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HomeMy WebLinkAboutPermit Plumbing 2004-08-20r&r_0 Buildin g/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2004-01006ISSUED: 0812012004APPLIED: 08/1312004 EXPIRESz 0212012005 VALUE: SITE ADDRESS: 1402 8th St ASSESS0R'S PARCEL NO.: 1703264307000 PROJEII f DESCRIPTION: Storm Sewer to new parcel Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Owner: BRANDT-DRURy J M Address: PO BOX 1473 SPRINGFIELD OR 97477 Contractor Type Plumbins Contractor owtiER License Expiration Date Phone\o CONTRACTOR INFORMATION # of Units: Primary {)ccupancy Secondarl' Primary Secondarv # of Bedrooms: \(\{o${\s Frontyarrl Setback: Side I Sctback: Side 2 Scttrack: Rearyartl Setback: Solar Sctbacks: Street Inrprovements: Storm Sciver Available: Special Irrstruction: Notes: Path: Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: 1' Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARI(NG Total: Handicapped: Compact: nla $ Per Sq Ft or multiplier \s Square Footage or Bid AmountDescription Type of Construction Total Value of Project Value Date Calculated ;.,x DJ t$o Valuation Description I os Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 54I-726-3753 Phone 511-726-3676Fax 541-726-.\7 69 Inspection Line PERMIT NO: COM2004-01006ISSUED: 0812012004APPLIED: 08/1312004EXPIRES:. 0212012005 VALUE: Fcc Description + 10"/o.\ rlrninistrative Fee + 77o Stlte Surcharge Storm St'rver - 1st 50 Feet Storm Sr,rver Each Addtl 100' Total Amount Paid Amount Paid $s.90 $4.r3 $45.00 $14.00 $69.03 Date Paid 8120t04 8120t04 8t20t04 8t20t04 Receipt Number 1200400000000001238 1200400000000001238 1200400000000001238 1200400000000001238 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be rrrade the same working day, inspections requested after 7:00 a.m. will be made the following work day. Slorm Sewer Line: Prior to filling trench. Reouired Insnections 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 Ordinrnces of the City of Springfield 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 ccrtify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furthcr :rgrce to ensure that all required inspections are requested at the proper time, that each address is readable from the street, th u t 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 du ri ng construction. rs Signature Date Pase2 of? I Fees l-errl I 9/z/r 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone rlity of Springfield Official Receipt rvelopment Services Department Public Works Department RECEIPT #: 1200400000000001238 Date: 0812012004 9:21:54AM Job/Journal Number coM2004-01005 coM2004-01005 coM2004-01005 coM2004-01005 coM2004-01006 coM2004-01006 coM2004-01006 coM2004-01006 coM2004-01007 coM2004-0 r 007 coM2004-01007 coM2004-01007 Description Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' + 7%o State Surcharge + l0% Administrative Fee Storm Sewer - I st 50 Feet Storm Sewer Each Addtl 100' + 7o/o State Surcharge + l0oh Administrative Fee Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' + 7Yo State Surcharge + l0o/o Administrative Fee Amount Due 45.00 14.00 4.13 5.90 45.00 14.00 4.13 5.90 4s.00 14.00 4.13 5.90 Item Total:$207.09 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard JM BRANDT DRURY djb 271846 In Person Payment Total: $207.09 -Smioe- 8/20/2004 Page I of I allusl.e \