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Home My WebLink AboutPermit Plumbing 2004-2-3 . ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00143 ISSUED: 02/03/2004 APPLIED: 02/03/2004 EXPIRES: 08/03/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .. SITE ADDRESS: 1790 S A ST ASSESSOR'S PARCEL NO.: 1703363107200 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Repair 70ft of sanitary bouse Owner: ROGERS F AMIL Y TRUST 11108/2002 Address: PO BOX 123 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor CARDWELL CONSTRUCTION License 74466 Expiration Date 09/08/2005 Phone 541-688-7609 BUILDING INFORMATION I ,. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION. .Oregon law requires you.~o ,..., ,.......ION. yIWIQ\"!:J~Il~G Overlay Dist. tolloW rUlesca<!.?ePrteTdh~!J1i)tll'leS are set4l9r1 . T atlon e,,, . . 9S2^^. # Street Trees Rqd: \jOtl IC 52-001-Q01 0 thlbUiJ/i<~ftI. -vv Paved Drive Rqd: n OAR 9 , .. btaii1'c6pinJfaffi the ruloS t ;>090. You may 0 (Note. the telephOne % of Lot Coverage: calling the center. . . . N ffication number for the. o~e~~~ ~~~~~~4~)1. I PUBLIC IMPROVEMENTS I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: " Street Improvements: Storm Sewer Available: Special Instruction: \\IOTlCE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paeelof2 . . CITY OF SPRINGFIJ!,LlJ Building/Combination Permit PERMIT NO: COM2004-00143 ISSUED: 02/03/2004 APPLIED: 02/03/2004 EXPIRES: 08/03/2004 VALUE: " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F....s Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each AddU 1 00' Amount Paid Date Paid Receipt Number $5.90 $4.13 $45.00 $14.00 2/3/04 2/3/04 2/3/04 2/3/04 2200400000000000091 2200400000000000091 2200400000000000091 2200400000000000091 Total Amount Paid $69.03 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. I Reouired Insnections I 1 Sanitary Sewer Lioe: Prior to filling trench and including reqnired testing. 2 Final Plumbing: When all plumbing work is complete. 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 a \d employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all requir .~ inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at~e front of the property, and the approve.d set of plans will remain on the site at all times during construction. \ ~ I 2-h ~ L-( \ ~ I I Owner or Contractors Signature Date ; Pace 2 of2 225 FiflD Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00 143 COM2004-00143 COM2004-00143 COM2004-00143 Payments: Type of Payment Check " IR-. :p~~:~; ;, . , ',m.. ,': ".,' .. J <' Receipt #: 2200400000000000091 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Received By djb Check Number Batch Number Authorization Number Paid By CARDWELL CONSTR 5740 City of Springfield Officiai Receipt Development Services Departmellt . Public Works Department - ; Date: 02/03/2004 1:12:54PM Amount Paid Item Total: 45.00 14.00 4.13 5.90 $69.U3 How Received In Person Payment Total: Amount Paid $69.03 $69.U3 . .