HomeMy WebLinkAboutPermit Plumbing 2004-1-6
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Status
Issued
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225 Fiflh 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: COM2004-000I6
ISSUED: 01/06/2004
APPLIED: 01/06/2004
EXPIRES: 07/06/2004
VALUE:
SITE ADDRESS: 1930 SCOTI RD
ASSESSOR'S PARCEL NO.: 1703254300100
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Replace approx 65lfsanitary sewer
Owner: REATHA MCDADE
Address: 1930 SCOTI RD SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor License
ROYAL FLUSH ENVIRONMENTAL SERVIC 153694
I BUILDING INFORMA TION ~~
# of Stories: "\y.~ ~ ~\)\
R-3 Height of S\I;~\\~~\ '\ \J~
Type ~( ~'i: S \>~ ~\J "=
VN ~ ,~'t8?\~'\ r:F~~
\J'\\~ .~~\Ra~~.e'\i-'O~~
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IL1'J~MENT INFORMATION I
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Contractor Type
Plumbing
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# of Units:
Primar)' Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
;.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
,
Phone Number: 541-
Expiration Date
12/23/2005
Phone
541-895-2072
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Total:
Handicapped:
Ov\O Compact:
as 'I ~\\\\'1
% of Lot Coverage: ao.V\~ 0(\ ~ ~f!J~
\e..rl ~ O~0~ &0\--,,'
...0(\ .",e _ lIl.~$ ....t)JJV.
I PUBLIC IMf..RvJ."':\!J~:j;se ('); OP-'" ;~v\Q\; ~
.<'\ y' S .' ~, ~oul:fJ 0\ \~ 1n.Ofl
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\0 \\\Ce\\0'f:J?,,09\' ~'O\g.\(\ ~dlaw~~u'R .rains:
-J,.0'l.0P-~ ~ ~e'l (\\e~' 0(\ '1,)'1. ~/[.
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<;)09 ~\\\(\9J \o~ \"a ',e \.9> ,
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I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pal!e I of 2
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00016
ISSUED: 01/06/2004
APPLIED: 01/06/2004
EXPIRES: 07/06/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
I Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Amount Paid
Date Paid
Receipt Number
$5.90
$4.13
$45.00
$14.00
1/6/04
1/6/04
1/6/04
1/6/04
1200400000000000013
1200400000000000013
1200400000000000013
1200400000000000013
Total Amount Paid
$69.03
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
wiII be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Reouired I nsnections I
111 III I I
Sanitary Sewer Line: Prior to filling trencb 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 wilh
the Ordinances of tbe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he made of any structure wilhout permission of the Community Services Division, Building Safely.
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 arc requested at Ihe proper time, that each address is readable from ,Ihe
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
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Owner org~ors Signature
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Date
Pa2e 2 of2
," 225 Fifth Street
, Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-000 16
COM2004-000 16
COM2004-000 16
COM2004-00016
Payments:
Type of Payment
CreditCard
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Wit
Receipt #: 1200400000000000013
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddU 100'
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
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Check Number
Batch Number Authorization Number
Paid By
JEFFERY BOWERS
000268 006683
City of Spring:ield Official Receipt
Development Services Department
Public Works Department
Date: 01106/2004
2:39:03PM
Amount Paid
Item Total:
45,00
14,00
4,13
5.90
$69.U3
How Received
In Person
Payment Total:
Amount Paid
$69,03
$69.U3
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