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Home My WebLink AboutPermit Plumbing 2004-07-08Status Issued 225 Fifth Street, SPringfield' OR 54l:7263153 Phone 541-726-3676 Fax 541-7 26-37 69 InsPection Line SITE ADDRESS: 1804 11TH PL ASSESSOR'SPARCELNO.: 1703261403805 PROJECT DESCRIPTION: Replace approx 50lf water line Owner: GREB LLC Address: PO BOX 22 VIDA OR 97488 VALUE: Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: RePair Building/Co mbination Permit coM2004'00827 07/08/2004 07/08/2004 01/08/200s Residential PERMIT NO: $SUED: APPLIED: EXPIRES: \B Contractor TyPe Plumbing # of Units: Primary Occupancy GrouP: Secondary Occupancy GrouP: Primary Construction Type Secondary Construction Type: # of Bedrooms: Contractor GARY ALAN MUSTIN R-3 Height of SE: License 129990 Expiration Date 0612412006 Phone 541463-7568 # of Stories: $E P r0R Square Footage or Bid Amount Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: NORI \S NO\ c nla Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot ttrrdlgh OAR S2{01' REQUIRED PARI(NG Total: Handicapped: $ Per Sq Ft or multiplierDescription Type of Construction Total Value of Project Value Date Calculated , Valuation Description I 1 Building/Combination Permit PERNTIT NO:coM2004-00827Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line ISSUED: APPLIED: EXPIRES: YALUE: 07108/2004 07/08/2004 01/08/2005 Fees Paid Fee Description + l0Yo Administrative Fee + 7o/o State Surcharge Water Line - lst 50 Feet Total Amount Paid Amount Paid $4.50 $3.rs $4s.00 $s2.6s Date Paid 7t8t04 718t04 7t8t04 Receipt Number 1200400000000001058 1200400000000001058 1200400000000001058 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. 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 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 / Owner or Contractors Signature Date Pase 2 of 2 Keourreo InsDectrons I 225 Fifth Street intr"gnOd, Oregon 91 411 sqt:tZe-l'159 Phone ^itv of Springfietit Official Receipt :1,#;ffiservices DePartment "' "^"' *oottt Works DePartment RECEIPT #: L200400000000001058 Date:0110812004 10:51:35ANl Job/Journal Number coM2004-00827 coM2004-00827 coM2004-00827 Description + 7Yo State Surcharge + l0o/o Administrative Fee Water Line - 1st 50 Feet AmountDue 3.15 4.50 45.00 Item Total:$52.6s Payments: Type ofPayment Check Number Authorization Paid By Received By Batch Number Number How Received Amount paid CreditCard GREBB LLC djb 000434 008441 In Person Payment Total: $52.6s -$ffit 71812004 Page 1 of I aF,Aanra'nrllr