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Home My WebLink AboutPermit Plumbing 2004-09-08ITY F Building/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: COM2004-01111ISSUED: 0910812004APPLIED: 09/0812004EXPIRES: 03/0812005 VALUE: SITEADDRESS: 98021STST ASSESSOR'S PARCEL NO.: 1703361203500 PROJECT DESCRIPTION: Replace approx 80lf sewer Springfield TYPE OF WORK: Plumbing OnIy TYPE OF USE: Repair Residential OWNET: MARTIN JACK D & NANCY MAE Address: 980 N 21ST ST SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor # 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: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: {' ru wfwUY arc tt€ 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: REQUIRED PARKING Total: \t \T Expiration Date 0U16t2005 Phone 949-380-4161 $d nla s $ Per Sq Ft or multipHer Total Value of Project DEVELOPMENT INFORMATION Description Type of Construction Page Value Date Calculated TT L] 5l Yoll Valuation Description I LD Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Rax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01111ISSUED: 0910812004APPLIED: 09/0812004EXPIRES: 03/0812005 VALUE: tr'ees Paid Fee Description + l0o/o Administrative Fee + 7Yo State Surcharge Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' Total Amount Paid Amount Paid $5.90 $4.13 $4s.00 $14.00 $69.03 Date Paid 9t8t04 9t8t04 9t8t04 9t8t04 Receipt Number 2200400000000001 132 2200400000000001 132 2200400000000001 132 2200400000000001 132 Plan Reviews To Request an inspection call the 24 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. 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 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 -a Owner or Contractors Signature Date Pase2 of2 T t}- Keoulreo lnsDectrons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone rity of Springfield Official Receipt jvelopment Services Department Public Works Department RECEIPT#: 2200400000000001132 Date: 0910812004 1:07:19PM Job/Journal Number coM2004-01I I I coM2004-01I l l coM2004-01I I I coM2004-01I l l Description Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' + 7o/o State Surcharge + l0% Adminishative Fee Amount Due 45.00 r4.00 4.t3 5.90 Item Total:$69.03 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number' How Received Amount Paid Check HOFFMAN NORTHWEST djb 332671 In Person $69.03 PaymentTotal: .-SBIldT 9t8/2004 Page I of I aDt&rrof.D .-