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Home My WebLink AboutPermit Plumbing 2004-2-25 ._ISPRINGFlELDa- ! 'Wii:- - I 4 , " " Status Issued Ul i' OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00219 ISSUED. 02/25/2004 APPLIED 02/25/2004 EXPIRES: 08/25/2004 VALUE. 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon Lme SITE ADDRESS 1358 F ST ASSESSOR'S PARCEL NO 1703362205600 Sprmgfield TYPE OF WORK Smgle FamIly ReSIdence TYPE OF USE AlteratIOn ReSidentIal PROJECT DESCRIPTION Replace 38' of samtary sewer hne Owner FULLER NAOMI BEVERLY Address 1358 F ST SPRINGFIELD OR 97477 , CONTRACTOR INFORMATION I Contractor Type General Contractor CARDWELL CONSTRUCTION License 74466 Expiration Date 09/08/2005 Phone 688-7609 BUILDING INFORMATION I # of Stones Lot SIZe HeIght of Structure Sq Ft 1 st Floor Type of Heat Sq Ft 2nd Floor VN Water Type. Sq Ft Basement ~-s::>~ Range Type o~!.~tparage/Carport "'-" Energy Path ~."., ~'l~O,5her ^'~^ ~ &-- ~q, o~Il!W!f;'Vlo.8S Surface Area { .'-'.C'\ ~-S _C>. 't' .v, .", _ ~ ';S:-~EVELOPMENT INFORMATIOi'~ 0' q,,,,,fb.#Jq, ,v ~o~ ~a-' (;$~k><<'''<::S' >:;--J'-.::,' ,~~O ""~ :>..q,~'QUlREDPARKING 'V ^,-X" ~ 0 ~-4, q, ~ 0 ,q, ~ Front yard Sethack ~ ~ 9:J'i:' Overlay Dlst q,<:$ /) 0"" o-:S q,"" ,&,q, ~'T~I SIde 1 Setback of ~<<; ~ 'i:' ~ # Street Trees Rqd 0<; o~q, ",-<:,\:)~ cPq:.,q, '< :t' '1~ndlc.pped S.de 2 Setback ~ ,.$;- ~ ~ ~ Paved DrIVe Rq<b~ 'IT'6 d; Rl" S- ~o .;:y n: Compact ~~~<::s~ ~0~~~~~~ Rearyard Set~a~1{ <<.<<; ~ 0> ~ <<. % of Lot Co~?aW 0 Rl" if "r!;- 'lief <::J<:::>' Solar Setba~" k> .ff(~ <:;j~ 1::- ~ <; ~~ n:~ ~ q,~ 0<; 95 ..-.0 ^-,",' ""'.:(; ~.('\ ~ ~ ~ Ci ,." _'" ~r~\ " ' I PUBLIC IMPRO~~~~\~"; ......:s-~ d- -'::',0<' '-' ~ 'J\ .~'" ~ ( Street Improvements 'i:' - ~ RlO)\J ;ff :ge~lilgwalk Type <:;j (j Ii" ~-s DownspoutslDrams # ofUmts Pnmary Occupancy Group. Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIon Type # of Bedrooms. R-l SETBACKS Storm Sewer AvaIlable SpecIal InstructIOn Notes I Valuation DescriDtion I DescnptIon Tvpe of ConstructIon $ Per Sq Ft or multlpher Square Footage or Bid Amount Value Date Calculated Total Value of ProJect Page 1 012 .~~~ ~ .......: "~~ L11 i' OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2004-00219 ISSUED: 02/25/2004 APPLIED: 02/2512004 EXPIRES: 08/25/2004 VALUE: 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon Lme , Fees Pal~ I Fee DescnptIon + 10% AdmmlstratIve Fee + 7% State Surcharge Samtary Sewer - 1st 50 Feet Amount PaId Date PaId Receipt Number $450 $315 $45 00 2/25/04 2/25/04 2/25/04 1200400000000000243 1200400000000000243 1200400000000000243 Total Amount PaId $52 65 I Plan ReViews I To Request an mspectlOn call the 24 hour recording at 726-3769. All inspection requested before 7'00 a m. will be made the same workmg day, inspections requested after 7'00 a.m. will be made the followmg work day. I, ReoUlred TnsnectlOns I 1 Samtary Sewer Lme Pnor to fillmg trench and mcIudmg reqUIred testmg. By sIgnature, I state and agree, that I have carefully exammed the completed apphcatIon and do hereby certIfy that all mformatIon hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance With the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY WIll be made of any structure WIthout permIssIOn ofthe Commumty ServIces DIVISIOn, BUlldmg Safety I further certIfy that only contractors and employees who are m comphance 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 10i/lated at front ofthe property, and the approved set of plans WIll remalD on the sIte at all times durmg constructlOD. J / 2-~5-q / i~ Owner or Contractors SIgnature Date f Page 2 of2 .l25 Fifth Street Spnngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00219 COM2004,00219 COM2004-00219 ~ ReceIpt fl. 1200400000000000243 Description Samtary Sewer - 1st 50 Peet + 7% State Surcharge + 10% AdmInIstratIve Fee Payments Type or Payment Check PaId By CARDWELL CONSTRUCTION Received By ~"ec;" ~'umoer Batch Number Authorization Number Jmp 5756 City of Sprmgfiel~ Official Recelp~ Development Services Department Public Works Department Date: 02/25/2004 10 32 HAM Amount Paid Item Total 4500 3 15 450 $52 65 How Received In Person Payment Total Amount Paid $52 65 $52 65