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HomeMy WebLinkAboutPermit Plumbing 2003-10-13Building/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: COM2003-01035 ISSUED: APPLIED: EXPIRES: VALUE: r0113t2003 t0n3t2003 04n3t2004 ,ry-q\ SITE ADDRESS: 707 S 4TH ST ASSESSOR'S PARCEL NO.: 1703353404600 PROJECT DESCRIPTION: Curbcut and water line work only. Owner: ROMIG ROB R & CAMI N Address: 707 S 4TH ST SPRINGFIELD OR 97477 Springfield TYPE OF WORI(: Single Family Residence TYPE OF USE: New Residential License Expiration Date Phone 60298 tUt3t2003 541-689-825s Contractor Tvpe Plumbing Right of Way Contractor PROSPERITY INVESTMENT BOLES ENTERPRISES CONTRACTOR INFORMATION BUILDIN( # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARJflNG Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 1BO DAY PERIOD. DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes:ATTENTIOI\:Ur€$oir idw rBqurrtsi] yuu to t;ffi;;i"; adoPt6d bY the oreson utititY Notification Center' inot" rules are^sel forth il ci#ffir-ool -oot o throush oAB e52-001 0090. You may obtaincopi6s of the rules bv --l"ifing the center' (Note: the telephone ;rrni#t i;; the oreion Utilitv Notilication Center is t -8OO-SS 2-2-M4L Pase 1 of2 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: COM2003-01035ISSUED: 1011312003APPLIED: 10/1312003 EXPIRESz 0411312004 VALUE: Description Type of Construction Fee Description + lOoh Administrative Fee + loh State Surcharge Curbcut Permit Water Line - lst 50 Feet Water Line - Each Addtl 100' Total Value of Project Date Paid Value Date Calculated Receipt Number 2200200000000001650 2200200000000001650 2200200000000001650 2200200000000001650 22002000000000016s0 Amount Paid $ Per Sq Ft or multiplier Square Footage or Bid Amount 10/13/03 10/13/03 10/13/03 10/13/03 10/13/03 $5.90 $4.13 $75.00 $45.00 $14.00 Total Amount Paid $144.03 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. I Curbcut - Standard: After forms are erected but prior to placement of concrete. 2 Water Line: Prior to lilling trench and including required testing. tr'ees nsnections 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 Springlield 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 70f.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 l0 t3'03 Owner or Contractors '? Paee2 of2 Date Valuation Description I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Receipt #:1650 Date:10n312003 11:01:37AM Amount Paid coM2003-01035 coM2003-01035 coM2003-01035 coM2003-01035 coM2003-01035 Curbcut Permit Water Line - lst 50 Feet Water Line - Each Addtl 100' + 7Yo State Surcharge + llYo Administrative Fee 75.00 45.00 14.00 4.13 5.90 Item Total:$144.03 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check CAMI N ROMIG dlm 1222 In Person Payment Total: s 144.03 $144.03