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Home My WebLink AboutPermit Plumbing 2010-10-5 .J .' ~ www.ci.springfield.or.uS CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00441 IVR Number: 811120135879 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 STATUS DATE: 10/5/2010 ISSUED: APPLIED: 10/5/10 EXPIRES: 4/3/2011 VALUE: $0.00 SITE ADDRESS: 5335 HIGH BANKS RD, Springfield, OR 97478-6853 ASSESOR'S PARCEL NO: 1702283400500 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install new water line and replumb house supply lines - abandoning well OWNER: ADDRESS: 'Plns JOSEPHINE 5335 HIGH BANKS RD SPRINGFIELD OR 97478 Phone Number: Contractor Type Plumbing Contractor Contractor Name BARNES PLUMBING INC CONTRACTOR INFORMATION ~ Lic Type eeB BUILDING INFORMATION ~ Lic No 146562 Lic Exp 03/05/2012 Phone 541-245-1955 # of Units: o # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy load: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Re;!;ff'ENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00t -oot 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). ~l\1-lW\r~:=' ~:~'l)()~fD fOR, '.. ?~"\atl. Springfield Buifding Permit 10/5/2010 2:40:11PM Page 1 of 3 'tI " 5~:~IN. G. :E.?ij.O ~,~ ~'OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00441 IVR Number: 811120135879 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.lJs PROJECT STATUS: Issued STATUS DATE: 10/5/2010 ISSUED: APPLIED: 10/5/10 EXPIRES: 4/3/2011 VALUE: $0.00 SITE ADDRESS: 5335 HIGH BANKS RD, Springfield, OR 97478-6853 ASSESOR'S PARCEL NO: 1702283400500 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install new water line and replumb house supply lines. abandoning well DEVELOPMENT INFORMATION I Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: . Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value rl~;~<~';~ -;;;~f4\.:' ~;r,:p~:;S~~T~"~<~,-~~:d;;:-:7~"~~':'~};~E~_~s.?fi~_I_P..~'i",?:t~_:~1.:~~~r~r~~~~Q;,;;-~:;:,~'~:;Ji\~;~?:~\~~+0fT0F~-,~:~ DescriDtion Amount Paid Date Paid ReceiDt # Water Line $76.00 10/05/2010 374496 ,_.,---- Fixture $152.00 10/05/2010 374496 State of Oregon. Surcharge (12% of al'plicable fees) $27.36 10/05/2010 374496 :!:echnolog~.!.~5!, of permit total) $11.40 10/05/2010 374496 Total Amount Paid $266.76 Springfield Building Permit 10/5/2010 2:40:11PM Page 2 of3 if . . . www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00441 IVR Number: 811120135879 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541.726.3676 .' permitcenler@ci,springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/5/2010 ISSUED: APPLIED: 10/5/10 EXPIRES: 4/3/2011 VALUE: $0.00 SITE ADDRESS: 5335 HIGH BANKS RD, Springfield, OR 97478-6853 ASSESOR'S PARCEL NO: 1702283400500 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install new water line and replumb house supply lines - abandoning well [[~~~~~'~T~'Sf~~:r~~'?t;:li~\~?+'P>~~~~~:f:lI:ili2B~~ie~vt~;~;:~Jlft&fT:fS;~~.10F'~'iRl~J<'_- ~~~-:s~nrtf:f:i'1;~~"J:;\~~~,:~:~;::~ Deoartment Rece ived Due Date Comoleted Result Reviewer Application Acceptance 10/05/2010 10/05/2010 10/05/2010 Over the Counter Nancy Machado Comments: Initial Review 10/05/2010 10/05/2010 10/05/2010 Over the Counter Nancy Machado Comments: Over the counter permit Permit Issuance 10/05/2010 10/05/2010 10/05/2010 Issued Nancy Machado Comments: Public Works Review 10/05/2010 10/05/2010 10/05/2010 Not Required Nancy Machado Comments: Over the counter permit Structural Review 10/05/2010 10/05/2010 10/05/2010 Not Required Nancy Machado Comments: Over the counter permit Planning Review 10105/2010 10/05/2010 10/05/2010 Not Required Nancy Machado Comments: . Over the counter permit INSPECTIONS REQUIRED ~ Inspections 3315 Water Line 3500 Rough Plumbing 3999 Final Plumbing Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 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 or 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 times during construction. .~~~ Own or Contractor Signature /tJ- ~--/j) Date Springfield Building Permit 10/5/2010 2:40:11PM Page 3of3 -.t. . . . S.P, ~IN GFIEL~ .- . .,--~ :~OREGON www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2010-00441 5335 HIGH BANKS RD CITY OF SPRINGFIELD 225 Fifth $1 Springfield,OR 97477 541-726-3753 permilce nter@ci.springfield,or,us RECEIPT NO: 20]0000482 RECORD NO: 8] ] .SPR20] 0.0044] DATE: 10/05/2010 rbEscRfpfl0iii;~~,:"lt;:~,'~.:_~:'~.;~~;~ita;'.Y;'2'%;1' 1:.t7: ;;~c..C:QiJ}j:t.C:Qi'1E;::#Ei~t::"::;~MQl,JI:lJ~[)_U:E:" ", . "1 Water line 224.00000-425603 $76.00 Fixture 224-00000-425603 $152.00 821-00000-215004 $27.36 100-00000-425605 $1140 . TOTAL DUE: $266.76 ~pA'(~_@JT'(ji~Y pAY6R"~""'cAsiJIER'NMACHAb6';:.tjC9MME~is~jr ;",TY';::;c'r;:;Cif')""AM9JJNT.'PAID,' -z' 7,C7,' I State of Orego~~rcharge (12% of applicab]e fees) Technology fee (5% of permit total) Check 6039 PITTS JOSEPHINE $266.76 $266.76