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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 0@. 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 .FIlIl Tlll.D -