The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2006-10-23F 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: COM2006-01366ISSUED: 1012312006APPLIEDz 1012312006EXPIRES: 0412312007 VALUE: SITE ADDRESS: 502 19TH ST ASSESSOR'SPARCELNO.: 1703361310200 PROJECT DESCRIPTION: Sanitary line replacement. Owner: Address: SAMMIE L MAYFIELD FAMILY TRUST 87500 RICE RD MAPLETON OR 97453 \ Contractor Tvpe Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Alteration Expiration Date 0u24t2007& SPECTALTY SERVICE I Residential Phone 541-729-6221 g$ .o # of Units: Primary Secondary Primary Construction Secondary Construction # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # ofStories: Height of Type .o 1$ #Rqd: Paved Drive Rqd: oh of Lot Coverage: Size: Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: $ Per Sq Ft or multiplier o\ Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated : Valuation Description I 9'! Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line SPRIN Building/Combination Permit PERMIT NO: COM2006-01366ISSUED: 1012312006APPLIED: 1012312006EXPIRES: 0412312007 VALUE: Total Value of Project Date Paid Fee Description + l0o Administrative Fee + 57o Technology Fee + 57o Technology Fee + 87o State Surcharge Encroachment Permit Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl100' Total Amount Paid Amount Paid $7.30 $3.65 $6.50 $5.84 $r30.00 $45.00 $28.00 $226.29 10t23t06 10t23t06 10t23t06 10t23t06 10t23t06 10t23t06 10t23t06 Receipt Number 2200600000000001482 2200600000000001482 2200600000000001482 2200600000000001482 2200600000000001482 2200600000000001482 2200600000000001482 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. Owner or Contractors Signature Paee 2 of 2 Date r ees raro I Kequlreo lnsDecttons -/z-Z-Z /Z- Ci'" of Springfield Official Receipt D clopment Services Department Public Works Department RECEIPT #: 2200600000000001482 Date: 1012312006 2:32:27PM Job/Journal Number coM2006-01366 coM2006-01366 coM2006-01366 coM2006-01366 coM2006-01366 coM2006-01366 coM2006-01366 Description Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' + 5% Technology Fee + 8% State Surcharge + ljYo Administrative Fee Encroachment Permit + 5olo Technology Fee Amount Due 45.00 28.00 3.65 5.84 7.30 r 30.00 6.50 Item Total:s226.29 Payments: Type of Payment uneckNumber Authortzatlon Paid By Received By Batch Number Number How Received Amount Paid Check ACE EQUIPMENT jmp 3989 In Person 5226.29 Payment Total: @ cReceintl Page I of I 1012312006 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone