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Home My WebLink AboutPermit Plumbing 2010-8-12 . .. ",:"\j; -::." S!'...R.INGFIEL~' '. ~"0' ,', ... .y. ~ '': -- .' OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00046 IVR Number: 811154616992 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/12/10 APPLIED: 8/12/10 EXPIRES: 2/7/2011 VALUE: $0.00 SITE ADDRESS: 767 68TH S Springfield ASSESOR'S PARCEL NO: 1802031100600 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace approx 4011 water line Phone Number: OWNER: ADDRESS: BERGSTROM STEVEN A & JULIE A 767 S 68TH Pl SPRINGFIELD OR 97478 CONTRACTOR INFORMATION I Contractor Type Contractor Name BERNARD PETERSEN INC Lie Type CCB ~ I BUILDING INFORMATION # of Units: o # of Stories: I Height of Struclure: Type of Heal: Waler Type: Range :Type: Hazmat: . -',"ll # of Bedrooms: Sprinkled Building: Fire Alanns: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Struct~:; S~~c~alty Code E~ition: . ..Jt;L~ 5jteJ.bJQ!:ifia!i~h I, ~ Energy Path: ) Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: ":"-'.,,,' .::,r..... ATTENTION: Oregon law requires you,t,o follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.001.0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the tele~hone number for the Oregon.U!i1ity N.otlfl~~Mn Center is 1-800-332-2344). Springfield Building Permit .. 8/1212010 1:41:56PM Lic No 93126 Lic Exp 08f23f2011 Phone 541-343-9339 Lot Size: Sq FI 1 sl Floor: Sq FI 2nd Floor: Sq Ft Basemenl: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: NOTICE:' .,';';,{<"';:~""" ' THIS PERMIT SHAll EXPIRE IF THE WORK .. AUTHORIZED UNDER THIS PERMIT IS NOT .: COMMENCED OR IS ABANDONED FOR ;:':;", ANY 180 DAY PERIOD." Page 1 of 3 SP..R.IN.G. FIEL.?ii. .~ >~ . "'" OREGON CITY OF,,,SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Sui I di ng ~E!3.e~ti;lKfrtia'JPerm it .'-"o,\t/:ll.-4/.., w,'I"~,,",u.;,... '" . I . www.ci.springfield.or.us PERMIT NO:'a11"-SPR201 0-00046 permilcenter@ci,springfield.or.us 2;;":1: IVR Number: 811154616992 PROJECT STATUS: Issued ISSUED: 8/12/10 APPLIED: 8/12/10 EXPIRES: 2/7/2011 VALUE: $0.00 SITE ADDRESS: 767 68TH S Springfield ASSESOR'S PARCEL NO: 1802031100600 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace approx 40lf water lin.e DEVELOPMENT INFORMATION ~ REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # StreetTrees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property Iin.e...:_ Total: Handicapped: Compact: Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Pli~_4@.ir.J.eBC;:YEMENTS ~ "8'11": ::;"R?' ; t,..:'-' Sidewalk Type: Downspout/Drains: :_ ~Valuation Description ~ ....:,......", Descriotion . Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value r- --: ~ Descriotion Water Line Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid FEES_~...ID Amount Paid r-: "',"''1' ";", .'.. $76.00 ' - ... . $3.80 ",dS_:;.e~ ~.n~;;:~~~T~~;' ~"~"'"'..". ' .~':$~,8;92 ._~ ;':pi~~-R-;'vi~~" Date' Pa id 08/12/2010 08/12/2010 08/12/2010 Receiot # 224429 224429 224429 ,;_0 ,;1""" . , "'--,' -- .,:'.. 1 1's~--<..:.......;J o Deoartment Application Acceptance Initial Review Planning Review Public Works Review Structural Review Permit Issuance Received 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 Due Date 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 ComDlete 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 Result Over the Counter Over the Counter Over the Counter Over the Counter Over the Counter Issued Reviewer David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby Comments Over the counter permit Over the counter permit Over the counter permIt Over the counter permit Springfield Building Permit 8/12/2010. 1:41:56PM Page 2 of 3 . l" ~; . . _,_ _ ',_..' . "! ! "y,.~ "1 ~ <,"'i:ii;!'~"~'i'i . 'r' ..t' www.ci.springfield.or.us PROJECT STATUS: Issued ~. ',....~"-..~." i .,.: :"J'" '\ CIT'iOFSPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00046 IVR Number: 811154616992 ISSUEI;!:1;8/,12/1.Q,C < .' APPL:1Eb: il/~'2l1'or' '~"' - Ii;:.'!'" --;::;.T:-~I-' . ':',':~-:' ,... ~I:-~jf'n . EXPIRES: 2/7/2011 VALUE: $0.00 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.u5 SITE ADDRESS: 767 68TH S Springfield ASSESOR'S PARCEL NO: 1802031100600 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Inspections 3315 Water Line Replace approx 40lf water line INSPECTIONS REQUIRED ~ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alf information hereon is true and correct, and I further certify iha~:any:and'~J!jwork performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of.t~,~,_~;1at~ o'r Oregon1pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without perm'is'sion 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 times during ::jf/J- ftL- Owner or Contractor Signature Springfield Building Permit ..". O<l/r~~ -,;~\,,'~':-j::'/ll'l.l\~-..~,-, - "':'1)\',- ,;,.f '-~~Date'~ J " ; :~~ 1!~~~f':\\} . .,... > ... .P'I,,; .~ : , ~~t'.,~< 10.. .',1 ;,1\"[;"\' i.l'ifi':,,:~r~: / ',;, ;11 ",:, ..-.. .. . ':,~l~~~~}fi!:.;;~ .:, :i" ::~i'~; ';,~:~:~*i't :,~' ~};,';,. 8/12/2010 1:41:56PM Page 3 of 3 .: ;( S.~RING.FIE.L~ ~A.\~ .~ . .. ~EGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us permitcenler@ci.springfield.or.us RECEIPT NO: 2010000050 RECORD NOi~! I.S,P~2910.00046: ' DATE: 08/12/2010 ...., . AC.C.O.UNT_C,ODE M"O.UNL~UEfr'l 224.00000-425603 $76.00 1 00.00000.425605 $3.80 821.00000.215004 $9.12 TOTAL DUE: $88,92 ~AM.Q.Uf\lLP.~ID $88,92 C.OI'IIMENJ:S '';J ,~ IDESCRIPTION'.,-.' Water Line Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) t'PAYMgNJTV:!:'.~R~r.o!r .CASHIERDBOWLSBY " Credit Card kurt petersen 09209z :p;,~!" -'~{~,;ptJl-.ll _j, :.;' ----.------ - ~ , '. ",:~'Il , .\:.,l' .' T~::~_r~?:~fl':' .~ . "