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HomeMy WebLinkAboutPermit Plumbing 2005-9-21 i' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . .. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01287 ISSUED: 09/2112005 APPLIED: 09/21/2005 EXPIRES: 03/21/2006 VALUE: SITE ADDRESS: 1417 PIEDMONT ST ASSESSOR'S PARCEL NO.: 1703253204900 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Replace sanitary line. Owner: LEWIS CLAIR F & PATRICIA M Address: 1417 PIEDMONT SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION , '. .J' \ ... ~ .~.J " . ,J License 129990 Expiration Date 06/2412006 Contractor Type Plumbing Contractor GARY ALAN MUSTIN # 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 A vailahle: Special Instruction: Notes: Phone 541-463-7568 I BUILDING INFORMATION' , " ,,' ..),.. "" fI:of Stories: ,0 Lot Size: , " . . l' Height of Structure ~o\) ~~'s<It:Ft 1st Floor: , \..) Type of Heat: ,,~ec' ^ v ,'Sq.~t 2nd Floor: . ,. ~ ~ ~. ~ ~\ , .~ ,'v" Water Type: \e~ \eCS ~e <::i S~ !'t~asement: .' "' Range Type: \'I>~ eO c, 'I> n. C!j Sq?Ft .s;arage/Carport J" ~ >IS' ~e ~. '" " , " Energy Path: ~o 'O~ \.;:) 0 ~eSq.Ft Other: \ 0 Sprinkled BuUdffig:~o ~oC,e ,-iil";; 0' '1 eo~~up~'itt Load: ..' _~.-.......V~ -1\'" ,^.\O .,c>~ f">.~ ....."-0"- .,~. _, T _, _ ~ ~ _~ '\.' ,_ I DEVELOPMENT,INFORMATION",si' ~,~ n}<rM' ~. >t\" ~-!:)' '!:r '1 V ~'f; REQUIRED PARKING ~ ~o ~o~.;:j ~o e\' Q,o~ r;>;,":J Overtay,D'1it:g:i <f:''I> ve~ O,e ~()r;y # Streer:r.rtes.R~d:~e ~e, p, '\' Paved"Drlve.Rqd) ',,0' ^,e" f"J n.,'\.' 0" e" % of Lot"Coverage:' C; ~\)\ Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: I Valuation Descrintion I $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Description Type of Construction Pa!!e 1 of2 I ~iii~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01287 ISSUED: 09/21/2005 APPLIED: 09/2112005 EXPIRES: 03/21/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Ff'f's tiWLI $4.50 $3.15 $45.00 Date Paid 9/21105 9121/05 9/2lI05 Receipt Number 2200500000000001304 2200500000000001304 2200500000000001304 , Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Amount Paid Total Amount Paid $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, 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 he 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 readahle 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 onstruction. ~....::;>- ""----" .L.. ~,_.2 ' Own or Contr~ature Cf ->> -O~ Date! Pa!!e 2 of2 , 225 Fifth Street . Springfield, Oregon 97477 I 541-726-3759 Phone Job/Journal Number COM2005-0 1287 COM2005-0 1287 COM2005-0 1287 Payments: Type of Payment Cash " " " 9/2112005 . RECEIPT #: Description Sanitary Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Paid By GARY MUSTIN .~ Ilk JiJ.ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000001304 Date: 09/21/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received jmp In Person Payment Total: Page 1 of 1 10:23:06AM Amount Due 45.00 3.15 4.50 $52.65 Amount Paid $52.65 $52.65