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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 (