HomeMy WebLinkAboutPermit Plumbing 2006-02-09OF SPRIN
Buildin g/Co mbinatio n Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:126-3753 Phone
541-726-3676Fax
541:7 26-37 69 Inspe ction Line
PERMIT NO: COM2006-00168ISSUED: 0210912006APPLIEDz 0210912006E)GIRES: 08/0912006
VALUE:
SITE ADDRESS: 815 28TH ST
ASSESSORS PARCEL NO.: 1702310001500
PROJECT DESCRIPTION: Replace 45lf sanitary sewer
Springfield TYPE OF
TYPE OF USE:
Plumbing Only
Repair Commercial
' Owner:
Address:
GARY PIERCE PAINTING INC
815 N 28TH ST
SPRINGFIELD OR 97477
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CONTRACTOR
Contractor Twe Contractor
ACE
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Type:
Energy Path:
Sprinkled
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKTNG
Total:
Handicapped:
Compact:
Expiration Date
0u24t2007
Phone
541485-8930
nla
$s
\\\T1
s
0B
s0\
$ Per Sq Ft
or multiplier
Square Footage
or Bful Amount
PUBLIC IMPROVEMENTS
Valuation Descrintion
Description Tvpe of Construction
lof2
Value Date Calculated
L
# of Units:
\s
F PRING
Buildin g/Co mbin ation Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-7263676Fax
541 :7 26-37 69 Inspection Line
PERMIT NO: COM2006-00168ISSUED: 0210912006
APPLIEDT 0210912006E)GIRESz 0810912006
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ 87o State Surcharge
Sanitary Sewer - lst 50 Feet
Total Amount
Amount Paid
$4.s0
$3.60
$4s.00
$53.10
Total Value of Project
Date Paid
2t9t06
2t9t06
219t06
Receipt Number
1200600000000000r35
1200600000000000135
120060000000000013s
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
-work day.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Reouired Insnections
By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certiff that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certiff that only contractors and employees who are in compliance with ORS 701.005 will be used
on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from
' the stree! that the permit card is located at the front of the property, and the approved set of plans will remain on the site
at all times during construction
Owncr or Contractors Signature
2of2
Date
r ees rarq I
City of Springfield Official Receiot
:velopm ent Services Departm ent- Public Works Departrnent
RECEIPT #:
Description
+ 8% State Surcharge
+ l0yo Administrative Fee
Sanitary Sewer - Ist 50 Feet
120060000000000013s Date: 0210912006 9:ot:o2AMJob/Journal Number
coM2006-00168
coM2006-00168
coM2006-00168
Amount Due
3.60
4.50
45.00Item Total:$s3.I0
of Payment paid By Au
ACE EQUIPMENT
SPECIALTY
AND
Received By Batch Number
djb
Number How Received
In Person
Payment Total:
Amount paid
$53. r 0
3280
$s3.r0
1
I t.
't
21912006 lofl
225 Fifth Street
Springfield, Oregon 97477
541-726;-3759 phone
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