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Home My WebLink AboutPermit Plumbing 2005-3-15 --Wir~;~';:~!:'!lf.Qj~ ~~, ;t; ~- 1.. , ~ - : - -'-I'.~'M;--,::""--f-" . -;r: " ~--: . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00296 ISSUED: 03/15/2005 APPLIED: 03/15/2005 EXPIRES: 09/15/2005 VALUE: Status Issued ' , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line SITE ADDRESS: 1625 J ST ASSESSOR'S PARCEL NO.: 1703362103300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PR<?JECT DESCRIPTION: Replace water line Owner: DESCUTNER BRIAN D & TRINA M Address: 1625 J ST SPRINGFIELD OR 97477 \~, ltI(jclQ[Ltl I CONTRACTOR INFORMATION I Contractor Type General 'Plumbing Contractor TRENCHLESS PIPE SERVICE KEVIN LEE KIKER License 155663 159330 Expiration Date OS/28/2005 03/30/2006 Phone 741-1744 541-744-0700 I BUILDING INFORMATION I # 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 I Front yard 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' , .. .,\;.~-";,.".- ""_" '7 . Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Notes: NOTuCt: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ATTENTIB~'aPO~bm~W'ffiquires you. ~O follow rules adopted by the Oregon Utility Notification 'Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the tel~pho~e number for the Oregon Utility Notification Center is 1-800-332-2344). Paee 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00296 ISSUED: 03/15/2005 APPLIED: 03/15/2005 EXPIRES: 09/15/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project LFees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Water Line -1st 50 Feet Water Line - Each Addtll00' Amount Paid Date Paid Receipt Number $5.90 3/15/05 1200500000000000328 $4.13 3/15/05 1200500000000000328 $45.00 3/15/05 1200500000000000328 $14.00 3/15/05 1200500000000000328 -Total Amount Paid $69.03 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 Reauired Insnections I 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 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. ~.L ~er or contractG Signature 3/Jr/oS I I Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00296 COM2005-00296 COM2005-00296 COM2005-00296 Payments: Type of Payment CreditCard RECEIPT #: Description Water Line - 1st 50 Feet Water Line - Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Paid By rity of Springfield Official Receipt ~velopment Services Department Public Works Department 1200500000000000328 Date: 03/15/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received TRENCHLESS PIPE SERVICES dim 3/15/2005 335450 In Person Payment Total: Page I of 1 12:13:23PM Amount Due 45.00 14,00 4.13 5.90 $69.03 Amount Paid $69.03 $69.03