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HomeMy WebLinkAboutPermit Plumbing 2010-9-29 ;..: c;. WWN.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00392 IVR Number: 811149196799 225 Filth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Sl;:.~::~.:i.' . '~p~~~ ;,,:,,\." ~ ::,:-:LIDOREGON permitcenter@ci,springfield.or.us PROJECT STATUS: Issued ISSUED: 9/29/10 APPLIED: 9/29/10 EXPIRES: 3/28/2011 VALUE: $0.00 . SITE ADDRESS: 263 32ND S Springfield ASSESOR'S PARCEL NO: 1702313106100 . SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Water line replacement approx 851f OWNER: ADDRESS: HAMMOND HELEN L 263 S 32ND ST SPRINGFIELD OR 97478 Phone Number: Contractor Type CONTRACTOR INFORMATION ~ Contractor Name lic Type READY ROOTER DRAIN CLEANING & REPAIR SERVICE I CCB BUILDING INFORMATION ~ Lic No 92524 lic Exp 02/18/2011 Phone 541-744-7991 # of Bedrooms: 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 Units: o # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Sprinkled Building: Fire Alarms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specially Code Edition: Residential Specialty Code Edition: Structural Specialty Code Editi~n: Energy Path: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: . t Retaining Wal~'TE'IT10N' Oregon law requires you .0 r;, -'" h 0 on Utility Soils Repo"fB~B~jr~aie5 adopted by t e reg f th Notification Center. ThhOSe rUhle~:~e ~;~.~~1. . OAR 952-001-0010 t roug ~090 You may obtain copies of the rules by caliin the center. (Note: the tel~~hone numb~r for the Oregon Utility Notification Center is 1-600-332-2344). ~,,,,,:"":~".' NOTICE: E IflHE WORK THIS PERMIT SHALL ;.x~~PERMIT IS NOT AUTHORIZED UNDER ED FOR . . COMMENCED OR \S A.8ANDON, ...... ANY 180 DAY PERIOD. Springfield Building Permit 9/29/2010 10:32:11AM Page 1 of3 .. www.ci.springfield.or.uS CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00392 IVR Number: 811149196799 225 Fifth st springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci,springfield.or.us PROJECT STATUS: Issued ISSUED: 9/29/10 APPLIED: 9/29/10 EXPIRES: 3/28/2011 VALUE: $0.00 SITE ADDRESS: 263 32ND 5 Springfield AssEsOR's PARCEL NO: 1702313106100 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Water line replacement approx 851f DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: :' # Street Trees ~eqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to' north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: . Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value r' "..' ~ ::1' ~:":,' j 2~~,'..', ~r;-::;4;~~;'~,~~'1 ""\~"T ;"',;'o"~:.:lEgisj:~~!p~"t Amount Paid '".';',t ~~';/Ji?0j~ f, "~""~'~: ~~-~F';-' ~:' '/~:>~'1f:;: ~". \ ~ '. DescriDtion Water Line Technology fee (5% of perr:nit total) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid $76.00 $3.80 $9.12 $88.92 Date Paid 09/29/2010 09/29/2010 09/29/2010 ReceiDt # 374428 374428 374428 r'-";:-~::::--~~-_-~.~7if'~v;H;::-:;i~j.~-~~\::7.J:~~'~~ijp:i~~;R1:~ie~::-:;~~W~~~-;;r~~~'5~?1~-~i~~~i~7i'~~^r~~:r~;::?"~__:~';T~cl DeDartment Received Due Date ComDlete Result Reviewer Comments Application Acceptance 09/29/2010 09/29/2010 09/29/2010 Over the Counter David Bowlsby Initial Review 09/29/2010 09/29/2010 09/29/2010 Over the Counter David Bowfsby Over the counter permit Planning Review 09/29/2010 09/29/2010 09/29/2010 Not Required David Bowlsby Over the counter permit Public Works Rev'lew 09/29/2010 09/29/2010 09/29/2010 Not Required David Bowfsby Over the counter permit Structural Review 09/29/2010 09/29/2010 09/29/2010 Not Required David Bowfsby Over the counter permit Permit Issuance 09/29/2010 09/29/2010 09/29/2010 Issued David Bowlsby Springfield Building Permit 9/29/2010 10:32:11AM Page 2 of 3 . . www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00392 IVR Number: 811149196799 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 SPRIN..':- ..fIE~..D. ~.~A..'" . i~ . "'OREGON permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/29/10 APPLIED: 9/29/10 EXPIRES: 3/28/2011 VALUE: $0.00 SITE ADDRESS: 263 32ND S Springfield ASSESOR'S PARCEL NO: 1702313106100 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Water line replacement approx 85ft INSPECTIONS REQUIRED ~ Inspections 3315 Water Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of ~he Community Services Division, Building Safety. I further certify that only contractors and employees who are in comp\\ancewith ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. /~~~ Owner or Contractor Sign r Cf/;29/;u>tO Date Springfield Building Permit 9/29/2010 10:32:11AM Page3of3 .I . ' . S;~~~~EL.~ L~ ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR20 10-00392 263 S 32ND ST CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 permitcenler@ci.springfield,or.us RECEIPT NO; 2010000421 RECORD NO; 81 I-SPR2010-00392 . DATE; 09/29/2010 [Qg$<::_RIPJJOW" .;: ; . Water Line ;,~'-;;~~z;.' ';',~.:...,. '"i~A(;3::QUNT:.C.0DE:;~ ' ~ . ;~M(,'tUJllj;D.UE::: :', 224-00000-425603 $76.00 100-00000-425605 $3.80 821-00000-215004 $9.12 TOTAL DUE: $88.92 ;jB3!'PA fOR';,'" cASHIER;.D'BO:Wi:S:'l,y.".::ge.QMI'!'IEJftsij1S:.:-:':::~;. ;i(';0Y;;r AN(OJJ1:"T PAID'" ;': - '. '<...1 'Z-...oc '';'"",,,'1 Technology fee (5% of permit total) Slate of Oregon Surcharge (12% of applicable fees) l::: PA YMEln T,YPE I Check 16716 READY ROOTER DRAIN CLEANING & REPAIR $88.92 $88.92