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HomeMy WebLinkAboutPermit Plumbing 2010-10-6 .. www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00445 IVR Number: 811117828863 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: 10/6/2010 ISSUED: APPLIED: 10/6/10 EXPIRES: 4/4/2011 VALUE: $0.00 SITE ADDRESS: 760 A ST, Springfield, OR 97477-4767 ASSESOR'S PARCEL NO: 1703354201500 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sewer line OWNER: ADDRESS: MCVICKER DEll ROBERT PO BOX 373 GROVElAND CA 95321 Phone Number: CONTRACTOR.INFORMATION , Contractor Type Plumbing Contractor Contractor Name GARYS ROOTER & PLUMBING SERVICE LLC Lic Type CCB Lie No 174640 Lie Exp 02/28/2011 Phone 541-935-6350 BUilDING INFORMA TION ~ # 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 Gar~ge: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alarms: 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: Energy Path: Site Information ~ Engine-e.red Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining wfhTTENTION: Oregon law requires you to Soils Repo.t<f!\ilI!u.!ll,es 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 telephone ,number for the Oregon Utility Notification Center is 1-800-332-2344). :.'OTlCE:"'"'':7,''' . ;HIS PERMIT SHAll EXPIRE IF THE WORK '.UTHORIZED UNDER THIS PERMIT IS NOT ., ';OMMENCED OR IS ABANDONED FOR .... : .<1..... NY 180 DAY PERIOD.' Springfield Building Permit 10/6/2010 8:39:09AM Page 1 ot4 SP~IN.G~ FIEL. D.~ ~!.~'.. ~ '~f' t:Ji . "~OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726~3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00445 IVR Number: 811117828863 permilcenter@ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/6/2010 ISSUED: APPLIED: 10/6/10 EXPIRES: 4/4/2011 VALUE: $0.00 SITE ADDRESS:. 760 A ST, Springfield, OR 97477-4767 ASSESOR'S PARCEL NO: 1703354201500 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sewer line DEVELOPMENT INFORMATION I Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: REQUIRED PARKING Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: 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 DescriDtion Sanitary sewer Technol~gy fee (5% 5:~permit tota!L.. . State o! Oregon Surcha~ge (12% of applicable fees) Total Amount Paid Amount Paid $76.00 $3.80 $9.12 $88.92 Date Paid 10/06/2010 10/06/2010 10/06/2010 ReceiDt # 374501 374501 374501 Springfield Building Permit 10/6/2010 8:39:09AM Page 2 of 4 SP~~H~~EL~ ~ , OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00445 IVR Number: 811117828863 pennitce nter@c1.springfield,or.us PROJECT STATUS: Issued STATUS DATE: 10/6/2010 ISSUED: APPLIED: 10/6/10 EXPIRES: 4/4/2011 VALUE: $0.00 SITE ADDRESS: 760 A ST, Springfield, OR 97477-4767 ASSES OR'S PARCEL NO: 1703354201500 SCOPE:, Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sewer line l-" ".~'<~':L;~ m ~~~'-.~~~~-;, ;'~:,7;2":~~,;;:;"~',~:~:.,:'~:S?:~~~~hLR~I~~re~€i ~.(:,;o:_~~'~~~i~;;1tr~,.':::;.~~r':-;~_. "-=-t Deoartment Received Due Date Comoleted Result Permit Issuance 1010612010 1010612010 10/0612010 Issued Comments: Appl[cation Acceptance 10106/2010 10/06/2010 10/0612010 Over the Counter Comments: Initial Review 10106/2010 10/0612010 10/0612010 Over the Counter Reviewer Nancy Machado Nancy Machado Nancy Machado Comments: Over the counter permit Electrical Review 10106/2010 10106/2010 10106/2010 Not Required Comments: Over the counter permit Mechanical Review 10106/2010 1010612010 10/0612010 Not Required Comments: Over the counter permit Structural Review 10106/2010 1010612010 1010612010 Not Required Comments: Over the counter permit Planning Review 10/0612010 10106/2010 1010612010 Not Required Comments: Over the counter permit Fire Review 10106/2010 10106/2010 10106/2010 Not Required Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Comments: Over the counter permit Public Works Review 10/06/2010 10/06/2010 10/06/2010 Comments: Over the counter permit Energy Code Review 10106/2010 10/0612010 10106/2010 Comments: Over the counter permit Traffic Review 10/06/2010 10/06/2010 10/06/2010 Comments: Over the counter permit Plumbing Review 10/0612010 10106/2010 10/0612010 Comments: Over the counter permit Not Required Nancy Machado Not Required Nancy Machado Not Required Nancy Machado Not Required Nancy Machado INSPECTIONS REQUIRED ~ Inspections 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. Springfield Building Permit 10/6f2010 6:39:09AM Page 3 of 4 . . . SPRINGFIELD ~J;l~_ ,.~~;:: .~ 'EI0...~ . ". ......OR'GON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00445 IVR Number: 811117828863 22S Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us permitcenler@ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/6/2010 ISSUED: APPLIED; 10/6/10 EXPIRES: 4/4/2011 VALUE: $0.00 SITE ADDRESS: 760 A ST, Springfield, OR 97477-4767 ASSESOR'S PARCEL NO: 1703354201500 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sewer line By signature, Lstate 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 constructio~~ ~ ~ Owner or Contractor Signature !O/b!lO , ~ Date Springfield Building Permit 10/6/2010 8:39:09AM Page 4 of 4 . . . www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00445 760 A ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permitcenter@cLspringfield.or.us RECEIPT NO, 2010000486 RECORD NO, 811-Si'R20!0-00445 DATE,10106/2010 IDESCRIPTION..;~d2 :!l;,';..,d;;:';;i?';",~""",~;;''',;: 'r"'r"..bf:f1.>.~~ccj5.QNJ~CJ)I[~dC;::;;";-3"-"f0""AMOUNT Q\.lE - ; ;". ",L.I Sanitary sev:er _____ 224-09900:425603 $76.00 Technology fee (5% of permit total) 100-00000-425605 $3.80 ~_of Oregon Surcharge (12% of applicable fees) .__....~21-0_0000-21500~.___ $9.12 TOTAL DUE: $88.92 ~&YMI:~j,-tyREc;' ';;:'EAYJ~.R'''''-CASHIERNMACt''8]2;1-iic:O::MME~IS'::~''~;;-'~; - ,,' J:& --AMQ.UNT e..t\ib ',::;::..:: /"'/-'j Credi! Card 00614b aaron mustin $88.92 $88.92