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HomeMy WebLinkAboutPermit Plumbing 2007-7-26 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: COM2007-01105 ISSUED: 07/26/2007 APPLIED: 07/26/2007 EXPIRES: 01126/2008 VALUE: Springfield TYPE OF WORK: Plumbing Only SITE ADDRESS: 5244 D ST ASSESSOR'S PARCEL NO.: 1702332400157 TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace approx 30' of sanitary line Owner: RICE LYNN ANN Address: 5244 D ST SPRINGFIELD OR 97478 Phone Number: 541-741-3841 I CONTRACTOR INFORMATION I License 129990 Expiration Date Phone 06/24/2008 Contractor Type Plumbing Contractor GARY'S ROOTER SERVICE # 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: BUILDING INFORMATION I # 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' REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: Storm Sewer Available: \f-JQ~~ Special Instruction: \~'t. \f ~\-\,c \S "01 Not\\O't\~~~,,^1i S~\~\S I'~~~~ fO~ 1\\\S . ...nl1f.D U .~ ~~~"O f\. \} \ r\0T"'" CoD \)~ f... t" ,,^,,^t.~C~ ?t.i\\Ot). CQ ~ ~\) O~'( ~~'( \ Description Tvpe of Construction Downsp'outs~a\Ni yoU to ATTENT'ON: Oregon ~a~:e Oregon UtilitY follOW rutes adopted ~e rutes are set fort" Notification ~~1n~~1~~rough OAR 952..()()by1- a.. QAR. 952-vu - .... .' ' l~f the rules . . -" u may uulcl.. is r h tetepnon" ~. \ (Note: t e , Valuation Descrt' the center. Utility Notification nu ef tor the Oregg~2_2344). $ Per Sq Ft Square Fd9~f \8 1-8 It' I' B'd A t Value Date Calculated or mu Ip ler or I moun Pa~e 1 of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Sanitary Sewer - 1st 50 Feet Amount Paid $5.00 $2.50 $4.00 $50.00 Total Amount Paid $61.50 Total Value of Project Fees Paid I Date Paid 7/26/07 7/26/07 7/26/07 7/26/07 I Plan Reviews I CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01105 ISSUED: 07/2612007 APPLIED: 07/26/2007 EXPIRES: 01126/2008 VALUE: Receipt Number 1200700000000000965 1200700000000000965 1200700000000000965 1200700000000000965 To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 InsDect~ 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 durVnstruction. ~~':~ / :<L-o"/ Ownetor Contra~gnatu~~t ..' ..... Datt,pr ( .i: Pa2e 2 of2 225 Fifth Str'eet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01105 COM2007-01105 COM2007-01105 COM2007-0ll05 Payments: Type of Payment Cash cReceinll RECEIPT #: 1200700000000000965 Date: 07/26/2007 Description Sanitary Sewer - 1 st 50 Feet + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By GARYS PLUMBlNG Item Total: Check Number Authorization Received By Batch Number Number How Received Ilh In Person Payment Total: Page I of 1 1 :23:58PM Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 7/26/2007