HomeMy WebLinkAboutPermit Plumbing 2004-4-5
Status
Issued
CITY OF SPRIr~\.d<lELD"
Building/Combination Permit
PERMIT NO: COM2004-00378
ISSUED: 04/05/2004
APPLIED: 04/05/2004
EXPIRES: 10/05/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 632 CITY VIEW BLVD
ASSESSOR'S PARCEL NO": 1703341406100
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Replace approx 301fsanitary sewer
Owner: LINDA RAPAICH
Address: 632 CITY VIEW BLVD SPRINGFIELD OR 97477
Phone Number: 541-
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor License
CARDWELL CONSTRUCTION & PRO PERT 74466
BillLDlNG INFORMATION I
Expiration Date
09/08/2005
Phone
541-688-7609
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: \{esSJPPttB.d Floor:
Water Type: On law {eq~eg~lii~s~ment:
Ra~~r,mlQt'tO{e9 d '0'1 t\'l" 0 a{~q;til ~age/Carport
I~i'ergy'!\a.ih~ adopte se {\lIeS .s"'Ii'f.~er:
w {\,II"" { ,\'10 '" Ojlo.BlO \
\OI~~~,,\iOn cenl.~0~0 t\'lfO~~'~ oj \~Wf/eA~~US Surface Area:
I DEvEi.o4mN'fm.F~ ij{;..~ t\'le te\e~.'~~~\on
009'0- ,\.. i! "'e ce~tM!? n ~ti\iW Not\\' REQUIRED PARKING
A"~\'. 9 \.. olego 2344).
Overta)' ~\:\O{\\'Ie._ ..."J\f'-~~2- Total:
# Stflle ees-Rqd:.. , Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
R-3
SETBACKS
Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLfWMjOOVE;~NTS lXPIRE IF 1HE WORl\
(HI" ~ lll.." t EfI. lHIS;fil~~~1,.\S ~Ol
AU1HOP,IZto UNO l\IrlONEO ~~.
COMMENCED OR IS A6AT1iiwnspoutsillrains:
AN'i 180 DA'i PERIOD.
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
Pa2e 1 of2
Status
Issued
LIl l' OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00378
ISSUED: 04/0512004
APPLIED: 04/05/2004
EXPIRES: 10/0512004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - 1st 50 Feet
Amount Paid
Date Paid
$4.50
$3.15
$45.00
4/5/04
4/5/04
4/5/04
Receipt Number
1200400000000000436
1200400000000000436
1200400000000000436
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 Renuired Insoections I
1111'-
I Sanitary Sewer Line: Prior to filling trench and including required testing.
l
Owner or Contractors Signa~ur' '"
\!
Date
Pa2e 2 of2
225 Fifth Street
Sprin'gfield, Oregon 97477
541-726-3759 Phone
a~.I."'9_FJELD, ,
~i
~~-
'-"ty of Springfield Official Receipt
_velopment Services Department
Public Works Department
Job/Journal Number
COM2004-00378
COM2004-00378
COM2004-00378
Payments:
Type of Payment
'.. Check
"
..,
\
.,~,
4/512004
RECEIPT #:
1200400000000000436
Date: 04/05/2004
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - 1st 50 Feet
Paid By
CARDWELL CONSTR
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
5777
In Person
Payment Total:
Page 1 of 1
1 :24:23PM
Amount Due
3.15
4.50
45.00
$52.65
Amount Paid
$52.65
$52.65
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