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Home My WebLink AboutPermit Plumbing 2004-05-17FIELD Building/Combination Permit PERMIT NO: COM2004-00586ISSUED: 0511712004APPLIED: 0511712004EXPIRES: llll712004 VALUE: F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 320 26TH ST ASSESSOR'S PARCEL NO.: 1703361418700 PROJECT DESCRIPTION: Replace 40lf water line Owner: VARGAS FRANK Address: 3950 GOODPASTURE LOOP #Y132 EUGENE OR 97401 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential Contractor Type Plumbing Contractor TRENCIILESS PIPE SERVICES INC License 155663 Expiration Date 05t28t2005 Phone s4t-741-1744 CONTRACTOR INFORMATION } 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: R-3 VN # of Stories: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Sidewalk Type: Downspouts/Drains: E REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Total Value of Project Value Date Calculated Storm Sewer Special Instruction:.tH\S Notes: lav{ by tl6 Those Valuation Description ] Status 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: COM2004-00586ISSUED: 0511712004 APPLTED| 05n7t2004 EXPIRESz 1111712004 VALUE: Fee Description + l0oh Administrative Fee + 1Vo State Surcharge Water Line - lst 50 Feet Total Amount Paid Amount Paid $4.s0 $3.1s $4s.00 $52.6s Date Paid 5n7t04 5n7t04 5n7t04 Receipt Number 1200400000000000747 1200400000000000747 1200400000000000747 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be mide the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Water Line: Prior to lilling trench and including required testing. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Date Pree2 of2 r ees ralo I Kequrreo rnsp€euolls l 225 Fifth Street Sprtngfield, Oregon 97 477 541-726-3759 Phone ^'*y of Springfield Official Receipt -cvelopment Services Department Public Works Department RECEIPT #: 1200400000000000747 Date: 0511712004 10:02:59AM Job/Journal Number coM2004-00586 coM2004-00s86 coM2004-00586 Description + 7o/o State Surcharge + l0% Administrative Fee Water Line - 1st 50 Feet Amount Due 3.l s 4.s0 45.00 Item Total:$s2.6s Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check TRENCHLESS PIPE djb 10562 In Person $52.65 PaymentTotal: ffi 5lt7/2004 Page I of I a&Mra3.c