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Home My WebLink AboutPermit Plumbing 2010-8-20 SP.R...I..N.GF IE,~,D, ~; is'fti ~ '". ~,,",. \: OREGON " II.. , CITY OF SPRINGFIELD ii", " Building LResidential Permit ,', "'':0'"" 'I " PERMIT NO:' 811-S~R2010-00104 'I IVR Number: 811135709280 www.cLspringfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726-3769 Fax: 541.726.3676 permitcenter@d,springfield.or.us PROJECT STATUS: Issued II ISSUED: 8/20/10 , APPLIED: 8/20/10 EXPIRES: 2/15/2011 VALUE: $0.00 II SITE ADDRESS: 3790 CHEROKEE Springfield, ,.. ',",,' , SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1802061101600 :~';,€ A::;.(~':' 'WORK INVOLVED: New :~:l,ijt: '!i>rY'PE OF STRUCTURE: Residential ;<,'.' ,I~';,'l;" , PROJECT DESCRIPTION: Installing private sewer line and ~ecommissioning septic tank OWNER: ADDRESS: ROSEBORO WYNEMA D TE 3790 CHEROKEE DR SPRINGFIELD OR 97478 Phone Number: . CONTRACTOR INFORMATION' Contractor Type Contractor Name ROYAL FLUSH ENVIRONMENTAL SERVI~ES INC Lie Type CCB # of Units: BUILDING iNFORMA1'lON' , ....h t ~.Jl .\'~~:~r ;,t:~r~iL ,I #,01 Stories: " I Height 9f'Structur.; -, I' Type of Heat: ' Water Type: Range Type: Hazmat: o # of Bedrooms: :i' Sprinkled Building: .... ~~:ii~: ~ :'.1~ -~hi"':;<-' ~;' d:' ~ . Electrical Specialty' Code,Edilion: .. ..~. ~- "{ ..,-', ",' .' Springfi'eli::t Fir~C'6de Edition: - .. -~_ It ,,,-. r Meeti~rucal SpecialtY Code Edition: ~. .'. MuniCipal I De'velopment Code: Plumbing Spebialty Code Edition: " Residential Specialty Code Edition: Structural Sp~cialty Code Edition: Fire Alanns: Energy Path: Site Intonnation Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Re ort,~Required' . ." ,', ,':'lq . P '.., -'" ,uN, Oregon law requiresy6U{o follow rules adopted by the Oregon Utility NotIfication Center, Those rules are set forth In OAR 952-001-0010 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). 1" .~ . '''.' '. I, :~,:' '1 . ~ .:\ .:.:,,"':'O.,~ ,';>1 '" ji. ,;; ?' ,:~ :.~~! Lic No 153694 Lic Exp 12/23/2011 Phone 541.895.2072 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: ~ NOTICE: _":;':i,';";;;::,,~c,'- THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT ~', COMMENCED OR IS ABANDONED FOR "1;,'- ANY 180 DAY PERIOD. "r ',' Springfield Building Permit ,', .'. ,I, .1"" ' .. ....:r:~';:. .! 11 ~ - ,;'j:' ,. - , ; '-"\~i:,f.h~iof2E'Y8~~{11:18\AiJ '. . ;!~imnt ,..it'S~O;., . '~}pJ~i: II' Page 1 of 3 ::;:...~.. :J,"L,:. ,,':\;;~~k\~:' \~\lt:\.;i~~~} {! Sf.RIHG..FIE.L:i]. ~'~4- .~ ,'^,", OREGON ,,' "1 " f,"."~-./. '" " ~; -. CITY o'F'SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us " " Building I Residential Permit :1 " PERMIT NO: 811-SPR2010-00104 , " IVR Number: 811135709280 il ' permilcenler@ci,springfield.or.us PROJECT STATUS: Issued , 'I ISSUED: 8/20/10 " APPLIED: 8/20/10' : ' .'i ~ !I L', :' " l,!.ip> ;1 SITE ADDRESS: 3790 CHEROKEE Springfield." . I , ASSESOR'S PARCEL NO: 1802061101600 I EXPIRES: 2/15/2011 " VALUE: $0.00 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: il " Installing private sewer line and ~ecommissioning septic tank DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay, .Q!~t:, '1\ ~'.' # StreetTreesReqd: ' Paved:Hri~e Re'!'~d:~'I. f ( ~,~!- ,:;, _Il.' f,;, ". % .of ~~~Eove.r:~S!~.:'~ - Highest pomt on~structure to "', 'I north property line: ' " , PUBLIC IMPROVEMENTS ~ REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: ,. I I, ,.' ,I ,," .~ .,"_ : ./'.. '::,.:, ......::., ,.::.t.. ,. :'" :~l,. "",.. .I Valu~tion Description ~ Descriotion TVDe of Construction D~~'"?:" ~ -,- ~7~ -_:y~ :~< -~;~-''7-::~C-r;L:.11~:' DescriDtion Sanitary sewer Sewer cap sac: Improvement Cost - Local Wastewater SDC: Administrative Fee - MWMC Regional Wastewater: SDC: Reimbursement Cost - Local Wastewater sac: Total Sewer Administration Fee SDC: Reimbursement Cost. MWMC Regional WastewatE SDC: Improvement Cost. MWMC Regional Wastewater ~ sac: Compliance Cost - MWMC Regional Wastewater SI Technology fee (5% of permit total) . .;,: ~" State of Oregon Surcharge (12% of applicable fees) ,,",' ,I' Total Amount Paid ;DlS .L "(';;i;jr~ 'i:l~:.~;l~~' f, ,,' -,;:::::::":~iZ:+::~ffflEES~g~ID;,:~r~ 1, ;,~"': ':;7+;~~_6~-~!f:~ :' ',_~~'t~" :~'$j::;-:':~',~JJ:r;:_=,. "-~--'':'J '~l~EAmou'nt Paid Date Paid Receiot# ,i $76.00 08/20/2010 299285 'I $58.00 08/20/2010 299285 .. $561.63 08/20/2010 299285 , $10.00 08/20/2010 299285 :: $939.08 08/20/2010 299285 :1 $148.44 06/20/2010 299285 : $101.97 08/2~2010 299285 $1,333.57 . 06/20/2010 299285 il$22.6:i~ 08/20/2010 299285 n~?O , 08/2~201O 299285 Ii $16.08 08/2012010 299285 $3,274.10 , 8/20/20,10 11:41:18AM Unit Amount Unit Tvoe Unit Cost Value Springfield Building Permit Page 2 of 3 :I '~'" ,L .. www.ci.springfield.or.us CITY OF SRRINGFIELD II Building I Resi,denthll Permit h..: PERMIT NO:81:i-S,~R,201 0-001 04 .'\..-:>"(. (.....-l'. . IVR NU'ril er: 8t1135709280 ","".;r~ ,~. ..':"'1;'ihl . ' i_'~ " if - ISSUED: 8/20/10 .1 APPLIED: 8/~0/10 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SP.,~IN.G.FIE. L~.. 'ii_ .J~ OREGON permitcenter@cLspringfield.or,us PROJECT STATUS: Issued EXPIRES: 2/15/2011 VALUE: $0.00 SITE ADDRESS: 3790 CHEROKEE Springfield ASSESOR'S PARCEL NO: 1802061101600 SCOPE: Plumbing Only WORK INVOLVED: New I TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Installing private sewer line and ~ecom"':lissioning septic tank t ~1 Deoartment Permit Issuance Application Acceptance Initial Review Planning Review Public Works Review Structural Review Received 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 Due Date 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 ~~~" . .-,~,':q,~",,f,_.;,\,~, ,~: t{::;+Y. -~",~T'T" '.~~Tf._.~_ -:r.~;;t'->lS',r'-r ,,,u -';>,.,;:1. ,,/'~I~l~_nlRevl.!!'Y';''?l'-rJ_,,~>>*_-r;''>,"J,,"~.lr_-; ,,- .'~V'L"'&p.,tJ' ., Comolete' Result Reviewer 08/20/20,10 Is'sued ; 1 David Bowfsby 08/20/2010~ o,verthe Counter David Bowlsby 08/20/2010 dver the Counter David Bowlsby , 08/20/2010 Not Required David Bowlsby 08/20/2010 N'ot Required David Bowlsby " 08/20/2010 N,ot Required David Bowlsby ..--~,j~ :.('] , ,." ~h>- 0L>" ";;c"p" Comments Over the counter permit Over the counter permit Over the counter permit Over the counter permit INSPECTIONS REQUIRED , Inspections 3200 Sanitary Sewer 7160 Sewer/Septic Cap (~13~t -:.~~ t~}'ih,.;itt'J~4e"i J ,-F ~jb3,J.'i.:.' 7170 Septic Tank Abandonment ,. '1""'---' By signature, I state and agree, that I have carefully exa~::~ the :~omPleted 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 ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the ~~~:;;7n's located at the frO,/!e ;;rty, and the aPi:~ove~ se.f ~:~Ia;ns ,r:1I remain on the site at all times durmg . ~#/k?M2'~>f~ i:";'~.~ j77xc:J-/t:J ~ / / ') 0'"" · Co""'~"'~7. ~ '" ".'(::';':()';'" Date ,,' J. . ",?'tS, -3r~F!'~iC 1; 1-_:_"':.. ,;....:.::__"';~ _, ~~i~~ ,:;~;I.~i ,~. ,~.'-.:: ,~ . ;< " Springfield Building Permit II 8/20/20,10 11:41:18AM Page 3 of 3 )'< .\, " .I II ,.".<;", -. SP~E~ ~ ~~EGON :_,l';t 7~~ .... :....,~!.},.._ '5r;. '.~.;,_ TRANSAcTioN :RECEI PT .;1 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541.726.3753 .':+~ www.ci.springfield.or.us permitcenter@cl.springfield.or.us RECORD NO: 811-SPR2010-00104 DATE: 08/20/2010 , ';t:',"":AACCOUNTj;,ODE'C;," ,~:. --:,~N1QtiN:t:Q\JE:. ;. .' " 224-00000-425603 $76,'00 224-00000-425603 $58,00 443-00000-448025 $561,63 -' 611-00000-426604 $10,00 " ',}'442-00000-448024 $9390~_ 719-00000-426604 $148.44 444-00000-448024 $101,97 445-00000-448025 $1,333.57 444-00000-426607 $22.63 100-00000-425605 $6.70 821-00000-215004 $16.08 TOTAL DUE: $3,274.10 r'-':"PAYMENT'tY~Eit~t,kRA~OR'-:J~~9AS:8TEfi:'Jf[{Q~~[Y12~cj:j"MMJ;~~IsJ~i:::i':::i~';~;~,;:n'~ ,t".."~ '1~\~~;3AM6UNT;PAID' /' ,,- Check ROSEBORO WYNEMA D TEiH,-, q,. ""'.'''' $327410 " ,(,7'0~' ; :1,''':-- \; , . ,/~\ ...... , ,',~:J,! ,"1 "'i'.; .1' RECEIPT NO: 2010000105 ,--';--"""'~ tDESCRIPTION:2X~'Y;;; ."... Sanitary sewer Sewer cap SDC: Improvement Cost - Local Wastewater SDC: Administrative Fee - MWMC Regional Wastewater soc,';i ,. SDC: Reimbursement Cost - Local Wastewater -, ',',;', : ';, " SDC: Total Sewer Administration Fee SDC: Reimbursement Cost - MWMC Regional Wastewater SDt SDC: Improvement Cost.- _MWMC Re_~ional Wastewater SDC II SDC: Compliance Cost - MWMC Regional Wastewater SDC Technol09Y fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) '~'f,:::;{;,2;'~~~ ,- "~ c;'5}ifj;i[~]ttf~~~:- ~-.. 5262 I}, ... !'; i" (I ~. > ~~'I ; i i'" , I'~\; '.," (':"':" '."2t?&'.:.' i~fp',(,~'iYJi;";t:,:;,; if' -~, ;;-:::"." r)i, : .' 1 r:''', ;. 'I ,)\.;2~", i !':}~\~ I ,-:. ~i ",,:,,"1 " ;.; ~"i . "~." ,,' I .:j