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HomeMy WebLinkAboutPermit Plumbing 2010-10-14 . .. Sr~~N... ~.~ ~~ ~OREGOH CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00517 IVR Number: 811151525539 www.ci.springfield.or.us 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: In Review STATUS DATE: 10/14/2010 ISSUED: APPLIED: 10/14/10 EXPIRES: 4/12/2011 VALUE: $0.00 SITE ADDRESS: 3571 CHEROKEE DR, Springfield, OR 97478-6345 ASSESOR'S PARCEL NO: 1802062105000 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Hooking up to new sewer system decommisioning septic system Phone Number: OWNER: ADDRESS: RAMIREZ GLENN D JR 3571 CHEROKEE DR SPRINGFIELD OR 97478 CONTRACTOR INFORMATION ~ Contractor Type Plumbing Contractor Contractor Name ROYAL FLUSH PLUMBING CO Lie Type CCB BUILDING INFORMATION ~ # of Units: o # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # 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 Report Requir, , ATTENTION: Oregon law requires you to fol!ow 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 by calling the center. (Note: the telephone number for the Oregon Utility Notific.atio.m Center is 1-800-332-2344). Springfield Building Permit 10/14f201 11:56:21AM Lic No 181482 Lic Exp 04/30/2012 Phone 503.657.3919 , Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: 200B ~ NOTICE: THIS PERMIT SHAl.l EXPIRE IF THE WORK !'-.UTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 of 3 .. '. www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00517 IVR Number: 811151525539 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 S~~~N. ~ ~IE~ ~".&.<- . \tw . . OREGON permilcenter@ci,springfield.or.us PROJECT STATUS: In Review STATUS DATE: 10/14/2010 ISSUED: APPLIED: 10/14/10 EXPIRES: 4/12/2011 VALUE: $0.00 SITE ADDRESS: 3571 CHEROKEE DR, Springfield, OR 97478-6345 ASSESOR'S PARCEL NO: 1802062105000 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Hooking up to new sewer system decommisioning septic system I DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Oist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value I ~ .. ., 's. ~EI:.S P~!P ~""_ 0 '0. .. ~...-~ -- .- 'I '" -., - - .' DescriDtion Amount Paid Date Paid ReceiDt # . Sanitary sewer $76.00 10/14/2010 374603 . Sewer cap/septic tank demolition $58.00 10/14/2010 374603 State of Oregon Surcharge (12% of applicable fees) $16.08 10/14/2010 374603 Technology fee (5% of permit total) $6.70 10/14/2010 374603 Total Amount Paid $156.78 Springfield Building Permit 10/14/201 11:56:21AM Page 2 of 3 .-. . www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00517 IVR Number: 811151525539 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 5P~~NG,~.,FIE~ ~.,'"... 't:.~jl ~.,,\ OREGON permitcenter@ci,springfield.or.us PROJECT STATUS: In Review STATUS DATE: 10/14/2010 ISSUED: APPLIED: 10/14/10 EXPIRES: 4/12/2011 VALUE: $0.00 SITE ADDRESS: 3571 CHEROKEE'DR, Springfield, OR 97478-6345 ASSESOR'S PARCEL NO: 1802062105000 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Hooking up to new sewer system decommisioning septic system ~~'::''''';.~,' : _.~",':::~~:~ h,'0f;>h,i~ h,..,~:;. ..~;:0t:ie~;'_~<;'k".Pla~~~~i~;;J\:~-&:<~~:~_;:~:~:2;r~:~7~~~~'''-!;'' f+ ~q;:-, "7[..- ., 1 Department Received Due Date Comoleted Result Reviewer Application Acceptance 10/14/2010 10/14/2010 10/14/2010 Over the Counter Clayton McEachern Comments: Initial Review 10/14/2010 10/14/2010 10/14/2010 Over the Counter Clayton McEachern Comments: Over the counter permit Structural Review 10/14/2010 10/14/2010 10/14/2010 Not Required Clayton McEachern Comments: Over the counter permit Public Works R~view 10/14/2010 10/14/2010 10/14/2010 Not Required Clayton McEachern Comments: Over the counter permit Planning Review 10/14/2010 10/14/2010 10/14/2010 Not Required Clayton McEachern Comments: Over the counter permit INSPECTIONS REQUIRED ~ Inspections 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 1 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. 1 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 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. Owner or Contractor Signature Date Springfield Buiiding Permit 10/14/201 11:56:21AM Page 3 of3 www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2010-00517 3571 CHEROKEE DR CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541-726-3753 permilcenter@ci.springfield.or.us RECEII'T NO: 2010000576 DATE: 10/14/2010 "':cc," ':::'A'MO,'U'N'f,'D UE""~ ~',' ~ ~_~""","""_'''_'h~'__"__",, ' J $76.00 $58.00 $16.08 $6.70 $156.78 AMOUNl'PAID; , RECORD NO: 8 I I-SPR20 I 0-005 I 7 ~;:~:?Jp:5:f-l- -~~::"~; L~/;~s2f~::~jC~,;,~"C~C:.o),tijJj;J~'[iE-::'" 224-00000-425603 224-00000-425603 821-00000-215004 1 00-00000-425605 TOTAL DUE: PAY;O'R71:0>-;CAs'HIER:.CMCE,/:,c8ER,..'::COIY!M!flfis';;J. "-'-:J0:.,'. "-.. IO'E'SC'RIPTIO"N' Co .':';if, ".,': ~ ' ,"-" <:,- '- -~- ''"'~''t Sanitary sewer Sewer cap/septic tank demolition State of Oregon Surcharge (12% of applicable fees) !echnolo.~y fee (5% of permit total) b, PA YMENT':rXPE'/': Credit Card 485128 Glenn Ramirez -j $156.78 $156.78