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HomeMy WebLinkAboutPermit Plumbing 2003-05-01Status Issued 225 Fifth Street, SPringlield' OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 InsPection Line SITE ADDRESS: 183617TH ST ASSESSOR'S PARCEL NO.: 1703252403400 PROJECT DESCRIPTION: Replace 35 feet water line Owner: BRADLEY DENNIS L & VICKY L Address: 1836 N 17TH ST SPRINGFIELD OR 97477 I Contractor Type Owner Plumbing Building/Combination Permit PERMIT NO: COM2003-00321ISSUED: 05/01/2003 APPLIED: 05/0112003 EXPIRES: 11/0112003 VALUE: Springlield TYPE OF WORK: Single Family Residence TYPE OF USE: RePair Residential NEW # of Buildings: Primary Secondary Primary Secondary # of Bedrooms:'\s Stories: Type of Heat: Water Type: Range Type: Energy Path: License SYSTEMS66681 of Structure Expiration Date Phone 0511512004 541-746-4224 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Overlay Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction $ Per Sq Ft Square Footage # Sidewalk Type: Downspouts/Drains: REQUIRED PARJ(NG Total: Handicapped: Compact: Pase I of2 Value Date Calculated \ - E Valuation Description I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-00321ISSUED: 05/01/2003 APPLIED: 05/0112003 EXPIRES: 11/0112003 VALUE: Fee Description + l0oh Administrative Fee + 77o State Surcharge Water Line - lst 50 Feet Total Amount Paid Amount Paid $4.s0 $3.1s $45.00 $s2.6s Total Value of Project Date Pai 'fi1035/1i03 5lll03 Receipt Number 1200200000000001106 1200200000000001106 1200200000000001106 Plan To Request an inspection call the24 hour recording at 726-3769. AII 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 lilling 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 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 Springlield 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 construction.5*/ Owner or Signature Date red Insnections Pase2 of2 UtfffiD Eees Paid I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 120020000000000 1 1 06 Date:05/01/2003 coM2003-00321 coM2003-00321 coM2003-00321 Water Line - lst 50 Feet + 7%o State Surcharge + l|Yo Administrative Fee 45.00 3.15 4.50 Item Total:$52.6s PryEeDt3: Check djb 52.65THOMPSON SEPTIC AND ROOTER In Person Payment Total:$s2.65 8:32:47ANI Page I ofl cReceipt.rpt ( 5/t/2003