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Home My WebLink AboutPermit Plumbing 2005-9-23 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-0I295 ISSUED: 09/23/2005 APPLIED: 09/23/2005 EXPIRES: 03/23/2006 VALUE: . Status: Issued 225 Firth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1318 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703253208600 Springfield TYPE OF Plumbing Only PROJECT DESCRIPTION: Replace approx 501r sanitary sewer TYPE OF USE: Repair Residential Total: Handicapped: Compact: ./ , . f;:j~'+- ,~/ .'1~~ ~ ~~'\ t . \: \1tt~~ ~~~ ~ C:l~~~'',;~;)~ ~,\\\' ~~~'\ ~~~sIDrainS ~y..\C:l<:? ~1-~\:)~~ ~~'\). '\ ~\y..r:;j &.~,,~ ~ q~~ ~f;:j~~ s;)'\)~ ~ ..t\'ij "X I Valuation DescriDtio~ I Owner: WILLIAM MATTHEWS Address: 1318 OLYMPIC ST SPRINGFIELD OR 97477 , CONTRACTOR INFORMATION' Contractor Type Plumbing Contractor GARY ALAN MUSTIN \) \0 License :"eo; '\~ \\\\\\'\,~ 129990 , BUHmiN@INFORMA{[ION, DQr ~\."- 'DO; v 9"'" '0'1 . ot~ 0 '0 "\'~ -"-"" 'l.e'" # of Units: \O~. o?\e v'9fS~!'ies: et0 "e Primary Occupancy Group: A,,-~~R.~?J.~ .el, ~~elglit oro\ \~ 'e?"'o '-,0" 1'-\ ' IU\~ e"\ ,Cl '" ..;,<>" 'P.' ;3.\\ Secondary Occupancy 'I.\O~ , "C .ClCl Jy,pe.or,l!,eat:' 0\\\\" I'rimary Construction Type \0 :(\'i\,,~~ClO\ o'O\?J.Wl\l!'r~~p,(l; ~ 0.1' Secondary Construction ~o 0"-'" 9 ~'a-'\ ,,\eRa.l!l!e\1)'pe:].-;'o. r -{Ou "e" 0(;' "',C- # of Bedrooms: \" BO. \",e e <lJn~'Path: , O'J ~\\"q, \ot \~ '~'pr,"kled nla C; .....e~ ",ef.. ,,0" ,hifVELOPMENT INFORMATION' Front yard Setback: Side 1 Sethack: Side 2 Sethack: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTS I Street Storm Sewer Available: Special Instruction: Notes: Description Tvpe or Construction $ Per Sq Ft or multip6er Square Footage or Bid Amount 1 of 2 Phone Number: 541-513-1625 Expiration Date 06/24/2006 Phone 541-463-7568 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Value Date Calculated . . CITYOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01295 ISSUED: 09/23/2005 APPLIED: 09/23/2005 EXPIRES: 03/2312006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769)nspection Line Total Value of Project Fees Paid" Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Amount Paid Date Paid $4.50 $3.15 $45.00 9/23/05 9/23/05 9/23/05 Receipt Number 1200500000000001387 1200500000000001387 1200500000000001387 Total Amount $52.65 I Plan Reviews I 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. Sanitary Sewer Line: Prior to filling trench and including required testing. . By signature,) state and agree, that) have carefully examined the completed application and do hereby certify that all information hereon Is true and correct, and) 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 wiD be made of any structure without permission of the Community Services Division, Building Safety. ) further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. ) further agree to ensure that all required inspections are relluested at the proper time, that each address Is readable from the street, that the permit card is located operty, and the approved set of plans wID remain on the site at all tim~~;::ructlOIL _ <6" z...J - ~.:r Owner or Contractors Signature Date 2 of 2 225 Fifth Street Springfi~ld, Oregon 97477 541-726-3759 Phone . .~ ~, ~~,<~ . Jiil.ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-0 1295 COM2005-01295 COM2005-01295 Payments: Type of Payment CreditCard 1l .. , 9123/2005 RECEIPT #: 1200500000000001387 Date: 09/23/2005 Description + 7% State Surcharge + 10% Administrative Fee Sanitary Sewer - 1 st 50 Feet Paid By AARON MUSTIN Received By djb I of 1 Item Total: Check Number Authorization Batch Numher Number How Received 414846 In Person Payment Total: . 9:34:22AM Amou nt Due 3.15 4.50 45.00 $52.65 Amount Paid $52.65 $52.65