HomeMy WebLinkAboutPermit Plumbing 2006-05-24Status 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: COM2006-00625ISSUED: 0512412006APPLIED: 0512412006
EXPIRESz 1112412006
VALUE:
SITE ADDRESS: 72528TH ST SPACE 3
ASSESSOR'S PARCEL NO.: f 70231000f800
PROJECT DESCRIPTION: Repair approx 50lf sanitary sewer line
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Owner:
Address:
Contractor Type
LAY MARLIN S
87499 CEDAR FLAT RI)
SPRINGFIELD OR 97478
Expiration Date
03t29t2007
Residential
Phone
s41726-6124Plum
# 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:
SoIar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Contractor
JOHN PHILLIP DECKER
R-3
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd
Paved Drive Rqd:
o/o of Lot Coverage:
CON
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
License
163938
nla
REQUIRED PARKTNG
Total:
Handicapped:
LU OR \S ABANDOI'i
ANY 1
Sidewalk Type:
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
]TOR INFORMATION
Description Type of Construction
Page 7 of 2
Value Date Calculated
\RE \F
1 SHALL EXP
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
OF
Building/Combination Permit
PERMIT NO: COM2006-00625ISSUED: 0512412006APPLIED: 0512412006
EXPIRESz 1112412006
VALUE:
Fee Description
+ l0Y, Administrative Fee
+ 87o State Surcharge
Sanitary Sewer - lst 50 Feet
Total Amount Paid
Amount Paid
$4.50
$3.60
$45.00
$s3.10
Total Value of Project
Date Paid
5t24t06
5t24t06
5t24t06
Receipt Number
1200600000000000707
1200600000000000707
1200600000000000707
Plan 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.
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
times during construction.
0s v 0b
Contractors Signature Date
Paee 2 of 2
rees raro I
Kequrreo rnsDecuons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cit'of Springfield Official Receipt
D , ropment Services DePartment
Public Works DePartment
RECEIPT #: 1200600000000000707 Date: 0512412006 l:36:45PM
Job/Journal Number
coM2006-0062s
coM2006-00625
coM2006-00625
Description
+ 8% State Surcharge
+ llYo Administrative Fee
Sanitary Sewer - I st 50 Feet
Amount Due
3.60
4.50
45.00
Item Total $53.10
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check FLOWERS DRAIN AND
EXCAVATING
djb 6032 In Person $53. I 0
Payment Total:$53.r0
cReceintl Page I of I 5t2412006