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HomeMy WebLinkAboutPermit Plumbing 2003-3-11 .. . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-001S0 ISSUED: 03/11/2003 APPLIED: 03/10/2003 EXPIRES: 09/11/2003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1278 HAMILTON ST ASSESSOR'S PARCEL NO.: 1703342200222 Springfield TYPE OF Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Connect to sanitary sewer. Owner: THOMAS ROGGE Address: 1278 HAMILTON ST SPRINGFIELD OR 97477 Phone Number: 541-741-8134 ICONTRACfOR INFORMATION I Contractor TVlle Owner Plumbing Contractor THOMAS ROGGE THOMAS ROGGE License Expiration Date Phone 541-741-8134 541-741-8134 BUILDING INFORMATION I # of Stories: Height of TY~~::: ~ \~ ~h'i! ~e: ~i-'?\~ '?~~~~:th: . ~~,-,- \~S ~v.'t.\I .!,~. ,'" S ~<.Q. _ ~~'V "'\'- ~~\" \:)""U -H' ~'v !O ~~ :\.'\:.\) \l~ \~ 1..1>EV CLvnnCl" mr vRMA nON I SETBACK;S-\,,\l~\ f:,'\:.\l o~~\\j. Rt;:QH~RED PARKING "'\:)\ ~\'\:.~ ~, \,e':>~ '\1\'1 Front yard Setback: T' \)~\~' 'O~ 'VT' Overlay Dist: \a.-.rJ (e~\} J.~~~I:'U\: \O~' Side I Setback: " ~" '\ # Street Trees' 0(e90\\ \ne 01 H:an9icapped:\ Side 2 Setback: ~ Paved Drive Rqd: G~\ \U~'''o,,\ed '0'1 e lu\6'C~:nP!!cf:~\)U '0 ~'(\~ sa".'" ,nOS ~Ol"" u\es ' % of Lot Coverage:J'lIU\e cel\\el. Q\n1oug 0\ \ne I ol\e \O",.~ \101' '\ .GQ'\ ~ieS \e~n. I' ~\(\\i\ICa ,..",?QG _..~l'\il\Co ._.~ne\e ".r.ca\IO IPUBLlC tMPn.v>' cl.ti~isiou 1"l':~~l\\e\.I..I~~U\I\I\'1 ~AL\)' UV- \'nn\n . ,..meg ^~~'2.'Z cal I' ,,,, \~}.dew,!lkir.ype: I"l''oel leI IS l\U (Oo'WnspoutslDrains # of Buildings: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: Lot Size: Sq Ft tsl Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport: Sq Ft Other: Impervious Surface Area: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft Square Footal!e Value Date Calculated 1 of 2 Status: Issued 225 Fifth Street, SpringfieW, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 100/0 Administrative Fee + 7% Stale Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimhursement SDC Sanitary/Slorm Admin Total Amount . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-001S0 ISSUED: 03/11/2003 APPLIED: 03/10/2003 EXPIRES: 09/1112003 VALUE: Total Value of Project I Fees Paid I Amount Paid Date Receipt Number $4.50 $3.15 $45.00 $319.01 $419.71 $36.94 3/11/03 3/11/03 3/11/03 3/11/03 3/11/03 3/1l/03 1200200000000000805 1200200000000000805 1200200000000000805 1200200000000000805 1200200000000000805 1200200000000000805 $828.31 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 Insoectinns I 1 Sanitary Sewer Line: Prior to filling trench and including required testing. By signature, I state and agree, that 1 have carefuUy examined the completed application and do hereby certii)' that all information hereon is true and correct, and I further certify that any and ail 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 certii)' that only contractors and employees who are in compliance with ORS 701.005 wiD 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 a~s d(J;.g construction. IAtW II) () 3 Owne~ or co~ Signature Date 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00 150 COM2003-00 150 COM2003-00 150 COM2003-00150 COM2003-00 150 COM2003-00150 Payments: T)Ile orPayment Check Paid By Receipt #: 1200200000000000805 Date: 03/11/2003 Description Sanitary Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC SanitarylStonn Admin Received By Che<k Nnmber Confirm No THOMAS ROGGE djb Page I orl , 3/1112003 10:52:33AM t. City of Springfield Development Services Department Public Works Department Official Receipt Line Item Total: . Amount Paid 45.00 3.15 4.50 419.71 319.01 36.94 $828.31 . Amount Paid 828.31 $828.31 How Received In Person Payment Total: cReceipLrpl