HomeMy WebLinkAboutPermit Plumbing 2005-03-28Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00342ISSUED: 0312812005APPLIED: 03/2812005
EXPIRESz 0912812005
VALUE:
SITE ADDRESS: 270 24TH ST
ASSESSOR'SPARCELNO.: 1703361409200
PROJECT DESCRIPTION: 75lf sanitary sewer replacement
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Owner:
Address:
MARVIN BERKMAN
3940 SOUTH RIDGE DR
EUGENE OR 97405
Expiration Date
09/08/200s
Residential
Phone
541-688-7609
PhoneNumber: 541-686-8798
Contractor Type
Plumbing
Contractor License
CARDWELL CONSTRUCTION & PROPERT 74466
]TORINFORMATION
# 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:
Notes:
# of Stories: ,, ,'rir law requires Youlet Size:
Height of Strucorrj i;y tlre Oregon Uti$ryft lst Floor:' Type of lleat::r. Those rules are set h{tht 2nd Floor:
watet Tyrrs-0010 through OAR 952-gqtt Basement:
u Rt+ggTypf:obtarn copies of the rule0$Ft Garage/Carport
. rpqry11-p$;ter. (N ote : the telephofifl Ft other:
n
"flnU,B.Tgf,
6Effi o n U r i I ity tbtrf isa11ff upant Load :
R-3
VN
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
REQUIRED PARJflNG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Page 1 of2
Value Date Calculated
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Valuation Description I
F
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00342ISSUED: 0312812005APPLIEDz 0312812005
EXPIRESz 091281200s
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
Encroachment Permit
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
Total Amount Paid
Amount Paid
$s.90
$4.13
$130.00
$45.00
$14.00
$199.03
Total Value of Project
Date Paid
3l28l0s
3t28105
3t28t05
3t28t0s
3t28t0s
Receipt Number
1200s00000000000373
1200500000000000373
1200500000000000373
1200s00000000000373
r200s00000000000373
Plan Reviews
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.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
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 OCCUPAIICY 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 card is located at the front of the property, and the approved set of plans will remain on the site at all
times during > ?rf-q
Reouired Insnections
Owner Signature
Page2 of2
Date
Bees l,atd I
225 Fifth Street
Springfield, Oregon 97 477
541:726-3759 Phone
RECEIPT #: 1200500000000000373
rity of Springfield Oflicial Receipt
;velopment Services I)ePartment
Public Works DePartment
Date:03/28/2005 e:52:56AM
Job/Journal Number
coM2005-00342
coM2005-00342
coM2005-00342
coM2005-00342
coM2005-00342
Description
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
+ 7Yo State Surcharge
+ l0o/o Administrative Fee
Encroachment Permit
Amount Due
45.00
14.00
4.t3
5.90
130.00
Item Total:
Type ofPayment Paid BY
Check CARDWELL
Received By
CAS
Batch Number Number How Received Amount Paid
5963 $199.03
-siE6t
In Person
Payment Total:
312812005 Page I of I