HomeMy WebLinkAboutPermit Plumbing 2007-02-23Status 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: COM2007-00281ISSUED: 0212312007APPLIEDz 0212312007EXPIRES: 0812312007
VALUE:
SITE ADDRESS: 406 4TH ST APT I Springfield TYPE OF WORK: Plumbing Only
ASSESSOR'S PARCEL NO.: 1703352410500
TYPE OF USE: Repair
PROJECT DESCRIPTION: Replace approx 3001f water line. 4 lines in 2 meters to 3 bldgs.
Commercial
Owner:
Address:
Contractor Type Contractor
TRENCHLESS PIPE SERVICES INC
Overlay Dist:
PIONEER PROPERTIES OF OREGON
PO BOX 24001
EUGENE OR 97402
Plu
# 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:
SHALL EXPIRE lF THE !!@l(Pact:
UNDER THIS PERMIT IS NOT
License Expiration Date
Oregon UtiI:Y
Building:nla Occupant Load:
Phone
54t-741-1744
REQUIRED PARKING
Total:
Handicapped:Rqd:
AUTHORIZ
$ Per Sq Ft
or multiplier
r0D
Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/Drains:
CONTRACTOR INFORMATION
Description Type of Construction
Pase I of2
Value Date Calculated
.Those ru les are set fotl
rhrough Lot Size:
copiBS ol the ht Floor:
(t'lota: thc FIoor:
Sq Ft Other:
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: COM2007-00281ISSUED: 0212312007APPLIED: 0212312007
EXPIRES: 08/2312007
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Water Line - lst 50 Feet
Water Line - Each Addtl 100'
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Water Line - Each Addtl 100r
Total Amount Paid
Total Yalue of Project
Date PaidAmount Paid
$8.70
$4.3s
$6.96
$45.00
$42.00
$1.40
$0.70
$1.12
$r4.00
$124.23
Receipt Number
1200700000000000200
1200700000000000200
1200700000000000200
r200700000000000200
1200700000000000200
1200700000000000262
1200700000000000262
1200700000000000262
1200700000000000262
2t23t07
2t23107
2t23t07
2t23t07
2t23t07
319t07
319t07
3t9107
3t9107
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 atl 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 onty 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
T.
Owner or Contractors Signature
Page 2 of 2
Date
3
t1ees raro I
Keourreo InsDectrons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cit- of Springlield Official Receipt
D. ,opment Services Department
Public Works Department
RECEIPT#: 1200700000000000262 Date: 0310912007 2:33:08PM
Job/Journal Number
coM2007-00281
coM2007-00281
coM2007-00281
coM2007-00281
Description
Water Line - Each Addtl 100'
+ 5% Technology Fee
+ 87o State Surcharge
+ 10Yo Administrative Fee
Amount Due
14.00
0.70
1.12
1.40
Item Total:$17.22
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Cash
Change
TRENCHLESS PIPE SRVCS
TRENCHLESS PIPE SRVCS
djb
djb
In Person
In Person
Payment Total:
$20.00
($2.78)
s17.22
Job/Journal Number
coM2007-00281
coM2007-00281
coM2007-00281
coM2007-00281
Description
Water Line - Each Addtl 100'
+ 57o Technology Fee
+ 8% State Surcharge
+ l|Yo Administrative Fee
Amount Due
14.00
0.70
1.12
1.40
Item Total:s17.22
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Cash
Change
TRENCHLESS PIPE SRVCS
TRENCHLESS PIPE SRVCS
djb
djb
In Person
In Person
Payment Total:
($2.78)
$17.22
$20.00
cReceint I Page I of 1 31912007
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: COM2007-00281ISSUED: 0212312007
APPLIEDz 0212312007
EXPIRES: 0812312007
VALUE:
SITE ADDRESS: 406 4TH ST APT I Springfield TYPE OF WORK: Plumbing Only
ASSESSOR'S PARCEL NO.: 1703352410500
TYPE OF USE: Repair
PROJECT DESCRIPTION: Replace approx 3001f water line. 4 lines in 2 meters to 3 bldgs.
Owner:
Address:
Contractor Type
Plumbing
Contractor
TRENCHLESS PIPE SERVICES INC
PIONEER PROPERTIES OF OREGON
PO BOX 24001
EUGENE OR 97402
Expiration Date
05t28t2007
Commercial
Phone
54t-74r-1744
License
155663
]TOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
AU
$ Per Sq Ft
or multiplier
Rqd:
Square Footage
or Bid Amount
I/s
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
DEVELOPMENT INFORMATI(
Description Type of Construction
Page 1 of2
Value Date Calculated
#of
Height
Valuation Description I
b
rci
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: COM2007 -00281ISSUED: 0212312007APPLIED: 0212312007EXPIRES: 08/2312007
VALUE:
Fee Description
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Water Line - lst 50 Feet
Water Line - Each Addtl 100'
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
2t23t07
2t23t07
2t23t07
2t23t07
2t23t07
Receipt Number
1200700000000000200
1200700000000000200
1200700000000000200
1200700000000000200
1200700000000000200
$8.70
$4.35
$6.96
$45.00
$42.00
$107.01
Plan Reviews
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 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 properfy, and the approved set of plans will remain on the site at all
times during construction.
2
Owner or Contractors
Pase 2 oI 2
Date
n
-[ ees raro r
t(eoulreo lnsDectrons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cik of Springfield Official Receipt
L ;lopment Services Department
Public Works Department
RECEIPT #: 1200700000000000200 Date: 0212312007 2:55:5lPM
Job/Journal Number
coM2007-00281
coM2007-00281
coM2007-00281
coM2007-00281
coM2007-00281
Description
Water Line - lst 50 Feet
Water Line - Each Addtl 100'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10o Administrative Fee
Amount Due
45.00
42.00
4.35
6.96
8.70
Item Total:$107.01
Payments:
Type ofPayment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check TRENCHLESS BOOKKEEPING
LLC
djb 20497 In Person
Payment Total:
$r07.0r
$107.01
cReceint I Page I of I 2t2312007
TCffi*