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 ,
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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.
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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
.~
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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