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Home My WebLink AboutPermit Plumbing 2004-2-2 . . CITY OF ~rK11~uNJ'.,L1J 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00137 ISSUED: 02/02/2004 APPLIED: 02/02/2004 EXPIRES: 08/02/2004 VALUE: Status Issued SITE ADDRESS: 1143 MAIN ST ASSESSOR'S PARCEL NO.: 1703354107200 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Install approx 300lfwater line Owner: KRAMER STEPHEN P Address: 42113 DEERHORN RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # or Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # or Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: NOTICE: E"DEl'tEl~Wf1IOOl1NFORMATION I SETBACMS PERM\l SHALELR lHIS PER~m r~ NUl U1HORlZEO UNO Frontyard Setbac~ OR IS ABANOO~liIjlDist: Side 1 Setback: COMMENCED 00 # Street Trees Rqd: Side 2 Setback: ANY 180 DAY PERI. Paved Drive Rqd: REQUIRED PARKING Total: Handicapped: Compact: Rearyard Setback: Solar Setbacks: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility, \Iotification Center. Those rules are set IGlrt n OAR 952-001.-001 q through OAR 952-00' 0090. You may obt~in \doPies of the rules t calli no the center. (Note: the telephone b f t. - . h=___ . .......: .... ...... -,"" num er or ',- -.-,,-. -. . ('--+1" V.altilitlbii:])'esmotion Sidewalk Type: DownspoutslDrains: Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paeelof2 . -ii' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fp.p.~ Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Water Line - 1st 50 Feet Water Line - Each Addtll00' Amount Paid Date Paid $8.70 $6.09 $45.00 $42.00 Total Amount Paid $101.79 I Plan Reviews I 2/2/04 2/2/04 2/2/04 2/2/04 . CITY OF ~rK11~uNJ'.,L1J Building/Combination Permit PERMIT NO: COM2004-00137 ISSUED: 02/02/2004 . APPLIED: 02/02/2004 EXPIRES: 08/02/2004 VALUE: Receipt Number 1200400000000000149 1200400000000000149 1200400000000000149 1200400000000000149 To Request an inspection call the 24 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. I Reouired Tnsneetinns I 1 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 property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Paee 2 of2 f-{ -7- -b'f Date 2i5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00l36 COM2004-00 136 COM2004-00137 COM2004-00l37 COM2004-00137 COM2004-00137 COM2004-00136 COM2004-00l36 Payments: Type or Payment Check .' -,~"'''~''!':~.'' ,.". 1JiI. ......,.... ... '1 " 'I ~.",.c...< ' -j ~ . i ",.. ""~'.'C' ..., City of Springfield 6mcial Receipt Development Services Department Public Works Department" ~;'" Receipt #: 1200400000000000149 Description + 7% State Surcharge + 10% Administrative Fee Water Line - 1st 50 Feet Water Line - Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Water Line - 1st 50 Feet Water Line - Each Addtl 100' Paid By STEPHEN KRAMER Received By djb <":heck Number Batch Number 0447 Date: 02/0212004 9:50:09AM ,. Item Total: Amount Paid 5.11 7.30 45,00 42.00 6.09 8.70 45.00 28.00 $187.20 Authorization Number How Received In Person Payment Total: Amount Paid $187.20 $187.20 . .