000830
Plan Reviews
To Request an inspection call tbe 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.
Water 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 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 etrsure 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 construction.
/-- v-o(a
Owner or Contractors Signature
Pase 2 of 2
Date
-" "TI ffiilr
r ees rard I
Keourreo lnsDecuons
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C' rf Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #: 1200600000000000830 Date: 0610812006 1:0e:37PM
Job/Journal Number
coM2006-00701
coM2006-0070r
coM2006-00701
Description
+ 8% State Surcharge
+ l0% Administrative Fee
Water Line - I st 50 Feet
Amount Due
3,60
4.50
45.00
Item Totall $53.10
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check EUGENE EXCAVATION AND
PLUMBING
djb I 080 In Person
Payment Total:$53.10
$53.10
cReceintl Page I of I 61812006