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Home My WebLink AboutPermit Miscellaneous 2004-4-29 . . CITY OF ~rKll~ljFIELD . Building/Combination Permit PERMIT NO: COM2004-00S03 ISSUED: 04/29/2004 APPLIED: 04/29/2004 EXPIRES: 10/29/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1168 PLEASANT ST ASSESSOR'S PARCEL NO.: 1703264103900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace sewer Une Owner: DWYER BERNICE W Address: 1168 PLEASANT ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Contractor CARDWELL CONSTRUCTION License 74466 Expiration Date 09/08/2005 Phone 688-7609 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type 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: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: DownspoutslDrains: Special Instructil!W'i'ENYlON: OrGgon low rGqulres you to N01IC~: RK ~ollow rules sdopted by ths Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WO OT Notes: Notification Cent61. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS N .- "'Ii! Il"" nr\1.nn1nthrn"nh nAR Q<;:>-n01- -' "E- '\'1 I" HlhMnnNFO FOR ltUIVIlYI\...UV '"' e. - '0090. You may obtain COpi'f5 01 \II" I.UI"~ "y .. I ANY 180 DAY PERIOD. callln the center. (Note!,;V.aluatloD,Descrmhon numb~r for the Oregon Ut~lt~ifil:ation S F' t T i 'I q N quare 00 age ype ~!IM,qgcf emO-33 - il plier or Bid Amount Description Value Date Calculated Total Value of Project Page I of2 . . CITY OF SPRINtJ1'1~L1J' Building/Combination Permit PERMIT NO: COM2004-00S03 ISSUED: 04/29/2004 APPLIED: 04/29/2004 EXPIRES: 10/29/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line l..Fp.p.s P3ir1 I Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Amount Paid Date Paid Receipt Number $4.50 $3.15 $45.00 4/29/04 4/29/04 4/29/04 1200400000000000574 1200400000000000574 1200400000000000574 Total Amount Paid $52.65 I Plan Reviews I 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. Renuirerl Tnsnep.tinn.... 1 Sanitary Sewer Line: Prior to filling trench 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 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 ofany 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 readahle from the street, that the permit card i ocated at the front of the property, and the approved set of plans will remain on the site at all times&cti ~U"UV r';;;"" SI."ru. .... Pal!e 2 of2 225 Fifth Street Sprfngfiela, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-00503 COM2004-00503 COM2004-00503 Payments: Type of Payment Check 4/2912004 RECEIPT #: ~~ 1200400000000000574 Description Sanitary Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Paid By CARDWELL CONSTRUCTION .. . Received By dim ',..' ,. " Page I of I ~ of Springfield Official Receipt "elopment Services Department Public Works Department Date: 04/29/2004 Item Total: Check Number Authorization Batch Number Number How Received .' 5789 In Person Payment Total: 1l:40:40AM Amount Due 45.00 3.15 4.50 $52,65 Amount Paid $52.65 $52.65