HomeMy WebLinkAboutPermit Plumbing 2004-03-30Status Issued
225 Fifth Street, SPringfield' OR
541-726-3753 Phone
541-726-3676Fa,x
541-7 26'37 69 InsPection Line
SITE ADDRESS: 940 22ND ST
ISSESSOn'S PARCELNO': 1703361207900
PROJECT DESCRIPTIoN: Replace approx 20lf sanitary sewer
OWNCT: BASARABAKAY
Address: Sl0 N ZZND ST SPRINGFIELD OR 97477
Contractor TYPe Contractor
ROYAL FLUSH EIWIRONMENTALPlumbing
# of Units:
Primary OccuPancY GrouP:
SecondarY OccuPancY GrouP:
Primary Construction TYPe
Secondary Construction TYPe:
# of Bedrooms:
# of Stories:
R-3 Ileight of
Type of
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Building/Combination Permit
PERMIT NO: COM2004-00348
ISSUED: 03/30/2004
APPLIED: 03/3012004
EXPIRES: 09/3012004
VALUE:
Residential
License
SERVIC153694
Expiration Date
1212312005
Phone
541-895-2072
VN
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/CarPort
Sq Ft Other:
Impervious Surface Area:\ON
aao
Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:Rearyard Setback:
Solar Setbacks:
ONED r0R
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/Drains
REQUIRED PARKING
Total:
Handicapped:
Compact:
IS NOl
Total Value of Project
Pase I of2
Description Type of Construction Value
DEVELOPIIENT INF'URi}IAI IU,\ I
Yaluatiou Dessrjption I
Date Calculated
Buildin g/C ombination P ermit
Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 InsPection Line
Signature
PERMIT NO: COM2004-00348
ISSUED: 03/30/2004
APPLIED: 03/3012004
EXPIRES: 09/3012004
VALUE:
Date Paid
Fee Description
+ lLYo Administrative Fee
+ 77o State Surcharge
Sanitary Sewer - lst 50 Feet
Total Amount Paid $52.65
To Request an inspection call the 24 hour recording at 726-37 69. All insPection requested before 7:00 a.m.
will be made the same working dayo inspections requested after 7:00 a.m. will be made the following work
day
1 SanitarySewerLine:Priortofillingtrenchandincludingrequiredtesting'
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
NO OCCUPANCY will be made of any structure without permission of the CommunitY Services Division, Building SafetY.
that
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 ofthe property, and the aPProved set of plans will remain on the site at all
times during
Amount Paid
$4.50
$3.1s
$45.00
3130104
3/30/04
3130104
Receipt Number
1200400000000000406
1200400000000000406
1200400000000000406
Dateor
Reviews
Pase2 of2
\
225 Fifth Street '.i
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
#:03t3012004
coM2004-00348
coM2004-00348
coM2004-00348
+ 7o/o State Surcharge
+ l0%o Administrative Fee
Sanitary Sewer - lst 50 Feet
3. l5
4.s0
45.00
Item Total:$52.65
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number Authorization Number How Received Amount Paid
CreditCard JEFFREY BOWERS djb 000339 030364 In Person
Payment Total:
$s2.6s
$s2.65
(