HomeMy WebLinkAboutPermit Plumbing 2004-03-08Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 InsPection Line
SITE ADDRESS: 375 22ND ST
ASSESSOR'SPARCELNO.: 1703361301700
PROJECT DESCRIPTION: Replacing sanitary sewer
Owner: LORIG LINDA ROSE
Address: 375 N 22ND ST SPRINGFIELD OR 97477
Contractor TyPe Contractor
CARDWELL C
I Setback:
2 Setback:
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Building/C ombination Permit
PERMIT NO: COM2004-00257
ISSUED: 03/08/2004
APPLIED: 03/0812004
EXPIRES: 09/0812004
VALUE:
Residential
nits:Uof#
Primary
Primary
s
EnergyBedrooms:of#
GroupOccupancy
Construction
License
& PROPERT 74466
c
Square Footage
or Bid Amount
Expiration Date
09/08/2005
Phone
541-688-7609
st Floor:
Floor:Group:
Type
Occupancy
Construction
Secondary
Type:
Type:
ater
Range
Wr
Overlay
# Street
Setback:Frontyard
Paved
Side
Side
Heat:ofType
Path
Secondary
SE
s Area:
PARKING
Total:
Handicapped:
Compact:'.o
{c
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
o/o of Lot
$ Per Sq Ft
or multiplier
Sidewalk Type:
DownspoutslDrains:
Total Value of Project
Pase I of2
Description Type of Construction Value Date Calculated
ft
.J J L:t-
Stories:
of Structure
$o
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
S4l-726-3676Fax
541-7 26-37 69 Inspection Line
OF
Building/C ombination Permit
PERMIT NO: COM2004-00257ISSUED: 03/08/2004APPLIED: 03/0812004EXPIRES: 09/0812004
VALUE:
ees Paid
Fee Description
+ l0Yo Administrative Fee
+ 77o State Surcharge
Sanitary Sewer - lst 50 Feet
Total Amount Paid
Amount Paid
$4.s0
$3.15
$45.00
$s2.6s
Date Paid
3t8t04
318104
3t8t04
Receipt Number
2200400000000000214
2200400000000000214
2200400000000000214
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.
1 Sanitary Sewer 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 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
3-T-el
Owner or Signature Date
Pase? of2
___rm
t(eoutreo lnsDecnons
C c> n . -l-o- -/* r g6,z-5 =
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:
= CARDWELL Construction & propedy Management Co.-:- : 117 WEST H|LL|ARD LANE. EUGENE, OR 97404
--:rE=- oFFlcE PHONE (541) 688.7609
ccB # 74466
LOCATE #1^1A
DATE TIM 0a rf\
ESTIMATE SHEET
"t
$.
pRoPosALNUMBER "7 1 93
HOME PHONE
WOBK PHONE
JOB NAME
115
^Wial
Drawing (footage and angles)
dP rDq+
SpecialPipe
Explain
MAKE LEGEND
Hook Up Points X
Sprinkler
Fence
Proposed
?b'Sewer
Electric
Spetic Tank
t
E
Concrete
Asphalt
Decks
Trees
Shrubs
Tracor L-35 _ B-20 _
Either _ Full Size _
1. OWNER will notity CARDWELL Construction of any private utililies prior to digging and take liability ror any private utilities that are not disclosed prior lo excavating, i,damage occurs.2. OWNER agrees that the x's shown are the hook-up points, and any others discovered after
document is considered part of the signed proposal.ProposatAcceptance, wifi be hooked-up with additional charges to rhe owNEB. This
complele the bid.
pRoJEcr NEEDS MoRE RESEARCH: yES No_ tf No then #3 does not appty. owNER,s S|GNATURE
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ESTIMATER
CARDwELL constructton & Propny Management co. @ 199s TOTAL COST s
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225 Fiith Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
t4 Date:10:47:01AM
coM2004-00257
coM2004-002s7
coM2004-00257
Sanitary Sewer - lst 50 Feet
+ 7%o State Surcharge
+ ljYo Administrative Fee
45.00
3. l5
4.50
Item Total:$s2.6s
Payments:
Type ofPayment Paid By Received By
Check Number
Batch Number Authorization Number How Received Amount Paid
Check CARDV/ELL CONSTRUCTION & jmp
PROPERTY
5765 In Person
Payment Total:
$52.65
-$s2.o-f
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