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Home My WebLink AboutPermit Plumbing 2005-3-18 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM200S-00312 ISSUED: 03/18/200S APPLIED: 03/18/200S EXPIRES: 09/18/200S VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 460 W QUlNAL T ST ASSESSOR'S PARCEL NO.: 1703274100101 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Repair Resldentinl PROJECT DESCRIPTION: Replace approx 30lf sanitary sewer Owner: HOUSING AUTHORITY & URBAN Address: 300 W FAIRVIEW DR SPRINGFIELD OR 97477 Contractor Type Plumbing .~Ofi I CONTRACTOR. ~Ifl!)RMA1:IOl\.1 lEN1101'l: U' -'" b \he tJl~'~~' to(li\ Contracto~o..~\ w rules adopt~~~~e {\lIes af.Uf~. cARDWELe.G.Q~lU1~~;""M~IFPt~~",:~ \~- o"p. ~ ~ ~~';:I;:".~llNI"fjR~ ii~t>n0 0090. 'iU"' II. tar. l~uCJ. .t. 'No\ifietl~ calling t\'\~~9Gn Utl\\~~). number fOlfelfll! y~~~r' - Cf.1>Wle of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Expiration Date 09/08/2005 Phone 541-688-7609 # or Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPlI...;.". m..uNvIATlON I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: P~}ed Drive Rqd: ll-1t. waR" "01'}l.,li(.Lot <;gtl'i{~~e:.YJ)\Rt. If II IS \'\01 II-1IS Pt~~~ \ INOt.R II-1\S:~~~~ FOR ~.,.~,....~- .n .._"1'\1........ I PI'TBLIC,Il\1PROV.EME~:rS I ~~\V ,00 D"~ r<'\"-- "" 1 I U " Sidewalk Type: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: DownspoutsIDralns: Notes: Description Tvpe or Construction I Valuation Descriotion , $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Paee I of2 Status Issued 225 Firth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Total Amount Paid . Total Value of Project ~ Fpp~ tlWLI Amount Paid Date Paid . CITY OF SPRI1~ul'lJ!,LU Building/Combination Permit PERMIT NO: COM200S-00312 ISSUED: 03/18/200S APPLIED: 03/18/200S EXPIRES: 09/18/200S VALUE: Receipt Number 1200500000000000344 1200500000000000344 1200500000000000344 To Request an inspection call the 24 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. $4.50 $3.15 $45.00 3/18/05 3/18/05 3/18/05 Sanitary Sewer Line: Prior to filling trench and including required testing. $52.65 I Plan Reviews I By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are In compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address Is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all tlme~~u7~ i/ / Own;r or Contractors Signature Pa2e 2 of2 '3. I Y'-v,$ Date 225 Fifth Street Springlield, Oregon 97477 541-726-3759 Phone -0 iiL.ty of Springfield Official Receipt .elopment Services Department Public Works Department Job/Journal Numher COM2005-00312 COM2005-00312 COM2005-00312 Payments: Type or Payment Check 3/IS/2005 RECEIPT #: Description + 7% State Surcharge + 10% Administrative Fee Sanitary Sewer - 1st 50 Feet Paid By CARDWELL CONSTRUCTION 1200500000000000344 Date: 03/18/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 5960 In Person Payment Total: Page I of I 10:35:3SAM Amount Due 3.15 4.50 45.00 $5Z.65 Amount Paid $52.65 $5Z.65