HomeMy WebLinkAboutPermit Plumbing 2005-12-16
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8'--- CITY OF SPRINGFIELD '
Building/Combination Permit
PERMIT NO: COM2005-01744
ISSUED: 12/16/2005
APPLIED: 12/16/2005
EXPIRES: 06/16/2006
VALUE:
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
',; SITE ADDRESS: 1450 CENTENNIAL BLVD
.f ASSESSOR'S PARCEL NO.: 1703253308200
Springfield TYPE OF
Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace approx 501fsanitary sewer
~ Owner: DONElTA CHILDS
:: Address: 1450 CENTENNIAL BL VD
SPRINGFIELD OR 97477
Phone Number: 541-746-1888
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I CONTRACTOR INFORMATION I
Contractor Type
Plumbing'
Contractor . Licensfes 'JcE~iration Date Phone
CARDWELL CONSTRUCTION &P~Q,m'ID744'6~~~"nn \JtM.'..09/08/2007 541-688-7609
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B B~ .. -" 'I.' '- -; :r;jo~~'~ ;re s~~ 1~1 t~ ~
L.!fc:w "v~~~,v-! 1'1 OJ\R 9~"'--O\:)\/
No'#r~Si~6~ -OO~ 0 tnrO~~s 0' tDe ru\iSot Size:
\n (!JjWgn>M a: obtain coP\ '. tne te\e'pD~~eFt 1st Floor:
oQJaY.P~~aEentec \Not~ti\it'J NOtl'ICSqCF't 2nd Floor:
~a't,ellqWe:tDe oregon 2-2344). Sq Ft Basement:
. ~>>gc>ElfYP'~:ter is \_800-33 Sq Ft Garage/Carport
Energy I<atffi Sq Ft Other:
Sprinkled n/a Occupant Load:
R-3
# of Units:
, Primary Occupancy Group:
;, Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
VN
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I DEVELOPMENT INFORMATION I
;; Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
, Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage: ,
REQUIRED PARKING
Total:
Handicapped:
Compact:
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Notes:
IPUBLIC IMPROVEMENTS I l ~O~~
Sidewa~f:'t \\ \\01
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~\)'\~ ~t~Ct\) ,i,,,\Q\).
CO~ . CLn \)~ .- /
Street
.:, Storm Sewer Available:
\ Special Instruction:
~\f'
.:~ Description
.~ .
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated .
1 of 2
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Status:
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01744
ISSUED: 12/16/2005
APPLIED: 12/16/2005
EXPIRES: 06/16/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
",' 541-726-3769 Inspection Line
Total Value of Project
L Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - 1st 50 Feet
Amount Paid
Date Paid
Receipt Number
$4.50
$3.15
$45.00
12/16/05
12/16/05
12/16/05
1200500000000001819
120050Q000000001819
1200500000000001819
Total Amount
$52.65
I Plan Reviews I
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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
i work day.
Sanitary Sewer Line: Prior to fiHing trench and including required testing.
, Owner or Contractors Signature
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certify that aU
information hereon is true and correct, and I further certify that any and aU 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 aU required in~~7Cd~ns are requested at the proper time, that each address is readable from "
, the street, that the permit card is located at th'e font of the property, and the approved set of plans wiD remain on the site
at aU times during construction. II
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Date
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2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Jpl;l/Journal Number
C9M2005-01744
CpM2005-01744
G~M2005-01744
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Payments:
Type of Payment
Check
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12/1612005
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"',ty of Springfield Official Receipt
....Jevelopment Services Department
Public Works Department
RECEIPT #:
1200500000000001819
Date: 12/16/2005
'10:16:03AM
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - 1st 50 Feet
Amount Due
3.15
4.50
45.00
$52.65
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
CARDWELL CONSTRUCTION djb 6117 In Person
Payment Total:
Amount Paid
$52.65
$52.65
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