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Home My WebLink AboutPermit Plumbing 2010-8-19 .. .' www.cLspringfield.or.us ,""T' ,no ,", 'If CITY OF SPi,RINGFIELD . :1 Building I Residential Permit , . . II PERMIT NO: 811-S~R2010-00092 IVR Number: 811186983838 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 S.!,..,R..I..N GF IE. :iJ r!~:; .~" ...k .>,<....".mll.. . ,J,.>...~" OREGON permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ,I ISSUED: 8/19/10 i APPLIED: 8/19/10 . !I EXPIRES: 2/14/2011 VALUE: $0.00 SITE ADDRESS: 535 E ASSESOR'S PARCEL NO: Springfield 1703352405200 SCOPE: Plumbing Only WORK INVOLVED: Repair :1 TYPE OF STRUCTURE:.Residential iI PROJECT DESCRIPTION: Replace water line OWNER: ADDRESS: SVANEVIK lOVING TRUST 1932 PORTLAND ST KLAMATH FAllS OR 97601 Phone Number: :i. !, Contractor Type Contractor Name CONTRActOR INFORMATION ~ _.".:.... :..[:..-'",._,.. _ . Lie Type, Lic No Lic Exp Phone BOn:DIN<:fll,jFORMA TION ~ # of Units: o # of Stoiries: ,I I Height of Str~cture: !I Type of Heat: I: " Water Type: Range Type: 01 Hazmai: ~ # of Bedrooms: '1: lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: Sprinkled Building: " "... ", Engineered Fill: ::::::::.:_ ~::~:~" ::::..:....::w.. Fill Volume: .:,;;~~ ,~;::t:~:r--<t::Ii. I Flood Hazard Area: ~Jf:.c'0it-r r'l';-~i"~r ~ Land Hazar&lf:NTION: Oregon law requires youta I: Retaining lIIfatl\~w r~les adopted by the Oregon Utility Soils Rep#iRit/jUW"on Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090,. You may obtain copies of the rules by calling the center, (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344), ' Electrical Specialty Code Edition: Springfield Fi~e Code Edition: Mechanical Specially Code Edition: Municipal J De'velopment Code: " Plumbing Specially Code Edition: Residential S~ecialty Code Edition: Structural Sp~cially Code Edition: \1 ;.!,t:;.;" ~,i!eJ.f1for:n:aa.tion.; ~ ~ \. Fire Alarms: Energy Path: NOTICE: TH IS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT" COMMENCED OR IS ABANDONED FOR ;,;'.' ANY 180 DAY PERIOD. ~::s ~;'-'t:~:;,6; );~~.;~.~,~\'~' , , ..' ...". ,- " Springfield Building Permit ~:1 ,:~1.: It~8119/20';6 ;'1~;5:39AM Page 1 of 3 www.ci.springfield.oLus CITY OF SR,RINGFIELD I Building /iR~sidEmtial Permit ::':~::...- '-'::+~: :;>~,., -.' . PERMIT NO: o8.H:"SPR2010-00092 'n1.Lif,' ":)'f"f{.,. IVR Number: 811186983838 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfietd.or,us PROJECT STATUS: Issued ISSUED: 8/19/10 APPLIED: 8/~ 9/1 0 I EXPIRES: 2/14/2011 VALUE: $0.00 SITE ADDRESS: 535 E ASSESOR'S PARCEL NO: Springfield 1703352405200 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: -:' II Overlay Dist: " # Street Trees Reqd: " Paved Drive Re,qd: % of Lot Cover*ge: Highest point on structl!re to north property line: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: puetiC'iMPROiYEMENTS' . ~ ',1'~ ~ \ j'. ;...." ':' ~ "t,1.,::t~;tI; ,!~?_:ir~~.;,: \\..c,[,:" ~\'i~' .:. , ,1nr" Sidewalk Type: Downspout/Drains: " '0 ,.. '; :'Y-al!la.tiol:rO~~cription ~ 1<" '~.1:;:',~~ ~ .~, &.\' Descriotion Tvos of Construction Unit Amount Unit Tvoe Unit Cost Value f'ce, Description Water line Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid 'J!.< '.-.~ _.._'---'''-"~:}c}i: . >;;FEESf,iAID ::"-~~-'.-: :'<'-"~A(;:<~0+,;,-rl:i~:i i ~,~;,J.::-~- Amo-~t P~id Date Paid " $76.00 08/19/2010 ".;"._~j,$3.8,0..., 08/19/2010 ',;t~tIT:';f):'p.:~;~~::1;2 _r 1'/', 08/19/2010 \~:~:,.; ~~$'8r~2 r'... .'\ , ., _-:V:'1,~'~#i . ,~~~,,_ ''"~ '1 ReceiDt # 299265 299265 299265 ""C'I .::~ Over the counter permit Over the counter permit Over the counter permit Over the counter permit Springfield Building Permit Page 2 of 3 . :1 -- -.-. ~.."::~ """ "'I :'.;,"1' M!"l\ , , , ~-~" , ,,::!:,,~ll~'-'~' '. ~ ',,", H:~\'n,l; L"."',""":."=~' , ,,~ <" www.ci.springfield.or.us .. .. j, ,." CIl"'(, ~.~;~';IRI~GFIELD Building I Residential Permit I PERMIT NO: 811-S~R201 0-00092 I, IVR Number: 811186983838 ;.[ 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax. 541-726-3676 permilcenter@ci,springfield.or.us PROJECT STATUS: Issued " ISSUED: 8/19/10 APPU;D~.8!~.~/~.0:.. , !.'...n: "",t.. hi....,,, EXPIRES: 2/14/2011 .' VALUE: $0.00 SITE ADDRESS: 535 E ASSESOR'S PARCEL NO. Springfield 1703352405200 ~i:;::: ',:~r~~~tr~(.': .. ,,1 SCOPE: Plumbing Only 'Pb" . ,~"., WORK INVOLVED: Repair " I TYPE OF STRUCTURE. Residential :'j\,~ PROJECT DESCRIPTION: Replace water line INSPECTIONS. REQUIRED ~ Inspections 3315 Water line By signat~re, I state and agree, that 1 have carefully examined the i~ompleted application and do hereby certify that all information hereon is. true and correct, and I further certify that any:!and aWwork"performed shall be done in accordance with the Ordinances of th~ City of Springfield and the Laws of the St!?tefor ?r,egqn(p.E.::~aining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission 6qhe bon4munity Services Division, Building Safety. I further certify that only contractors and employees who are irf compliance1with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approve~ set of plans will remain on the site at all times during construction. ~ \~A~ f/11/16 Date l}~~f,: '~~ii}11~:: ,," . Owner or Contractor ?ignature .:1-;'; ~ . 1 t; . ". ! I',' '.' ,. ~f~' :"".-. ; ~ ~::~..;.)~(;~:~; ,.,j~,... ..,O~,:}\':::: .. . . )~~, :~~~~r;o;:' :: >. t~s'L~~;' < ;,t?~f: . Springfield Building Permit ,', I . ""'i8/19/20,~ 0 11 :25:39AM Page 3 of 3 .;. . SPRINGFIEL.;;) . - ""~ " ~EGON ,. TRANSACTION RECEIPT 'I CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541.726.3753 www.ci.springfield.or.us perm itcenter@ci,springfield.or.us RECEIPT NO: 2010000087 RECORD NO: SII-SPR2010-00092 .;1 DATE: 08/19/2010 ~DE$CRIR"[ONi!J%~\s2ili0-;;1;:$:$;:. ,~;;Tfv'T*~-J~jt:;;:~:-.Jt~;;x:;t.4:CC_Qi.JNJRC.QDE!: . AMO.UJ.iLo.UE: '" . 0- .....:.:.:..d Water Line " 224-00000-425603 $76.00 Technology fee (5% of permit total) 100-00000-425605 $3.80 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $9.12 TOTAL DUE: $88.92 "C.ONlMEN;J'S_~ ,'<de' ;k'I~0!- ;AMQ@li~!L~~_.:::J $88.92 Ue.A YMENT TYRE;..!.l".EAYOR",.' . CASHfER,OSOWLSBY,,' Cash SVANEVIK LOVING TRUST J '~','- :I{:,. i .'- .._. -", "':'JJ:"~i.i:)~'}( :',! ~ ;l .il'" .11: :?11 .i:: 8t: .::';~t~:)'jn"'\i' I' . .JI.......... '~i . , ~ I ,