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Home My WebLink AboutPermit Plumbing 2010-8-19 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-00968 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 5P."R. ~NG._.FIE~ ~.'L.~. T~~:--"~ ~-"~~~OREGON permitcenter@ci.springfield.or.us I,VR Number: i" ;'.;:.:,y. PROJECT STATUS: Issued ISSUED: 8/19/10 '~'"~"'" .- APPLIED: 7/21/10 EXPIRES: 2/14/2011 VALUE: $0.00 SITE ADDRESS: 3597 CHEROKEE DR Springfield ASSESOR'S PARCEL NO: 1802061201600 SCOPE: PLM WORK INVOLVED: NEW TYPE OF STRUCTURE:. PROJECT DESCRIPTION: Cherokee LID sewer hook up OWNER: Phone Number: ADDRESS: Contractor Type Contractor Name CONTRACTOR INFORMATION I Lie Type Lie No Lie Exp Phone BUILDING INFORMATION I # of Bedrooms: Haz,;;;,t;fY, , "~'J" r " , , 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 Units: # of Stories: I Height of Structure: Type of Heat: . 11:,," ,,',J.;,l... .. Water,:rype:.,__ :.,c:,,'_, :.'- ".:1 Range~Ty~e:: ')i'i.~_. ,.;~, Sprinkled Building: Fire Alarms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code ~dition: Residential Specialty Code'E.dition; Structu~~1 S~e:cia!tr ~.:.~,~~ .~~ition: .~, ...;.,,!,.~~~< Si~~ .1~fotiilMi.on I Energy Path: Engineered Fill.:......: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: . ATTENTION: Oregon law requires you to Solis Report ReqUlre~ollow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through O~R 8S:?,,001. 0090. You may obtain copieS'd~.tI\er8Ies by" calling the center. (Note: thi!::\lf)ephq~e number for the Oregon Utili!y,;t)j,otific'iltign Center is 1'800-332-4'~4").' . ~,;.o.J.~/' '1it{<-'.l<""~'t"--':i;..",: ".,. '~, NOTICE: """,'''"l/C''.,i';'',Ii.",,,,1,, '0:'" THIS PERMIT SHALL EXPIRE IF THE WORK ,~~ AUTHORIZED UNDER THIS PERMIT IS NO:"t'; COMMENCED OR IS ABANDONED FOR i\'>> _..I'".t'.... ANY 180 DAY PERIOD. "'"F,e":;,'''''''!' ~ Springfield Building Permit 8/19/2010 10:46:29AM Page 1 of 3 www.ci.springfield.or.us CITY OF:~S~RIN,G'F>IELD : :f_:.~ " :", -. ',: .: ,y~;~!, I Buildiri~:/~~eslderitial Permit PERMIT NO: COM2010-00968 IVR Number: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 S~:~HG~EL~ ~,~ ~~OReGON permitcenler@ci,springfield.or.us PROJECT STATUS: Issued ISSUED: 8/19/10 APPLIED,: 7/21/10 ';'," EXPIRES: 2/14/2011 VALUE:.$O.OO ",:,'{.:.,,' SITE ADDRESS: 3597 CHEROKEE DR Springfield.' Ile..,f ASSESOR'S PARCEL NO: 1802061201600 ' ;':' ~ : :\~;~ :1 SCOPE: PLM " :.",' WORK INVOLVED: NEW TYPE OF STRUCTURE: ',"r PROJECT DESCRIPTION: Cherokee LID sewer hook up DEVELOPMENT INFORMA TION ~ 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 r.;., ~ ~, . , .. ,r::t'~ t'~ : ~,.: \" northpropertyl~ne:w~. ':;.."":""':'~'~ .' . .' :,,,::..i,.l,~ ".':", ~,:.':.;';,~ . , REQUIRED PARKING Total: Handicapped: Compact: , , PU'BLic IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Special Instructon: Subdivision Accepted: Notes: Sidewalk Type: RES Downspout/Drains: ,~ .' ,.l~'f.;r. ':ld" ;:r::~r.;. '''', ~ .',/ : ;,~I-1 ~, " \' Valuation Description I Descrietion Tvee of Construction Unit Amount Unit Tvee Unit Cost Value r:.. _ ;fT:- 0', . .'~ -:o_.~::t::::~:~~~;~~~"_; ~ ;;,:~,2htf~ttFe'g$"igAJ_p':~~;j:~\.~~~~:-, -,,':.j.'-;,~ "~~:, ,.,< " "'4 ' .41tr,d ,': -~ ': ' .', '. '1 ..J DescriDtion Sanitary or Storm Sewer Cap + 12% State Surcharge + 5% Technology Fee Sanitary Sewer - 1st 100 Feet ,- ',.:;~, \.. :"~'~r/~.J"; :"AmountPaid~., ' .j,';~, .. .' $58.00:~ ,I ;-" ~1~:96 ,$6.70 $76.00 $156,78 ,r, Date Paid 08/19/2010 08/19/2010 08/19/2010 08/19/2010 Receiet # 299262 299262 299262 299262 Total Amount Paid ,~' -"'~0__ L,'" : ....., 'tv- ,,",\. DeDartment Permit Issuance ;.:~,~ ::'~~:fr<<;:,;j,~ ~->~i>/::Yy;X~-'- ~," .,ti?'?:;:~;';";" Plar{Revievi'-~ f'+ 's Received Due Date ComDlete Result 08/19/2010 08/19/2010 08/19/2010 Issued "'..." 1\.~ , "'~ r .....' r~ ";'~';Z',,','- . "ij'''z.,'" .~~ :.i:i.\..~--':J:::':"~:~;'~~;~^,_~2:" --"~q _ ~t< ..-:...__ 0... Reviewer David Bowlsby Comments " "(', ...,,~_...... '."', -.... " J:y_?" . 'i':l~"r'~ ),', 1 : " '~ Springfield Building Permit ':}.:; 8/19/201'0' 10:46:29AM Page 2 of3 .J ~.o~i~~~5." <}~~(l!' " ,. www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-00968 IY~ Number:, 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SPRING.F.I EL~ ~,i~~. < ~ '""""':'.o.~-. .>'.}'.. 'OREGON permitcenter@ci.springfield.or.us PROJECT STATUS: Issued .~, . ',. ':~,' ISSUED: 8/1~/10n : ~, , ,', , . . ' Agp'L:IEp: 7/211101 ,. , ' EXPIRES: 2/14/2011 VALUE: $0,00 SITE ADDRESS: 3597 CHEROKEE DR Springfield ASSESOR'S PARCEL NO: 1802061201600 SCOPE: PLM WORK INVOLVED: NEW TYPE OF STRUCTURE: PROJECT DESCRIPTION: Cherokee LID sewer hook up INSPECTIONS REQUIRED ~ Inspections .. '4/J_ -'~ ' 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 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 en'sure 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. /:J/yr! t:; 0U?A-:~~ ,j; :'_: OwnerL'Or'Contractor Signature .',,?:Jf!~:)""~ ,;~f;po ,'.':~~ip~~f' ". . ."~i:; '",~-.~ .':=-~!Lf}.t , .. ,. '~(;:]e'd ' '''i " " '. ;;:"".~-" : f.: ' ..::.;t i;l~~- i " , .' ,n L r~' ~~;.~/?;.~, Springfield Building Permit 8/19/2010 10:46:29AM Page 3 of 3 , - ' S;);~N~E;iJ. ' ~. ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 www.cLspringfield.or.us \'t';'\irl'"i ._~. i;"J' ;t~." ,J . ., ,'- permitcenler@cLspringfield.or.us WES:~I'lIPTlot<!;'., " .' Sanitary or Storm Sewer C:,:;:r: + 12% State Surcharge + 5% Technology Fee Sanitary Sewer - 15t 100 Feet RECORD NO(:<::OM2010-00968 DATE; 08/19/2010 .%f '.' ":'~:;:' .~" ,'I:, c:ACCOUNT~CO[lI;J';'~;',:':;AMOUNTcDUE':~L,'-_;":J 224-00000-425603 $58.00 821-00000-215004 $16.08 1 00-00000-425605 $6.70 224-00000-425603 $76.00 TOTAL DUE: $156.78 illAYOR; 0:'CASHIER;;CMCEACHER:~':~;C_0I'v1MEI.jIS'~~;J;;:'rs 'ii.; -. _ ;!{"'..t-'AM.Q.Ut..rt;P!\lD0. . .",. CHRISTIANSON GARYW $156.78 RECEIPT NO: 2010000085 f.:-.PAYMENTsTYPE: S. Credit Card 035954 I ;,. 'l . .~ 'I'. ~ ~~.~~. ,..ii'} :~f~ ......., . ,-.. .u__ _'"_.."_._. Qt'.["T" ,.-' . '.~_:; :j~::'~~-~'. , --..."- . ,";;', -;....'.. . ,', :_~.::;. . f.>; ~~.~.. ,'~' ;. . ~