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Home My WebLink AboutPermit Plumbing 2005-12-05Building/C ombination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01688 ISSUED: APPLIEDz 1210512005EXPIRES: 06/0512006 VALUE: SITEADDRESS: 406S42ndPl ASSESSOR'S PARCEL NO.: 1702323300601 ' PROJECT DESCRIPTION: site work, 60lf sanitary sewer, 0ffifgfine Springfield TYPE OF WORK: Site Work Only TYPE OF USE: New Expiration Date 03t26t2007 Residential r-741-1707 Phone 541-895-4517 Owner: Address: Contractor Type Plumbing SPFD EUGENE HABITAT PO BOX 488 SPRINGFIELD OR 97477 FORHUMANITY AUTHORIZED UNDER THI OMMENCED OR IS ABANDONED FORC lNY Contractor TOM CHARPENTIER PLUMBING INC License 112138 .ORMATION # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: n/a Sidewalk Type: Downspouts/Drains: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated urJr\ lr(ALrur( rN-r(,ryl rray UUtOll- e center. ( Valuation Description I Building/Combination Permit Status Pending 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Fee Description + l0o Administrative Fee + 77o State Surcharge Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' Water Line - lst 50 Feet Water Line - Each Addtl 100' Total Amount Paid Total Value of Project Date PaidAmount Paid $rr.80 $8.26 $4s.00 $14.00 $4s.00 $14.00 $138.06 Receipt Number 2200s00000000001667 2200500000000001667 2200500000000001667 2200500000000001667 220050000000000r667 2200s00000000001667 t2l7t05 t2t7t05 t2t7t05 t2t7t05 t2t7t05 t2t7l05 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 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. 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 stree! 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 Pase2 of2 Date /2- 72{ PERMIT NO: COM2005-01688 ISSUED: APPLIEDz 1210512005 EXPIRBS: 06/0512006 VALUE: Kequrreo ltrsDecuons I 2fi Fifth Street - Springfield, Oregon 97 477 541-726-3759 Phone ^ity of Springfield Official Receipt _.lvelopment Services Department Public Works Department RECEIPT #: 2200500000000001667 Date: 1210712005 12:03:20PM Job/Journal Number coM2005-01688 coM200s-01688 coM200s-01688 coM200s-0r688 coM2005-01688 coM2005-01688 Description Water Line - lst 50 Feet Water Line - Each Addtl 100' Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' + 7Yo State Surcharge + lOYo Administrative Fee Amount Due 4s.00 14.00 45.00 14.00 8.26 I1.80 Item Total:$138.06 Payments: Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CheckNumber Authorization Check SPRINGFIELD EUGENE HABITAT FORHUMANITY ddk 24071 In Person Payment Total: $138.06 $r38.06 ri ,j t2l7t200s Page I of I APN$TOPIILD