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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 sp..r;~ fIE~.~ ~L'.""" .....~ 'I:W ~"'~. 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