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Home My WebLink AboutPermit Plumbing 2004-04-02Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00372ISSUED: 0410212004APPLIEDz 0410212004EXPIRES: 1010212004 VALUE: SITE ADDRESS: 550 17TH ST ASSESSOR'SPARCELNO.: 1703362406000 PROJECT DESCRIPTION: Replace approx l50lf sanitary sewer Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential Owner: Address: WIECHMANN FREDERICK K & J A 550 N ITTH ST SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor GARY ALAN MUSTIN Expiration Date 06t24t2004 Phone s4t-463-7568 License 129990 CONTRACTOR INFORMATI( N0-i Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: rn OAR onO qaC-2?AA\Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: the the 01 egon tornumber Notes: $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Page 1 of2 DEVELOPM ENT INFORMATION Description Type of Construction Value Date Calculated t Valuation Descrintion I Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 InsPection Line Building/Combination Permit PERMIT NO: COM2004-00372ISSUED: 0410212004 APPLIEDz 0410212004 EXPIRESz 1010212004 VALUE: ees Paid Amount Paid $5.90 $4.13 s45.00 $14.00 $69.03 Date Paid Receipt Number 1200400000000000430 1200400000000000430 r200400000000000430 1200400000000000430 Fee Description + l0olo Administrative Fee + 7oh State Surcharge Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' Total Amount Paid 4t2104 4t2t04 4t2t04 4t2t04 Plan 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. I Sanitary Sewer 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 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 .n.ui" that all required inspections are requested at the proper time, that each address is readatlle 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. t\-ko Lt Owner or Signature Date Pase 2 of 2 I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Departmen t Public Works Department 1200400000000000430 Date: 0410212004 2:06;18PM Job/Journal Number coM2004-00372 coM2004-00372 coM2004-00372 coM2004-00372 Description Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' + 7%o State Surcharge + 10Yo Administrative Fee Amount Due 4s.00 14.00 4.13 5.90 Item Total:$69.03 Payments: Type of Payment Check Number Received By Batch Number Number How Received Amount PaidPaid By GARYS ROOTER SERVICE djb 2230 In Person Payment Total: $69.03Check s69.03 t ll l)nnn Paoe I of I Authorizatron