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Home My WebLink AboutPermit Plumbing 2007-04-19F Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00571ISSUED: 0411912007 APPLIED: 0411912007 EXPIRES: l0/1912007 VALUE: SITE ADDRESS: 585 36TH ST ASSESSOR'S PARCEL NO.: r702311302000 PROJECT DESCRIPTION: Replace approx 60lf water line TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Springfield Residential Owner: Address PhoneNumber: 541-517-0821IAN FULLER 4839 OLD DILLARD RD EUGENE OR 97405 Contractor Type General Plumbing Contractor HENIGES CONSTRUCTION LLC KEVIN LEE KIKER License 168529 159330 Expiration Date 02n312008 03/30/2008 Phone 541-988-9032 541-221-3212 CONTRACTOR INFORMATION )RMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VB nla IHIS P AUTHO ERM\I S RIZED UN IS AB REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: COMME NCED OR ANY 1BO DAY PER # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: ATTENTION: Oregon law requlres y9Y.J9 ioiro* trr.t adopted by the oregon Utility r.r.,itit"ii".-b;;t,;. Thoie rules are set rorth il cjilioir-oor-ooto throush oAR e52-001- 'i,o"r'o. V;;;t obtain copies of the ryle-s by -lrriing the ienter' (Note: the telephone ;;;;t lo; the ore jon Uti I itv1"l otif ication center is 1-800-332 2344)' Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Page I of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00571ISSUED: 0411912007 APPLIED: 0411912007EXPIRES: 1011912007 VALUE: Description Type of Construction Fee Description + l0oh Administrative Fee + 5olo Technology Fee + 87o State Surcharge Water Line - lst 50 Feet Water Line - Each Addtl 100' Total Amount Paid Total Value of Project Date Paid 4n9t07 4n9t07 4n9t07 4n9t07 4n9t07 Value Date Calculated Receipt Number 1200700000000000437 1200700000000000437 1200700000000000437 r200700000000000437 1200700000000000437 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $s.90 $2.95 s4.72 $45.00 $14.00 s72.57 f,'ees Paid To Request an inspection call the24 hour recording at 726-3769. All inspections 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. Water 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 Cify of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY witl 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 construction. Owner or Contractors Pase 2 of 2 Date T Valuation Description I l(equrreo tnsDecuons r 225 Fifth Sfreet Springfield, Oregon 97 477 541-726-3759 Phone C'*, of Springfield Official Receipt L-- elopment Services Department Public Works Department RECEIPT #: 1200700000000000437 Date: 0411912007 9:20:t2AM Job/Journal Number coM2007-00571 coM2007-00s71 coM2007-00571 coM2007-00571 coM2007-00571 Description Water Line - lst 50 Feet Water Line - Each Addtl 100' + 5olo Technology Fee + 8% State Surcharge + l0%o Administrative Fee Amount Due 45.00 14.00 2.9s 4.72 5.90 Item Total: Type of Payment paid By CreditCard HENIGES CONSTRUCTION Received By Batch Number Number How Received djb 081 167 In Person Payment Total: $72.57 Amount Paid $72.57 s72.s7 cReceint I Page I of I 411912007 ffingpj"a