HomeMy WebLinkAboutPermit Plumbing 2003-08-22-
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: COM2003-00815ISSUED: 0812212003APPLIEDz 0812212003EXPIRES: 0212212004
VALUE:
SITE ADDRESS: 844 S 32ND ST
ASSESSORTS PARCEL NO.: 1802060001005
PROJECT DESCRIPTION: Connect to SUB water supply - 150 ft
Owner: REDMOND JAMES M & KRISTIE A
Address: 844 S 32ND ST SPRINGFIELD OR 97478
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New Residential
Phone Number: 541-744-1582
CONTRACTOR INFORMATION
Contractor Type
Plumbing
Contractor
OWNER
#of
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Date Phone
lst Floor:
Ft 2nd Floor:
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:
R-3
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
\T.{
o(e,
-(,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
Total Value of Project
Page I of2
Description Type of Construction Value Date Calculated
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Valuation Descrintion I
Building/Combination Permit
Status Issued
225 Fifth Street, Springlield, OR
34l-726-3753 Phone
541-726-3676Fax
S4l -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00815ISSUED: 08t22t2003APPLIEDz 08t22t2003EXPIRESz 02t22t2004
VALUE:
Fee Description
+ l0Yo Administrative Fee
+ 7%o State Surcharge
Water Line - lst 50 Feet
Water Line - Each Addtl 100'
Total Amount Paid
Amount Paid
$s.90
$4.13
$4s.00
$14.00
$69.03
Date Paid
8t22t03
8t22t03
8122t03
8t22t03
Receipt Number
1200200000000002008
1200200000000002008
1200200000000002008
1200200000000002008
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.
I Water Line: Prior to Iilling trench and including required testing.
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 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.
1""o o&a***lffi 0
Date
Pase2 of2
T
rees raro I
t(equtreo InsDectrons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Oflicial Receipt
Development Services Department
Public Works Department
#z 1200200000000002008 Date:08t22t2003 2:52:38PM
coM2003-00815
coM2003-00815
coM2003-00815
coM2003-00815
Water Line - lst 50 Feet
Water Line - Each Addtl 100'
+ 7Yo State Surcharge
+ l0%o Administrative Fee
45.00
14.00
4.13
5.90
Item Total:$69.03
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number Authorization Number How Received Amount Paid
Check JAMES REDMOND djb In Person
Payment Total:
s69.03
$69.03