HomeMy WebLinkAboutPermit Plumbing 2003-05-14Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2003-0037 4ISSUED: 0511412003APPLIEDz 0511412003
EXPIREST 1111412003
VALUE:
SITE ADDRESS: 1604 8TH ST
ASSESSOR'S PARCEL NO.: 1703264202101
PROJECT DESCRIPTION: Replace 80 feet sanitary sewer
Springfield TYPE OF WORJ(: Plumbing Only
TYPE OF USE: Repair Residential
Owner: HEAVIRLAND HARVEy L & pATRICIA F
Address: 1604 8TH ST SPRINGFIELD OR 97477
Contractor Expiration Date Phone
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Contractor Tvpe
Owner
Plumbing
HEAVIRLAND
GREENSUNS
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F
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Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
' -tgb,zso
12n9t2004 541-933-1020
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
((\{ou
Rearyard Setback:
Solar Setbacks:
o/o of
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Sidewalk Type:
Downspouts/Drains:
Square FootageDescription Type of Construction $ Per Sq Ft
Page 1 of2
Value Date Calculated
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PARKING
Valuation Description I
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Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
54l-726-37 69 Inspection Line
PERMIT NO: COM2003-00374ISSUED: 0511412003
APPLIEDT 0511412003
EXPIRESz llll4l2003
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ lYo State Surcharge
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
Total Amount Paid
Amount Paid
$5.90
$4.13
$45.00
$14.00
$69.03
Total Value of Project
Date Paid
5fl4t03
sn4t03
5n4t03
5n4t03
Receipt Number
1200200000000001186
1200200000000001186
1200200000000001186
120020000000000r 186
Plan Reviews
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.
1 Sanitary Sewer Line: Prior to filling trench and including required testing.
nsnections
By signaturer l 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 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
S-t
Owner or Signature
Pase2 of2
Date
rcl
Bees Parrl I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 120020000000000 1 1 86 Date: 0511412003
coM2003-00374
coM2003-00374
coM2003-00374
coM2003-00374
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
+ 1Yo State Surcharge
+ 10Yo Administrative Fee
Payments:
45.00
14.00
4.13
5.90
Item Total:$69.03
Check GREENSUNS INC djb In Person
Payment Total:
69.03
$69.03
s/t4/2003 9:28:l IAM Page I of I cReceipt.rpt
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