HomeMy WebLinkAboutPermit Plumbing 2010-9-13
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00288
IVR Numbe~:8111.31290720
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www.ci.springfield.or.us
PROJECT STATUS: Issued
ISSUEO':'9/13/1'O' .
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APPL!~D: 9113/'10
EXPIRES: 3/1112011
VALUE: $0.00
225 Fifth St
Springfield,OR 97477
Phone: 541-726.3753
Inspection Phone: 541.726.3769
Fax: 541.726.3676
permitcenler@cLspringfield,or.us
SITE ADDRESS: 9046TH
ASSESOR'S PARCEL NO:
Springfield
1703352101100
SCOPE: Plumbing Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
50 feet of new sewer line
Phone Number:
OWNER:
ADDRESS:
MULKINS JOSIE E
904 6TH ST
SPRINGFIELD OR 97477
CONTRACTOR 'INFORMATION ~
Contractor Type
Contractor Name
Lic Type
Lie No
Lic Exp
Phone
NOTICE: RE IF THE WORK
TH\S PERMIT SHAl~ ~~~ PERMIT IS NOT
AUTHORIZED UNRDE\S ABANDONED FOR
COMMENCED 0
I,NY 180 DAY PERIOD,
BUILDING INFORMA TION ~
# of Units:
o
# of Stories:
I Height of Structure:
Type of,Heat: . '
Wat~~ityPe:r;.'~~ ~t,~;~.~:-~;.
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Rang~(Fype: "l;l~'.
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# 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:
Structu~al S~ecia~!r ~,~d,e, Edition:
Energy Path:
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'..' ..;;,'~,..;.'\'I"I:' r, Site,'I!lfor,mation
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
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Springfield Building Permit
9J13J2010 2:20:22PM.
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Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occu,Rancy Load:
ArTt:NTION' Or I
follow rules' egon aw requires you to
Notification c:~f~te1h by the Oregon Utility
in OAR 952.001.00'10 tlose rules are set forth
0090. You ma . lrough OAR 952,001-
calling the c~~~~~I(~~ieiet~~ft~~:~~~enS by
numbe~for the Oregon Utility Notificatioen
enter IS 1.800.332.2344).
Page 1 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Res.idential 'Permit
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PERMIT NO: 8t1-SPR2010,-00288
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IVR Number: 811131290720
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
PROJECT STATUS: Issued
ISSUED: 9/13/10
APPLIED: 9/13/10
EXPIRES: 3/11/2011
VALUE: $0.00
SITE ADDRESS: 9046TH
ASSES OR'S PARCEL NO:
Springfield
1703352101100
SCOPE: Plumbing Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
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PROJECT DESCRIPTION:
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50 feet of new sewer line ',' .
DEVE~bpME"HINFORMATION ~
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REQUIRED PARKING
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 properlY line:
Total:
Handicapped:
Compact:
"
PUBlic IMPROVEMENTS ~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
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Sidewalk Type:
Downspout/Drains:
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Description
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value-
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Amount Paid Date Paid
$76.00 09/13/2010
$3.80.., 09/13/2010
$9.12 09/13/2010
. '$88:'92':
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Receiot #
374296
374296
374296
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DescriDtion
Sanitary sewer
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
Total Amount Paid
Deoartment
Permit Issuance
Application Acceptance
Initial Review
Planning Review
Public Works Review
Structural Review
Received Due Date Comolete Result Reviewer Comments
09/13/2010 09/13/2010 09/13/2010 Issued Nancy Machado
09/13/2010 09/13/2010 09/13/2010 Over the Counter Nancy Machado
09/13/2010 09/13/2010 09/13/2010 Over the Counter Nancy Machado
09/13/2010 09/13/2010 09/13/2010 Not Required Nancy Machado
09/13/2010 09/13/2010 09/13/2010 Not Required Nancy Machado
09/13/2010 09/13/2010 09/13/2010 Not Required Nancy Machado
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
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Springfield Building Permit
,,9{13/2010 2:20:22PM
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Page 2 0/3
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225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.u5
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00288
IVR Number: 811131290720
permitcenler@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 9/13/10
APPLIED: 9/13/10;::'
. EXPIRES: 3/11/2011
. VALUE: $0.00
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SITE ADDRESS: 904 6TH
ASSES OR'S PARCEL NO:
Springfield
1703352101100
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" SCOPE: Plumbing Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
50 feet of new sewer line
INSPECTIONS REQUIRED ~
Inspections
3200 Sanitary Sewer
.....
By signature, i state and agree, that I have carefully exam;n~d.'lhe.cpmpleted application and do hereby certify that all
information hereon IS true and correct, and I further certify~,ttia,~:any:~nCt:all work performed 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 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 requjred 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 wjJJ remain on the site at all times during
construction.
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...9/10/1 ()
. Date'
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Springfield Building Permit
9/13/2010 2:20:22PM
Page 3 of3
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00288
904',;;:'6Th: ST' .
CITY OF SPRINGFIELD
225 Fifth 8t
Springfield, OR 97477
541-726-3753
permitcenler@ci.springfield.or.us
RECEIPT NO, 2010000310
fDES(RIPTIONf?Ji#"TJrJ:~;;;~::r ,.c"
Sanitary sewer
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
RECORD NO: 81 I-SPR20IO.00288
DATE, 09/13/2010
LlPAYMENT TYPE. :SL I"p."yp'~.,
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224-00000-425603 $76.00
100-00000-425605 $3.80
821.00000-215004 $9.12
TOTAL DUE, $88.92
CASHIER::NMACH":!2~;;;Ic:.b.r/1J0i;/.IIS~ .'>.::.-; .;r-""'JANlOUNT PAID' .
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Credit Card
388798
MULKINS JOSIE E
$88.92
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$88.92
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