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Home My WebLink AboutPermit Plumbing 2005-6-3 . CITY OF SPRINGFIELD:' Building/Combination Permit PERMIT NO: COM2005-00672 ISSUED: 06/03/2005 APPLIED: 06/03/2005 EXPIRES: 12/03/2005 VALUE: _-:$PFUN~F.I:!,t LD.. jii' ....., .. ..i.... . W1L..~ - '.. . ..l!lit,: ...... r I"'!' . . . , . ......-----...- Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1384 MODOC ST ASSESSOR'S PARCEL NO.: 1703253315300 Springfield TYPE OF WORK: Plumbing' Only PROJECT DESCRIPTION: Replace approx 40lfsanitary sewer TYPE OF USE: Repair Residential I BUILDING INF~TION I ~\~e~ \)~\'\ # of Units: . ~~~(\ e\\O<<<' Primary Occupancy Group: R-3 OterjO'(\ ~ o~!a~~oo'\. Secondary Occupancy Group: ~rt\O~' 609\e6 ~~ ~~ 9 \).\e'O '0'1 Primary Construction Type ~~~"'~ 'a.! ~et. ~~~P8i\'(\e t 'X\0'(\6 Secondary Construction Type\o\\o..,.s t~o(\ ce~ ..()()'\ ~\l~~~~~ \e\e? ~~of\ # of Bedrooms: ~o~~\C~ 9~?;()() O'o\m\\fllJHl~~~: ~O\\\il \~ O~\\" u t'(\a.'J '(\\e'ipHii~alJlti ~~ nla . \ . -r} ,0 \,., ~a ~,.oo.o &:~? \)V~a.\X\'(\rje~\~~~~T INFORMATION. (\\).~'o caw,,,, Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: d" Ir i;"'; \ l t.^;-i\'!:. I~ 1\1; ~~~~~ I PUBLIC IMPROVEMEN,l\S f\1~l- .,-U\C oCR~\ \ 0 II::' '. ,,-~,., . tR \ n \) r l. rOn ~\.f\ "r\OR\I~O u~~ ~d~IDilit\w%i~O \\i~~H~CtO nil . CO\\MJI O~'( t'tW.O.mlspoutslDrams: p.,N'{ "\ BO Owner: MARY MILLER Address: 1384 MODOC ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Plumbing Contractor TRENCHLESS PIPE SERVICES INC License 155663 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pal!e 1 of 2 Phone Number: 541-747-8895 Expiration Date 05/28/2007 Phone 541-741-1744 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: . Value Date Calculated Status Issued . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00672 ISSUED: 06/03/2005 APPLIED: 06/03/2005 EXPIRES: 12/03/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid j Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Amount Paid Date Paid $4.50 $3.15 $45.00 6/3/05 6/3/05 6/3/05 Receipt Number 1200500000000000768 1200500000000000768 1200500000000000768 Total Amount Paid $52.65 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. I Reouired Insoections I 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 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 sigrfJure thlos , I Date Pa2;e 2 of2 225 Fifth Street .. .. Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00672 COM2005-00672 COM2005-00672 Payments: Type of Payment Check 6/3/2005 RECEIPT #: Description + 7% State Surcharge + 10% Administrative Fee Sanitary Sewer - 1st 50 Feet Paid By TRENCHLESS PIPE SERVICES INC I of Springfield Official Receipt elopment Services Department Public Works Department 1200500000000000768 Date: 06/03/2005 2:51:40PM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 3.15 4.50 45.00 $52.65 Amount Paid djb 11010 In Person $52.65 Payment Total: $52.65 Page 1 of 1