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Home My WebLink AboutPermit Plumbing 2006-10-03E 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: COM2006-01263ISSUED: l0/03/2006APPLIED: 10103/2006 EXPIRES: 04/0312007 VALUE: SITE ADDRESS: 295 S ISTH ST Springfield TYPE OF WORK: Plumbing Only ASSESSOR'S PARCELNO.: 1703360000504 TYPE OF USE: Repair PROJECT DESCRIPTION: Replace approx 2901f water line and I fixture Public Owner: Address: CITY OF SPRINGFIELD 225 sTH ST SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor OWNER License Expiration Date Phone CONTRACTOR INFORMATION BL # 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 lnstruction: Notes: rUlYlUr€gOIl l3W frsft adopted bytho Thom rules obtaln coplcs of ocntor. (Nde: the Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % d{$ftlGferase: THIS PER R THIS PERMIT IS N()T ANY 180 DAY PERIOD A BBEOIJEIIfffi Downspouts/Drains: $ Per Sq Ft or multiplier Floor: arport Load: REQUIRED PARKING Total: Handicapped: Compact: Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Tvpe of Construction Page I of 2 Value Date Calculated ry -00,|0 hrough OAR Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2006-01263ISSUED: l0/03/2006APPLIED: 10/0312006 EXPIRES: 04/0312007 VALUE: Fee Description + l0'h Administrative Fee + 5"/o Technology Fee + 8%, State Surcharge Fixtu re Water Line - lst 50 Feet Water Line - Each Addtl 100' Total Amount Paid Amount Paid Total Value of Project Date Paid t0t3t06 t0t3t06 t0t3t06 t0t3t06 t0t3t06 l0/3/06 Receipt Number I 200600000000001481 l 200600000000001 481 r 20060000000000148r l 200600000000001 481 I 200600000000001481 l 20060000000000148r $10.10 $5.05 $8.08 $14.00 $45.00 $42.00 $ 124.23 Fees Paid 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 dayo inspections requested after 7:00 a.m. will be made the following work day. Rough Plumbing: Prior to cover and including required testing. Water Linel Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. Reou 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, Owner or Contractors Sign Pase 2 of 2 Date I o-- 3^ag ffi.i 225 Fifth Street Spr'ingfield, Oregon 97 477 541-726-3759 Phone aFnr*afittILD C-'w of Springfield Official Receipt , . elopment Services Department Public Works Department RECEIPT #: 1200600000000001481 Date: 1010312006 2:04:27PM Job/Journal Number coM2006-01263 coM2006-01263 coM2006-01263 coM2006-01263 coM2006-01263 coM2006-01263 Description Fixture Water Line - I st 50 Feet Water Line - Each Addtl 100' + 57o Technology Fee + 870 State Surcharge + l\Vo Administrative Fee Amount Due | 4.00 45.00 42.00 5.05 8.08 10.10 Item Total:$124.23 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard CITY OF SPRINGFIELD djb 007244 In Person Payment Total: sl24.23re cReceint I Page I of I t01312006