HomeMy WebLinkAboutPermit Plumbing 2006-03-23Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00347ISSUED: 03123t2006APPLIED: 031231200GEXPIRES: 09123t200G
VALUE:
SITE ADDRESS: 728 26TH ST
ASSESSOR'S PARCELNO.: 1703361116300
PROJECT DESCRIPTION: Replace approx 70lf sanitary sewer
Springfield TYPE OF WORK: Plumbing Onty
TYPE OF USE: Repair
PhoneNumber: 541-915-7790
Residential
Owner:
Address:
GAYLYN SPENCER
728 26TH ST
SPRINGFIELD OR 97477
I
Contractor Tvpe
Plumbing
Contractor
JOHN PHILLP DECKER
tn Expiration Date
03t29t2007
Phone
541726-6124
i You rn ote: u
# 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:
VN ater Type:
n\jrnber
Range Type:
Energy Path:
Sprinkled Buitding:
Overlay Dist:
# Street
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Sidewalk Type:
Downspouts/I)rains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier Square Footage
or Bid Amount
Description Type of Construction
Page I of2
Value Date Calculated
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00347ISSUED: 0312312006APPLIED: 0312312006
EXPIRESz 0912312006
YALUE:
Fee Description
+ l0/o Administrative Fee
+ 87o State Surcharge
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100f
Total Amount Paid
Amount Paid
$s.90
$4.72
$4s.00
$14.00
$69.62
Total Value of Project
Date Paid
3t23t06
3t23t06
3123t06
3t23t06
Receipt Number
1200600000000000338
1200600000000000338
1200600000000000338
1200600000000000338
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m.*wiII be made the same working day, inspections requested after 7:00 a.m. will be made the foltowing work
day.
Sanitary Sewer Line: Prior to filling trench and including required testing.
o3
By signature' I state and agree, that I have carefully examined the completed application and do hereby certify that allinformation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance withthe ordinances of the city of springfietd and the Laws of ihe state bf oregon pertaining to the work described herein, andthat No occuPANCY wilt be made of any structure without permission ortne co--unity Services Division, Building Safety.r further certify that only contractors and employees who are in comptiance with oRs 701.005 will be used onitris project.
. I further agree to ensure that all required inspeciions are requesteo at ttre proper time, that each address is readable from thestreet' that the permit card is located at the front of the property, and the approved sei of plans will remain on the site at all, times during construction.
o
or Contractors Signature
Pase 2 of 2
Date
Fees rard
225 Fifth Street
Springfield, Oregon 91 411
541-726-3159 Phone
-ity of Springfield Official Receipt
-Jevelopment Services Department
Public Works Department
RECEIPT #: 1200600000000000338 Date: 0312312006 2:52:34PM
Job/Journal Number
coM2006-00347
coM2006-00347
coM2006-00347
coM2006-00347
Description
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100,
+ 8% State Surcharge
+ l0% Administrative Fee
Amount Due
45.00
14.00
4.72
5.90
Item Total:$69.62Payments:
Type ofPayment
Creck
Paid By
FLOWERS SEPTIC TANK
SERVICE
Received By Batch Number Number How Received
djb 1938 In Person
Payment Total:
Amount Paid
$69.62
s69.62
Check Number Authorization
1l,l
I
3/23/2006
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