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