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Home My WebLink AboutPermit Plumbing 2010-9-10 www.ci.springfield.or.us CITY OF SPRINGFIELD Building IResid~ntial Permit h PERMIT NO: 811-SPR?010-00272 IVR Number: 811174105330 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SfR.1N.. G. FIEL.~. '.' .,. . """"-..' "0~:' ~ 'Y?:'<~~' OREGON permitcenler@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 9/10/10 APPLIED: 9/10/10 EXPIRES: 3/8/2011 VALUE: $0.00 SITE ADDRESS: 3933 E ASSESOR'S PARCEL NO: Springfield SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water service OWNER: ADDRESS: Dennis Hopkins 3933 E St SPRINGFIELD OR 97478 Phone Number: 541-988-1947 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name BERNARD PETERSEN INC Lic Type CCB Lic No 93126 Lic Exp 08f23/2011 Phone 541-343-9339 BUilDING INFORMATION ~ # of Units: o , f<G'~;;\U~:<III.' # of Stories: . ~ I Heig~!-?fl~~~~ct~~_:.;" Typ~ ,?Mjeat: Water Type: Range Type: Hazmat: ',~ -. - lot Size: Sq Ft 1st 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: Electrical Specialty Code Edition: Springfield Fire Code Editio~: Mechanical Specialty Code Edition: Municipal"! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Energy Path: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: , I...'" }{( .;~~,.jf::~ ,',,;) Retaining Wall: . ." ""0 . Soils Report Req'J\r.ed' ~,,,., ,:' . .I I ENTION: Oregon law requiiM~%J ':tH~\"' ,. foUow r~les adopted by the Or~g~r"Utility !IIotlflcat/on Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001. 0090., You may obtain copies of the rules by caUlng the center, (Note: the telephon(J number for the Oregon Utility Notification Center is 1-800-332-2344), . ..-...;i;':';n'~'., NOTICE: ' - , THIS PERMIT SHALL EXPIRE IF THE WORK. AUTHORIZED UNDER THIS PERMIT IS NOT, COMMENCED OR IS ABANDONED FOR (:,' ANY 180 DAY PERIOD. Springfield Building Permit 9/10/2010 8:15:53AM:~" I Page 1 of 3 '):...'i:.V','. i :J;; ~f: ~ ,',(ir, iT;J:~' '/i;!;,!..-in' . '\.:. r ....; S~iRIN:". FIE.L~. 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OREGON ,'." , ,; j' ,'l:r 225 Fifth St , Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 CITY0F'SPRINGFIELD ":'.!' www.ci.springfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2010-00272 IVR Number: 811174105330 permitcenter@ci.springfield.or,us PROJECT STATUS: Issued ISSUED: 9/10/10 l"", ,4 'J ," APPt.;!~Q.! 9;10/10" EXPIRES: 3/8/2011 VALUE: $0.00 SITE ADDRESS: 3933 E ASSESOR'S PARCEL NO: Springfield 'f"?l';'; , t,v- ~;' SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential ';~hi J_' PROJECT DESCRIPTION: Replace water service DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd:, % of Lot. 9overage;,~ ' '::~" Highest P~~.~~r~~;;s~~~~~re,:!Q ~~. -.' north property~~ir~:' ! ~ Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: 'ol.:i'6f 1)/':.\110 ;5'/~!:' . ,~. <~; 72.J: f: Valuation Description I. Descriotion Tvoe of Construction Unit Amount Unit Tvee Unit Cost Value E ,t~-"~' ,~~?iS:t:;:1t:.~~~~r": ~,j t7r~' ~: ~.' '-4z0':,~!j-Fg~~.Np-: :.~;:~:r~~~~>~~Y~.~::;::~,,~~-t';~}:~,;.: : ~('~~ -';~~5--''''';;''7<.:,F' ",:~":"'"'' F:~'->4 Descriotion , .~,~:)JAmount Pai~ Date Paid ReceiDt # Water Line ":'.i;.,r": $76,00 09/10/2010 374280 Technology fee (5% of permit total) $3.80 09/10/2010 374280 State of Oregon Surcharge (12% of applicable fees) $9.12 09/10/2010 374280 Total Amount Paid $88.92 ,., .:Z~:&; ~!~~iY'i i: "'~'-'--'~' . --..,--,., . .. , \'~ '~'. ~'. .r ::...: ~ 'l1Vi; Springfield Building Permit 9/10/2010 B:15:53AM Page 2 of 3 ; ~ ",I \ SP:I~NG..F.IE:iJ.D.- ~"l"_. ~ ,;,,, ."'''' ~ Vfji;1 . ~"~\. '(;"iUGON www.ci.springfield.or.us PROJECT STATUS: Issued 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00272 IVR Number: 811174105330 " ' ,"'f ". ) ... ~, ) 'J ISSUED:"9/10/10'.'t . ~':'" -, ' , APPLIED: 9/10/10 permitcenler@cLspringfield.or.us EXPIRES: 3/8/2011 VALUE: $0.00 SITE ADDRESS: .3933 E ASSESOR'S PARCEL NO: PROJECT DESCRIPTION: Springfield Replace water service SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential hC'A' - ."'';', Department Inspection Initial Review Planning Review Public Works Review Structural Review Application Acceptance Permit Issuance Received 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 00<$~~i;~"}':3;;;;2~:"~ZW~~rEffL!iQR~We'W~~4'-3:~~~-b,: /r:::' ,:.,:: -".j t.,- Comolettf'> "Result 09110/291.0.' In Process 09/10/2q10, Over the Counter 09/10/2010 Not Required 09/10/2010 Not Required 09/10/2010 Not Required 09/10/2010 Overlhe Counter 09/10/2010 Issued Reviewer Steve Graham David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowfsby ~. ~.,-" ~ ,"",. '-....0" ."" ~ Due Date 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 ~-.~."", .."".,"" "7.!iJi0",i"i_ '~'\, .:.<: , +21:;%/",;,'1.' ~-::---~ 1 Comments Inspection in process Over the counter permit Over the counter permit Over the counter permit Over the counter permit Inspections ,,; INSPECTIONS REQUIRED ~ 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" ~n'd ~I?~cirk p~rformed shall be done in accordance with the '" . ", ~,. ~ .. ..... "-,' ,. ." Ordinances of the City of Springfield and the Laws of the ~tate_ or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without perl-Ai~s16n of the Cofnmunity Services Division, Building Safety. I further certify that only contractors and employees who are in C~~'Rliance 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 ,1ZJ-riL Owner or Contractor Signature Springfield Building Permit - 1- (0- / () . ,'-- ~ ($tY' ' iQL~. - ,-\J1fJ ' :~\I,~\,.pate~ . r' :'"" :~' B.hj'y'i.~ ,."F'r(;,.;' :,:CilO :.1 -f" i' ,- , , " , , , ; l~: ;'. ~j:P~~;t! ,.11' '. '.~.~~: .' j! . ,I :r;',~ '1, (.,1 9/10/2010 8:15:53AM ~',:O"" I " ~ . ii ;:'~~.~ :>;'L""~'~,,~.' Page3of3 . . . .. , , - .i " ;.; ." . '.' ~~; :~~' , - . , , :; , CITY OF SPRINGFIELD 225 Fifth S1 Springfield,OR 97477 541-726-3753 www.cl.springfield.or.us TRANSAcTION RECEIPT 811-SPR2010-00272 3933 E ST permitcenter@ci.springfield.or.us RECORD NO: SII-SPR20IO-00272 DATE: 09/10/2010 ,,~;~~#*' ;\.~:. ;.~'j;:~>J;~::~~~_~~ '~:~G.~LbJj NJ:CJjOE~~f::G-"... :t~. ~~MO~u_~j~p_~ E', ,~.!.t~,"5kL 224-00000-425603 $76.00 .. 100-00000-425605 $3.80 . 821-00000-215004 $9.12 TOTAL DUE: $88.92 I' F'AYMENT.TY:RE'.; ';'F'A\'<iR:~r:7'CASHIER'DBQVV,SBy;t'i1ce:;G.QMIIIIENIcS;'::-","" . ;\,~..(.~;.~ i;ttAM0UNTF'Am'- - RECEIPT NO: 20 I 0000294 \0' E SC'R' 'IriT--IO'N")""'~', - "!.;:l,.iX'''"'' r" ~ ,~-,,,-,,,, ____''..."'',,'''''.''.'.... . Water Line Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees)" - ,-, '. . ",;, ~ Credit Card 03631z petersen plumbing $88.92 $88.92 ._,';:'; ." . r U" !." ..fJ .".> ')', ". "r. . .~, ;. 'I ~":'. ~ c. "