HomeMy WebLinkAboutPermit Plumbing 2010-9-20
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00337
IVR Number: 811112548089
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
ISSUED: 9/20/10
APPLIED: 9/20/10
EXPIRES: 3/19/2011
VALUE: $0.00
SITE ADDRESS: 1716 CARTER Springfield
ASSESOR'S PARCEL NO: 1703253215400
SCOPE: Plumbing Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace approx 751f sanitary sewer
,OWNER:
ADDRESS:
COWAN MARVIN D & JANET M
1716 CARTER IN '
SPRINGFIELD OR 97477
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lic Type
lic No
lic Exp
Phone
BUilDING INFORMATION ~
# of Units:
o
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq FI Garage:
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
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Rel1\fTllRequil:'Jdl. 0
f 1/ .:;", ". regon law requires you to
N Or~w rules adopted by the Oregon Utility
. 0 Ilcatlon Center. Those rules are set forth
In OAR 952-001-001 0 through OAR 952-001-
0090., You may obtain copies of the rules b
, calling the center. (Note: the telephone y
number for the Oregon Utility Notification
Center IS 1-800-332-2344).
NOTICE:",:,.,...,
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
C~MMENCED OR IS ABANDONED FOR '
ANY 180 DAY PERIOD. "
Springfield Building Permit
9/20/2010 8:19:52AM
Page 1 of 3
www.cLspringfield.or.Us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00337
IVR Number: 811112548089
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
ISSUED: 9/20/10
APPLIED: 9/20/10
EXPIRES: 3/19/2011
VALUE: $0.00
SITE ADDRESS: 1716 CARTER Springfield
AssEsOR's PARCEL NO: 1703253215400
SCOPE: Plumbing Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace approx 751f sanitary sewer
DEVELOPMENT INFORMATION ~
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 property line:
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains;
Valuation Description
~
DescriDtion
TVDe of Construction
Unit Amount Unit Tvoe
UllitCost
Value
Descriotion
Sanitary sewer
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
Total Amount Paid
Amount Paid
$76.00
$3.80
$9.12
$88.92
Date Paid
09/20/2010
09/20/2010
09/20/2010
Receiot #
374345
374345
374345
~i'0.~"~."~ ,~:~~ ".~ .'~0~~'_,.{_$.~,:~~:. r!?'tt.:~.,~~~p:,.:-_, :-,:~,_~: t~ .~~;-i~:2ef~]:RJt'i-~_~li;+~J~::- ". "r~:~~;~;:",{'c4f r ~~:. ~""1. :~~:;{if .~~~ ;o.t<...~. ~ ~, '~"---.1
DeDartment Received Due Date Comolete Result Reviewer Comments
Application Acceptance 09/20/2010 09/20/2010 09/20/2010 Over the Counter David Bowlsby
Initial Review 09/20/2010 09/20/2010 09/20/2010 Over the Counter David Bowlsby Over the counter permit
Planning Review 09/20/2010 09/20/2010 09/20/2010 Not Required David Bowlsby Over the counter permit
Public Works Review 09/20/2010 09/20/2010 09/20/2010 Not Required David Bowlsby Over the counter permit
Structural Review 09/20/2010 09/20/2010 09/20/2010 Not Required David Bowlsby Over the counter permit
Permi11ssuance 09/20/2010 09/20/2010 09/20/2010 Issued David Bowlsby
Springfield Building Permit 9/20/2010 8:19:52AM Page 2 of3
wWW.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00337
IVR Number: 811112548089
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
5PRINGfIE. l~ .
J\'l.-~ ~
.. ,~,
OREGOH
permilcenter@cLspringfield.or.us
PROJECT STATUS: Issued
ISSUED: 9/20/10
APPLIED: 9/20/10
EXPIRES: 3/19/2011
VALUE: $0.00
SITE ADDRESS: 1716 CARTER Springfield
ASSESOR'S PARCEL NO: 1703253215400
SCOPE: Plumbing Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace approx 751f sanitary sewer
INSPECTIONS REQUIRED I
Inspections
3200 Sanitary Sewer
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 an-d 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 a'nd 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
construction,
9Jk~C~
<7 ):20 );D
Owner or Contractor Signature
Date
Springfield Buil~ing Permit
9/20/2010 8:19:52AM
Page 3 of3
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~"'~. OREGON
TRANSACTION RECEIPT
811-SPR2010-00337
1716 CARTER LN
www.ci.springfield.or.us
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
RECEIPT NO: 2010000352
RECORD NO: 81 I-SPR2010-00337
permitcenter@ci,springfield.or.us
+1" ,
lQi;:SCI3LPTIQNt-; "<:,,, '
~anitary sewer
Technology fee (5% of permit lotal)
State of Oregon Surcharge (12% of applicable fees)
, :, J;GC~6:lti'JT~C_QPE." ~ : ""
224-00000-425603
100-00000.425605
821-00000-215004
TOTAL DUE:
"".'c1'_;c
LEA YMENT TYPE -' PAYOR p. - CASHJ~R' iijjOWLffjjv.:;..~;: CpMJ;'1!:NIS' ~:' .'~ '. .
~', '~.'ii0,+0cr,
".",,'~;
Credit Card
134962
COWAN MARVIN D & JANET M
DATE: 09/20/2010
,~MOJ,l.tIT DlJg ,
$76.00
$3.80
$9.12
$88.92
:AMQ\,!NT'J'AJD'
$88.92
$88.92