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Home My WebLink AboutPermit Plumbing 2005-12-09Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01708ISSUED: 1210912005APPLIEDz 1210912005 EXPIRES: 06/0912006 VALUE: SITE ADDRESS: 810 10TH ST ASSESSOR'S PARCEL NO.: 1703351207800 Springfield TYPE OF WORJ(: Plumbing Only TYPE OF USE: Repair Phone Number: 541-747-9996 PROJECT DESCRIPTION: Replace sanitary sewer line- approx 60lf Expiration Date 0u24t2007 Residential Phone 54r-48s-8930 Owner: Address: Contractor Type Plumbing MAFALDA COGBURN 810 1OTH ST SPRINGFIELD OR 97477 Contractor License ACE EQUTPMENT & SPECIALTY SERVICE 154093 CONTRACTOR INFORMATION Valuation DescriPtion N01# of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 0R n/a .loStO REQUIRED PARICNG Total: Handicapped: Compact: ^rit{oS eC\ ($4) th0 C $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription TvPe of Construction Page I of2 Value Date Calculated TFE TGFl'LD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26:37 69 Inspection Line Fee Description + lL%o Administrative Fee + 77o State Surcharge Encroachment Permit Sanitary Sewer - lst 50 Feet SanitarY Sewer Each Addtl 100' Total Value of Project Date Paid t2t9l05 r2t9l05 t2t9l05 t2l9los t2l9l05 PERMIT NO: COM2005-01708ISSUED: 1210912005 APPLIEDT 121091200sEXPIRES: 06/0912006 VALUE: Receipt Number 2200500000000001676 2200500000000001676 220050000000000r676 2200500000000001676 2200s00000000001676 Amount Paid $5.90 $4.13 $130.00 $45.00 $14.00 To Request an inspection call the24 will be made the same working day' All inspection requested before 7:00 a'm' :00 a.m. will be made the following work Total Amount Paid $199.03 hour recording at 726'3769' inspections requested aftet 7 day. Sanitary Sewer Line: prior to filling trench and incruding 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 be done in accordance withshall Ordinances of the CitY of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and the NO OCCUPANCY will be made of anY structure without permission of the CommunitY Services Division, Building SafetY' that who are in comPliance with oRs 701.005 will be used on this Project' I further certifY that onlY contractors and emPloYees time, that each address is readable from the - I further agree to ensure that all required inspections are requested at the ProPer remain on the site at all streett that the permit card is located at the front of the propertY, and the approved set of Plans will times construction. or Page2 oI2 Date I ees ralo I 2?5 Fifth Street Springficld, Oregon 97 477 541-726-3759 Phone ^!ty of Springfield Official Receipt -- evelopment Services Department Public Works Department RECEIPT #: 2200s00000000001676 Date: 1210912005 tt:12:4eA}'a Job/Journal Number coM2005-01708 coM2005-01708 coM2005-01708 coM2005-01708 coM2005-01708 Description Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' + 7%o State Surcharge + l0% Administrative Fee Encroachment Permit Amount Due 45.00 14.00 4.13 5.90 130.00 Item Total:$199.03 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check , rl PAUL COGBURN djb In Person Payment Total: $199.03 -Sitfiot 687 ll \ 121912005 Page 1 of 1