HomeMy WebLinkAboutPermit Plumbing 2004-12-13Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
SITE ADDRESS: 452 S 4TH ST
ASSESSOR'SPARCELNO.: 1703353401800
PROJECT DESCRIPTION: Approx 40lf sanitary sewer replacement
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair Residential
to
the oregon
Thoso rules are sot torth
952-001,
Owner: JOHN GAUpp
Address: 452 S 4TH ST
Contractor Tvpe
Plumbing
nlbs edoptod w
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Expiration Date
02n8t2005
Phone
541-744-7991
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARJ(NG
Total:
Handicapped:
Compact:
R-3
VN
nla
Sidewalk Type:
Si i] ALL EXP i R E I F T H E VJ O R IP,*OSPOUtS/DTAiNS:
;;,;iH THis PERI',ilT ls NoT
tn is AIJANIToNED FoRNotes:
NOTICE:
THIS PERMIT
AUTHORIZED
COMMENCED
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Total Value of Project
Value Date Calculated
L r -'tJ L-r
PERMIT NO: COM2004-01518ISSUED: 1211312004APPLIED: 1211312004
EXPIRES: 0611312005
VALUE:\
Contractor nurnberbr thc oregon Utility
READY ROOTER
I)UIIJI-rI1\r.r rI\It ll'M4!!1rl't I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-01518ISSUED: 1211312004APPLIEDz 1211312004EXPIRES: 06/1312005
VALUE:
tr'ees Paid
Fee Description
+ l0Yo Administrative Fee
+ 7%o State Surcharge
Sanitary Sewer - lst 50 Feet
Total Amount Paid
Amount Paid
$4.s0
$3.rs
$4s.00
$52.6s
Date Paid
12fi3104
12fi3t04
t2n3t04
Receipt Number
1200400000000001731
1200400000000001731
1200400000000001731
Plan Reviews
To Request an inspection call the24 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.
Sanitary Sewer Line: Prior to lilling trench and including required testing.
red Insnections
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true 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
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.,Q/ ,<1Z /tJ,/<t '/
Owner or Contractors Signature Date
Pase2 of2
225 Fifth Street
Slrringtietd, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
lvelopment Services Department
Public Works Department
RECEIPT #: 1200400000000001731 Date: 1211312004 1l:0e:44AM
Job/Journal Number
coM2004-01518
coM2004-01518
coM2004-01518
Description
+ 7o/o State Surcharge
+ 10Yo Administrative Fee
Sanitary Sewer - lst 50 Feet
Amount Due
3.ls
4.50
45.00
Item Total:$52.6s
Payments:
Type of Payment Paid Bv
cneckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard DAVID NICHOLS djb 0l0l 15 In Person $52.65
Payment Total:
-S5ffiT
t2/13/2004 Page I of I
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