HomeMy WebLinkAboutPermit Plumbing 2002-11-27FIELD
Building/C ombination Permit
PERMIT NO: COM2002-01292ISSUED: 1112712002APPLIED: 11/1512002E)PIRESz 0512712003
VALT]E:
Status: Issued
225 Fifth Street SpringfieH' OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
SITE ADDRESS: 195 35th St Springfield TYPE OF
ASSESSOR'S PARCEL NO.: 1702313101500
TYPE OF USE:
PROJECT DESCRIPTION: Install Sanitary and Storm Lines From Main Line to Property
Owner: NEDCO
Address: 775 MONROE EUGENE OR 97402
Single Family Residence
New Residential
Phone Number: 541-345-7f 06
Phone Number: 541-345-7106
Expiration Date Phone
541-345-7t06
04t04t2006 541-342-4871
Contractor Type
Owner
Plumbing
Contractor
NEDCO
RAINBOW VALLEY DESIGN
License
56107
BUILDIN(
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
# of Stories:
Height of
\pe of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
0 Im pervious Surface Area:
RE \T 1HE $l0R
OR
Sidewalk Type:
Downspouts/Drains
REQUIRED PARKING
Total:
Handicapped:
Compact:
OB
IOD
ANY Paved Drive Rqd:
oh of Lot Coverage:Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description Type of Construction $ Per Sq Ft Square Footage
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Value Date Calculated
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Valuation Descrintion I
CITY
Building/C ombination Permit
PERMIT NO: COM2002-01292ISSUED: 1112712002APPLIED: 11/1512002E)PIRES: 0512712003
VALT]E:
LD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Rax
541-726-37 69 Inspection Line
Total Value of Project
Fee Description
+ 7o/o State Surcharge
+ 87o Administrative Fee
Storm Sewer - lst 50 Feet
Total Amount
Amount Paid Date
$6.30
$7.20
$4s.00
Receipt Number
1200200000000000307
1200200000000000307
r200200000000000307
Received By
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$58.50
Fees Paid
Plan Reviews
Initial Review
Public Works Review
tyt5l2002 llll5l2002 APP LLH
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Plans received by Don Moore
1012412002. Steve Graham and I
reviewed plans 11/1412002 for
premit requirements and proceeded
with routing to Public Works so
permit could be issued.
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 Sanitary Sewer Line: Prior to filling trench and including required testing.
2 Storm Sewer Line: Prior to filling trench.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certiS 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,
BuiHing 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 hcated at the front of the property, and the approved set of plans will remain on the site
at all times
-rL4-a
or
ring con
Signature
2of2
Date
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