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Home My WebLink AboutPermit Plumbing 2004-9-21 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2004-01159 ISSUED: 09/21/2004 APPLIED: 09/21/2004 EXPIRES: 03/21/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1576 LAURA ST ASSESSOR'S PARCEL NO.: 1703274104300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Water line -75 ft. & Hose bib Owner: STASNEY PETE G & LAURIE G Address: 1576 LAURA ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor License ACE EQUIPMENT & SPECIALTY SERVICE 154093 BUILDING INFORMATION' Expiration Date 01/24/2005 Phone 541-485-8930 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Notes: N01ICE_:. \ ('I ^I' t:VDI~1= IF THE WORK I H\~ rcnlVllT VI I. ,--. - \1- 1'1 rw I IZED UNDER THIS PE I'J I v AUTHOR ABANDO tion Descri COMMENCED OR IS DescriptionANY 1 fi9~~Y t'c~mP.Pciion $ Per Sq Ft or multiplier ATTEDAW.lUiPOJl..tslDraios: :NTfLJrq: uregon law requIres you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 'J&J. \lJl.llllay UULClIIIl,;UPI8S onne rUles by calling the center. (Note: the telephone number for the Oregon Utility Notification Square Footage Center i~1-9()O-332-234.d\ C I I d B'd A t -VaMeD1tte a cu ate or 1 moun Total Value of Project Pa\?:e 1 of 2 -ii.::jJ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01l59 ISSUED: 09/21/2004 APPLIED: 09/21/2004 EXPIRES: 03/21/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid. Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture Water Line - 1st 50 Feet Water Line - Each Addtll00' Amount Paid Date Paid $7.30 $5.11 $14.00 $45.00 $14.00 9/21/04 9/21/04 9/21/04 9/21/04 9/21/04 Receipt Number 1200400000000001364 1200400000000001364 1200400000000001364 1200400000000001364 1200400000000001364 Total Amount Paid $85.41 I Plan Reviews, 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. l.--Reouired InsDections . 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 NOOCCUP ANCY 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. 4~// L) &;~A/h~ , - 51-2/--vY Owner or Contractors Signature Date Pa\?:e 2 of 2 ( 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ii:~ r~ty of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 1200400000000001364 Date: 09/21/2004 8:28:13AM Job/Journal Number COM2004-01159 COM2004-01159 COM2004-01159 COM2004-01159 COM2004-01159 Description Water Line - 1st 50 Feet Water Line - Each AddtllOO' Fixture + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Check ACE E2QUIPMENT Item Total: Check Number Authorization Received By Batch Number Number How Received dim 2591 In Person Payment Total: Amount Due 45.00 14.00 14.00 5.11 7.30 $85.41 Amount Paid $85.41 $85.41 9/21/2004 Page 1 of 1