HomeMy WebLinkAboutPermit Plumbing 2010-9-16
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00314
,
"
IVR Number: 811148693169
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: 9/16/10
APPLIED: 9/16/10
EXPIRES: 3/15/2011
VALUE: $0.00
SITE ADDRESS: 77528TH
ASSESOR'S PARCEL NO:
Springfield
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace ~f water line
OWNER:
ADDRESS:
MURPHY KEVIN E
775 N 28TH ST SPACE 003
SPRINGFIELD OR 97477
Phone Number:
Contractor Type
Contractor Name
CONTRAcToR INFORMATION ~
Lie Type
Lie No
lie Exp
Phone
BUilDING INFORMATION ~
# of Bedrooms:
Hazmat:
Lot Size:
Sq Ft 1st Floor:
Sq Fl2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Fl Carport:
Sq Ft Other:
Occupancy Load:
o
# of Stories:
I Height of Stru~ture:
Type of Heat: I
Water Type:
Range Type:
# of Units:
Sprinkled Building:
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Electrical Sp'ecialty Code Edition:
Springfield Fi~~ Code Edition:
Mechanical Sp1ecialty Code Edition:
Municipal I De~elopment Code: .
Plumbing Spe~ialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Site Information
~
Fire Alarms:
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:CE
I~U" :
THIS PERMIT SHALL EXPIRE IF THE WORK
"UTHORIZED UNDER THIS PERMIT IS NOT
oOMMENCED OR IS ABANDONED FOR
ANY 180DAY PERIOD. .
ATTENTION: Oregonlaw requires youto
foilow rules. adopt9d by the Oregon Utility
Notification Center. Those ruies are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
cailing the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344),
Springfield Building Permit
9/16/2010 1:43:21PM
Page 1 of 3
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':;~ OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
,
PERMIT NO: 811-S~R2010-00314
IVR Number: 811148693169
permilcenter@ci.springfield.or.us
PROJECT STATUS: Issued
"
ISSUED: 9/16/10
"
APPLIED: 9/16/10
EXPIRES: 3/15/2011
VALUE: $0_00
SITE ADDRESS: 775 28TH
ASSESOR'S PARCEL NO:
Springfield
SCOPE: Plumbing Only
WORK INVOLVED: New
; TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace of water line
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION
'I
Overlay Dist: I
# Street Trees Reqd:
Paved Drive Re~d:
% of Lot Coverage:
Highest point on structl.(re to
north property line: II
~
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IM~ROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valua~ion Description
~
DescriDtion
Tvpe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
,
L:':~~~~.~"':~:--~~~J:;iI.;,,: - -':~~ii22~~:,-~-~~~"J:~~E~gS:e~_Q.:~~~~:~7.1,;;;'~:~~i -~f~;:i~~~A:,'t"li;~Ii:::z::'~j ,:;':~,rJ m~:;: '--~~:2~-:;-;'-"]
Description
Water Line
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
09/16/2010
09/16/2010
09/16/2010
Receipt #
374323
374323
374323
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www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SRR2010-00314
IVR Number: 811148693169
,
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitce nter@ci .springfield. or. u s
PROJECT STATUS: Issued
,
ISSUED: 9/16/10
APPLIED: 9/16/10
I
EXPIRES: 3/15/2011
VALUE: $0.00
SITE ADDRESS: 77528TH
ASSESOR'S PARCEL NO:
Springfield
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace of water line
INSPECTIONS REQUIRED I
Inspections
3315 Water Line
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 ~ith ORS 701.005 wjll 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." .~
~<:::'-~ /t~~ 9~/{"- /0
Owner or Contractor Signature Date
Springfield Building Permit
9f16f2010 1:43:21PM
Page 3 of 3
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'oct ~E~ON
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TRANSACTION RECEIPT
811-SPR2d10-00314
775 28TH Sif SPACE 2
CITY OF SPRINGFIELD
225 Fifth $1
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
. permilce nter@ci,springfield.or.us
RECEIPT NO: 2010000335
RECORD NO: 811-SPR20 I 0-003 I 4
DATE: 09/16/2010
1.';!<":~1':-';-~;;~'*:f:.~,;fi"_' <'~\~c;: ~;?p/ff'i~~~l::::I::;j ;;J?~,CJ:;_Q.trNJicpl~fE;;i"+f;~,~"~" ':~NlO)JNttHj,J;' ,_~ "~ _."<
, 224-00000-425603 $76.00
100-00000-425605 $3.80
821-00000-215004 $9.12
:i TOTAL DUE: $88.92
L..::eAVMI;NT WRE. :'~,',@Y.QB~";'CASHIE~,:BMACHADOi ;;;,:c:.oMJii];liII(S~' !"tJ,~'~! :0;C:;;;;,:,:; ,AMOU NT PAID",
iI
[DESCRIPTION;' .;,.,-,;:
Water Line
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
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Credit Card
025565
SANDRA MURPHY
$88.92
$88.92