HomeMy WebLinkAboutPermit Plumbing 2003-07-02D
Status: Issued
225Fiftn Street, SPringfield' OR
541:726-3753 Phone
541-126-3676Fa.x
541:7 26-37 69 Inspe ction Line
SITE ADDRBSS: 151S 37TH ST Springfield TYPEOF
ASSESSOR'S PARCEL NO.: 1702314206600
TYPE OF USE:
PROJECT DESCRIPTION: Sanitary & Storm Sewer relocate for existing residence
Owner: TRAVESS GEORGET
Address: 1495CHEEKST SPRINGFIELD OR 97477
Owner: TRAVESS GEORGET
Address: 1495CHEEKST SPRINGFIELD OR 97477
Building/Combin ation P er mit
PERMITNO: COM2003-00575ISSUED: 0710212003
APPLTED| 0710212003
E)GIRESz 0110212004
VALUE:
Single Family Residence
Alteration Residential
License Expiration Date PhoneContractor Type
Owner
Contractor
TRAVESS GEORGE T
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setbaclc
Side l Seback:
Side 2 Setback:
Rearyard Setback:
Solar Setracls:
Sfreet
Storm SewerAvailable:
Special Instruction:
AffEN flON:Oregon raw requlres yc.tu (u
Notes: follow rulcs adopted by the Oregon Utility
Notilication Center.Those rules are set forth
in OAR 952-001'0010through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Centeris 1-800-332-2U4). t of 2
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk TYpe:
DownspoutilDrains
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WOR
AUTHORIZED UNDER THIS PERMIT IS NO
COMMENCED OR IS ABANDONED FOR
ANY 1BO DAY PERIOD,
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
DEVELOPMENT INF(
LI
Reviews
Building/C
PERMIT NO:
NSUED:
APPLIED:
EXPIRES:
VALUE:
ombination Permit
coM2003-00s75
0110212003
0110212003
01t0212004
Status Issued
225 Fifth Street, SPringfield' OR
541'126-3753 Phone
541-726-3676Ftx
ll7 -l zoarc9 I nsPectio n Line
Description TvPe of Construction
Value Date Calculated
$ Per Sq Ft
or multiPlier
Square Footage
or Bid Amount
Date Paid
112103
112103
112103
1t2103
Total Value of Project
Fee DescriPtion-
+ l}ohAdministrative Fee
+ 77o State Surcharge
Sanitary Sewer - lst 50 Feet
ito.r, S"*.t - lst 50 Feet
Total Amount Paid
ReceiPt Number
1200200000000001689
1200200000000001689
1200200000000001689
1200200000000001689
inspection requested before 7:00 a'm'
a.m. will be made the following work
Amount Paid
$9.00
$6.30
$45.00
s45.00
$105.30
To Request an insPection call the 24 hour recording at 726'37 69' All
will be made the same wor king daY, insPections requested after 7:00
day
Sanitary Sewer Line: Prior to filling trench
S;;;; S.r"", Line: Prior to filling trench'
and including required testing'
1
2
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
thatNO 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 ofthe ProPertY, and the approved set of plans will remain on the site at all
times during construction.
ZZ-o-8fu 7-Z-o
*, o, {*tractors s);gnatur{
PaEe 2 of 2
Date
3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Seryices Department
Public Works Department
I
coM2003-00s75
coM2003-00s75
coM2003-00575
coM2003-00575
Storm Sewer - lst 50 Feet
Sanitary Sewer - lst 50 Feet
+ 7%o State Surcharge
+ l0% Adminishative Fee
I
45.00
45.00
6.30
9.00
Item Total:
Type of Payment Paid By
Check CLAYTON HAUGLAND CONST dlm
Received By Batch Number Authorization Number
4107
How Received
In Person
Payment Total:
$105.30
Amount Paid
$ 10s.30
$10s.30