HomeMy WebLinkAboutPermit Plumbing 2002-12-16
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. CITY OF ~rKIl~'-'J< mLD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2002-01379
ISSUED: 12/16/2002
APPLIED: 12/]6/2002
EXPIRES: 06/]6/2003
VALUE:
SITE ADDRESS: 160 FAIRVIEW DR
ASSESSOR'S PARCEL NO.: 1703274100101
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: Replace Sanitary Sewer Line
Owner: HOUSING AUTHORITY & URBAN
Address: 300 W FAlRVIEW DR SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Owner
Plumbing
Contractor
HOUSING AUTHORITY & URBAN
CARDWELL CONSTRUCTION
License
Expiration Date Phone
74466
09/08/2003 541-688-7609
BUILDING INFORMATION I
, . # ofBuildi!1gs:.._
Primary Occupancy Group:
Seconilary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: ...., .,
SETBACKS
# of Stories: Lot Size:
Height of Structure Sq Ft I.l'F'I".;,:-'"
Type of Heat: ~ Sq Ft 2nd Floor:
Water Type: ~ ~~ Sq Ft Basement:
Range Type: -1'cZ ~,<) ~ Sq Ft Garage/Carport
Energy Path, t'0_~a ~ . Sq FI.Other:
-1',p;. :;4,f~ ~-"~/' _ Imp~!vious Surface Area:
I DEVELOPMENT INFb~ro;W~
')1,<) V'?/o ~ <'~ REQUIRED PARKING
Overlay Dist: ~ <1''''9; ~ ~~ Total:
"l/_ # Street Trees Rqd: ~ ~~ <1',<)~ <<-~ Handicapped:
. /k 1>~ /(0 .. Paved Drive Rqd: <?a ~_ :.<compact:
~ 0~~04- '~, ~ ,o//,/(<'"~
Oa q,/,~&'~4 t.. % of Lot Coverage: ~~ {p <?.-9.
[90 19 ~ ~~ ..~ 0. ~ '1-
A c.~ . ~.9s. '?,., ~O, .....~ ~ <?;-
'cr~}19;- .,;)q;;.jf-:iitMPROVEMENTS I
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q,"':~$ '?1'(9. ~/., ~ "'6,., 19d<..
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',~~ 19'%.~,~"'~
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I Val~~ti~sc:intion I
....... ."
,'''''u, .
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
.
R~aryard Setback:.
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:.
Sidewalk Typ"':-' ,
"
Downspouts/~r~,ins: ..
h '<H;}L:., ~~., .. ~:- .
r....,....
.'
'Notes~~f."; ~. ....
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'!"i'1::;.
Description
Type of Construction
$ Per Sq Ft
Square Footage
Value.
Daie Calculated' .
~.
Page 1 of 2
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
e
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01379
ISSUED: 12/16/2002
APPLIED: 12/16/2002
EXPIRES: 06/16/2003
VALUE:
Total Value of Project
I?eesl P~i.i .
rl . II I .....
Fee Description
+ 7% State Surcharge
+ 8% Administrative Fee
Sanitary Sewer - 1st 50 Feet
Amount Paid
Date Paid
$3.15
$3.60
$45.00
12116/02
12/16/02
12/16/02
Receipt Number
1200200000000000405
1200200000000000405
1200200000000000405
Received By
Total Amount Paid
$51.75
, 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 InSDections I
1 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 herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he 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.
~ )Z-Z/Y07-
o~contractors Signature
Date
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