HomeMy WebLinkAboutPermit Building 2003-4-4
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Status
Issued
*
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00239
ISSUED: 04/04/2003
APPLIED: 04/04/2003
EXPIRES: 10/07/2003
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6923 JESSICA DR
ASSESSOR'S PARCEL NO.: IS02022601900
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: Water Line Repair
Owner: REEVES KAREN L
Address: 6923 JESSICA DR SPRINGFIELD OR 9747S
I CONTRACTOR INFORMATION I
Contractor Type
Owner
Plumbing
Contractor
REEVES KAREN L
READY ROOTER DRAIN CLEANING
License
Expiration Date Phone
92524
02l1S/2005 541-744-7991
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
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:
R-3
'.... i 11:::11' DEVEl.ORMENT INFORMATION I
follow rLue" aUUf.ll"U uy lIle uregon Utility
,\jotification Cen~qr'eIlJpfDi'~tles are set tom,
I~ OAR 952-001.~I~m~rrTV~~ ~~~ 952-001-
0090. .You may Op",\~l!d n'1'i'iPe:RqtJihe rules by
callmg the center. (Note: the telephone
number for the \1rebh/\tGGP.YtV1!Miitication
Center is 1-Rno.11??344).
NOTICE: I PUBLIC IMPROVEMENTS I
Street Improvements:THIS PERMIT SHALL EXPIRE IF THE WORK
Storm Sewer A~ailah1&lJTHORIZED UNDER THIS PERMIT IS NOT
Special InstructIOn: COMMENCED OR IS ABANDONED FOR
Notes: ANY 180 DAY PERIOD.
SETBACKS
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Sidewalk Type:
DownspoutslDrains:
.,
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
Square Footaee
Value
Date Calculated
Paeelof2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00239
ISSUED: 04/04/2003
APPLIED: 04/04/2003
EXPIRES: 10/07/2003
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
, F,.,.~ P-airl I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Water Line - 1st 50 Feet
Water Line - Each AddtllOO'
Amount Paid
Date Pai
$5.90
$4.13
$45.00
$14.00
4/4/03
4/4/03
4/4/03
4/4/03
Receipt Number
1200200000000000952
1200200000000000952
1200200000000000952
1200200000000000952
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 Water 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 ~rue 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
rhat NO OCCUPANCY will'be made of any structure withour permission of the Community Services Divisiou, 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 tbe property, and the approved set of plans will remain on the site at all
timesdUringcd~ /~
Owner or Con&actors Signature Date
Paee 2 of2