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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