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Home My WebLink AboutPermit Plumbing 2005-05-20Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-00598ISSUED: 0512012005APPLIEDz 0512012005 EXPIREST 1112012005 VALUE: SITE ADDRESS: 345 S 35TH ST ASSESSOR'S PARCEL NO.: 1702314302300 PROJECT DESCRIPTION: Replace approx ll3lf sanitary sewer Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Phone Number: 541-741-7580 License Expiration Date Phone Residential Owner: Address: LESLIE GEORGE 345 S 35TH ST SPRINGFIELD OR 97478 Contractor Type Contractor OWNER # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo oILot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla mber lor the Oregon R-3 VN sitdii,ffi{r$ 1-800- rype: gg22344\ Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount CONTRACTOR INFORMATION DEVELOPMENT INFORMATION Description Type of Construction Page I of2 Value Date Calculated ffi tJ iNDUNLU TUN I,UTLUII\U II\,T (,,I{,TY[A T TUN I Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line ITY Building/Combination Permit PERMIT NO: COM2005-00598ISSUED: 0512012005APPLIED: 0512012005 EXPIRESz 1112012005 VALUE: Fee Description + l0o/o Administrative Fee + 7o/o State Surcharge Sanitary Sewer - lst 50 Feet, Sanitary Sewer Each Addtl 100' Total Amount Paid Amount Paid $s.90 $4.13 $4s.00 $14.00 $69.03 Total Value of Project Date Paid 5t20t05 5t20t05 5120t05 5120t05 Receipt Number 1200500000000000652 1200500000000000652 1200500000000000652 12005000000000006s2 PIan 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. Sanitary Sewer Line: Prior to filling trench and including required testing. Reoui 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 Owner or Contractors Signature Pase2 of2 Date \J rees raro l times during Construction Contraclors Board 700 Summer St I\E Suite 300 PO Box 14140 Selem OR 97309-5052 Phone: 503-3784621 Web Address: www.ccb.state.or.us 'zfCtE-oCa7E 745 s, *Ma sb. Permit #: Address: Issued by:Date: Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued.. This statement is requiredfor residential butlding, electrical, mechanical and -plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit- Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 38: X l. I own, reside in, or will reside in the completed structure. Z. I understand that I must become licensed as a construction contactor if the structure is sold or offered for sale before or on completion. 3A. My general conhactor is (ccB #)(Name) I will instnrct my general contractor that all subcontactors who work on the structure must be licensed with the Construction Confiactors Board. OR 38. I will be my own general contractor. If I hire subcontractors, I will hire only subconfactors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notiff the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. 2o -zza u- e-r tr tr x (Signature of permit applicant) @ate) (llhite copy to issuing agenLy permitfile, pink copy to applicant.) Property_owner.doc 06-0 I -04 5lzolos 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone lity of Springfield Official Receipt '-- -Development Services Department Public Works Department RECEIPT #: 1200500000000000652 Date: 0512012005 l0:21:13AM Job/Journal Number coM2005-00598 coM2005-00598 coM2005-00598 coM2005-00598 Description Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' + 7o/o State Surcharge + l0% Administrative Fee Amount Due 45.00 14.00 4.13 5.90 Item Total:$69.03 Payments: Type ofPayment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Cash LESLIE GEORGE ddk In Person Payment Total:$69.03 I {' i ,t 512012005 Page I of I To: Steve Graham, City of Springfield Re: Sewer test at 345 S.35d' Street Springfield Oregon 97478 Mr. Graham, Per our conversationonSl20l2005, I have witnessed a test on the sewer installed at the above address. Mr. Les George performed the test between 2:00 and 4:00 pm on5l2ll2005. A running test was then performed on the fernco connection when completed. If you have any furttrer questions, please contact me. Thank you for your cooperation. Michael W. Archer, Senior Plumbing Inspector, City of Happy Valley 12915 S.E. King Road, Happy Valley Oregon 97236 Phone (503) 760-3325 ext.ll? Cell (503) 740-9501