HomeMy WebLinkAboutPermit Plumbing 2010-10-14
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~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
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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
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. . 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
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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~
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'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~~~~'''-!;''
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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""~ ~','
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$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