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Home My WebLink AboutPermit Plumbing 2004-06-25Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00779ISSUED: 0612512004APPLIEDz 0612512004 EXPIRESz 1212512004 VALUE: SITE ADDRESS: 2434L4THPL ASSESSOR'S PARCEL NO.: 1703243300113 PROJECT DESCRIPTION: Replacing 40lf water line Owner: SHERMAN WARD C & DARLENE A Address: 2434 N 14TH PL Contractor Ulffi oilaia oopi68 READY Springfield TYPE OF WORIC Plumbing Only TYPE OF USE: Repair Residential F Contractor Tvpe Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 180 Expiration Date Phone 02n8t200s 541-744-7991 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 \rN nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: \f 1 HIS r0R Sidewalk Type: Downspouts/Drains: REQUIRED PARI(NG Total: Handicapped: Compact:It€$1,$ $ Per Sq Ft or multiplier Square Footage or Bid Amount - r.raDNrffi'fffiLIHlfilIl TION Valuation Descriotion Description Type of Construction Total Value of Project Value Date Calculated Buitding/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Frx 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00779ISSUED: 0612512004APPLIED:. 0612512004EXPIRES: 1212512004 VALUE: Fee Description + l0Yo Administrative Fee + 1oh State Surcharge Water Line - lst 50 Feet Total Amount Paid Amount Paid $4.50 $3.1s $4s.00 $s2.6s Date Paid 6t25104 6t25t04 6t25t04 Receipt Number 1200400000000000980 1200400000000000980 1200400000000000980 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. Water 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 a4d 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 construction. r/zt6 v Owner or Contractors Signature Date Pase2 of2 .T [}J r ees ralo I 235 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Crty of Springfield Official Receipt ,,elopment Services Department Public Works Department RECEIPT #: 1200400000000000980 Date: 0612512004 l:07247PM Job/Journal Number coM2004-00779 coM2004-00779 coM2004-00779 Description + 7oA State Surcharge + l0% Administrative Fee Water Line - lst 50 Feet Amount Due 3. l5 4.50 45.00 Item Total:$52.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard DAVID NICHOLS djb 000422 004917 In Person $52.65 Payment Total: -Sffi 612512004 Page I of I lEr