HomeMy WebLinkAboutPermit Plumbing 2010-7-26
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00974
ISSUED: 07/26/2010
APPLIED: 07/23/2010
EXPIRES: 01/2612011
VALUE:
Status
Issued
SITE ADDRESS: 3618 CHEROKEE DR
ASSESSOR'S PARCEL NO.: 1802061201400
Springfield TYPE OF WORK: Plnmbing Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Connect to sanitary'~i"..~rand tank abandonment
Residential
Owner: MCCAULEY CARA & JAMES
Address: . 3618 CHEROKEE DR
SPRINGFIELD OR 97478
Contractor Type
Contractor
1 CONTRACTOR INFORMATION ~
License
Expiration Date Phone
BUILDING INFORMATION I
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# of Units: . # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type Water Type: t
Secondary Construction Type: laW ~'tItgl'all~Ytil~'/
# of Bedrooms: ~. Olegon \~~Il11tli:~ltn
..iTE.~iIO ~'do"ted '0'/ el~I;Idl!iJ~\i' g: n/a
F" eSQ rOse 952,
~O\ilicat~~;.OO\-O '. RMATlON
in O~p. '(ou {(Ia'/ 0 et. ~~6te'... No\ilicatlon
Frontyard Setback: 009 '. 9 tne cell\ gol'()\i~\;\'/iin",t..
callln \\'Ie Ole ~:"-"I"2/j!:o"""I""
Side 1 Setback: U{(I'oel lot is \_BO~ireet Trees Rqd:
Side 2 Setback: I' cen\el Paved Drive Rqd:
Rearyard Sethack: % of Lot Coverage:
Solar Setbacks:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
,I PUBLIC IMPROVEMENTS I . .(~.-(.~~", ,'" ~
. Sidewalk Type: ~\\~ ~~()\
'" _ ,,:' DownsD...mlli:>}r.:~&." \<b ;"
I" . . \ ~~.';.'"t'\\"" ~()'?- "',
. ,;,; .' ,'p;, ';';'';'i,\C~'' <b\\t>-\.\.. ,\\\S ~t.\J ' '
,il . ~~\S J~~~~ \)6~;~ ~~~~\)() .
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Valuation Descri I UU v
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount.
Value
Date Calculated
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Paee I of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 120;', State Surcharge
+ 5% Technology Fee
Sanitary or Storm Sewer Cap
Sanitary Sewer - Ist 100 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Compliance Cbarge
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
Total Amount Paid
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00974
ISSUED: 07/26/2010
APPLIED: 07/23/2010
EXPIRES: 01126/2011
VALUE:
Receipt Number
3201000000000000466
3201000000000000466
3201000000000000466
3201000000000000466
3201000000000000466
3201000000000000466
3201000000000000466
3201000000000000466
3201000000000000466
3201000000000000466
3201000000000000466
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
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'Total Value of Project
~
Amount Paid
Date Paid
Ueh',lire(J~Ii1sriectio:n~ ,
f"' ., - . ~ -
, ,
'IV'-r" v.,_ " ,.,".:~
Sanitary Sewer Line: Prior to filling trencb and'including required testing.
,.'
Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the inspector with receipt and
verification from company performing pump and fill.
Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as
required by the code.
$16.08. ,":
, r"";'
$6.70",,,'1.
:.~......
$58.00 . ",.
. ,
$76.00!;,c::
$528.60-:'
$883.84
$10.00
$22.63
$1,333.57
$101.97
$144.03
7/23/10
'.,.' <.,:,7/23/10
7/23/10
I"', 7/23/10
7/23/10
7/23/10
7/23/10
7/23/10
7/23/10
7/23/10
7/23/10
$3,181.42
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Pa!!e 2 of3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00974
ISSUED: 0712612010
APPLIED: .07/23/2010
EXPIRES: 01126/2011
VALUE:
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 1 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 ,~ho'are i~ ~~lDpliance 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 fronf6Hhe propertY, and the approved set of plans will remain on the site at all
times during construction.
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Owner or Contractors Signature
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