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Home My WebLink AboutPermit Plumbing 2010-10-14 www.cLspringfiefd.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00514 IVR Number: 811159859181 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SP.R. I..N .G~. FIELD .. ~4- - . .' rt1J .,. . -\ OREGOl-l perm itcenter@cLspringfield,or,us PROJECT STATUS: Issued STATUS DATE: 10/14/2010 ISSUED: APPLIED: 10/14/10 EXPIRES: 4/12/2011 VALUE: $0.00 SITE ADDRESS: 671 lEVEL IN, Springfield, OR 97477-3867 ASSESOR'S PARCEL NO: 1703341405100 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace 20lf sanitary sewer OWNER: ADDRESS: SCHMOR JOHN B 671 lEVEL IN SPRINGFIELD OR 97477 Phone Number: CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor Contractor Name GARYS ROOTER & PLUMBING SERVICE LLC Lic Type PLUMBING Lic No 20-423PB Lie Exp 07/01/2011 Phone 541.463-7568 BUilDING INFORMATION' # of Units: o # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alanns: 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 Infonnation I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Vt.i/lfENTION: Oregon law requires you to Soils Repcf11IRll.Q'Iit:!i<!:s 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 Notification Center is 1-800-332-2344). NOTICE: ":""'. THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR . _;. ANY 180 DAY PERIOD." . Springfield Building Permit 10/141201 11:14:26AM Page 1 of 4 S.PRIN.G FIE~ .~ ".:.* .::,- OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726-3676 www.ci.springfietd.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00514 IVR Number: 811159859181 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/14/2010 ISSUED: APPLIED: 10/14/10 EXPIRES: 4/12/2011 VALUE: $0.00 SITE ADDRESS: 671 LEVEL LN, Springfield, OR 97477.3867 ASSES OR'S PARCEL NO: 1703341405100 SCOPE: Plumbing Only, WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace 20lf sanitary sewer DEVELOPMENT INFORMATION ~ REQUIRED PARKING 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: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutfDrains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value L- DescriDtion Sanitary sewer Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Date Pa id 10/14/2010 10/14/2010 10/14/2010 Receiot # 374601 374601 374601 .FEESJ~~!D Amount Paid $76.00 $3,80 $9,12 $88,92 .."....' , "1 Springfield Building Permit 10/14/201 11 :14:26AM Page 2 of4 SP~IN.. 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OREGOH CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00514 IVR Number: 811159859181 www.cLspringfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/14/2010 ISSUED: APPLIED: 10/14/10 EXPIRES: 4/12/2011 VALUE: $0.00 SITE ADDRESS: 671 LEVEL LN, Springfield, OR 97477-3867 ASSES OR'S PARCEL NO: 1703341405100 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: .r:'" r- Replace 20lf sanitary sewer .-, .. - ry- ....~"""7Pl~n-ReJie;<-:: ~-.., ';:"'~~;~.-'=-- Received Due Date ComDleted Result 10/14/2010 10/1412010 10/14/2010 Over the Counter DeDartment Application Acceptance Comments: Initial Review 10/14/2010 10/14/2010 10/14/2010 Over the Counter Comments: Over the counter permit Electrical Review 10/14/2010 10/14/2010 10/14/2010 Not Required Comments: Over the counter permit Mechanical Review 10/14/2010 10/14/2010 10/14/2010 Not Required Comments: Over the counter permit Plumbing Review 10/14/2010 10/14/2010 10/14/2010 Not Required Comments: Over the counter permit Permit Issuance 10/14/2010 10/14/2010 10/14/2010 Issued Comments: Fire Review 10/14/2010 10/14/2010 10/14/2010 Not Required Comments: Over the counter permit Public Works Review 10/14/2010 10/14/2010 10/14/2010 Not Required Comments: Over the counter permit Energy Code Review 10/14/2010 10/14/2010 10/14/2010 Not Required Comments: Over the counter permit Traffic Review 10/14/2010 10/14/2010 10/14/2010 Not Required Comments: Over the counter permit Structural Review 10/14/2010 10/14/2010 10/14/2010 Comments: Over the counter permit Planning Review 10/14/2010 10/14/2010 10/14/2010 Comments: Over the counter permit Not Required Not Required ~"'''.-"'''" - <~:.. ,'-"...-' ;...~.:' Reviewer Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado " "I INSPECTIONS REQUIRED ~ Inspections 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. Springfield Building Permit 10/141201 11:14:26AM Page 3 of 4 .; . SPRI"N G, FIE~ ~.~.~ ..- -* ;:.,~,: OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 www.cLspringfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00514 IVR Number: 811159859181 pe rmitcenler@ci.springfjeld.or.us PROJECT STATUS: Issued STATUS DATE: 10/14/2010 ISSUED: APPLIED: 10/14/10 EXPIRES: 4/12/2011 VALUE: $0.00 SITE ADDRESS: 671 lEVEL IN, Springfield, OR 97477.3867 ASSESOR'S PARCEL NO: 1703341405100 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace 2011 sanitary sewer 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 J 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 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 ~~----- /~" -:,~,,,~"";.> :.~- Iq- 10 Springfield Building Permit 10/14/201 11:14:26AM Page 4 of 4 SP.~IN.::~L~. ~"'\ '-:; ~ .":.. OREGON TRANSACTION RECEIPT 811-SPR2010-00514 671 LEVEL LN www.ci.springfield.or.us CITY OF SPRINGFIELD 225 Fifth Sl Springfield.OR 97477 541-726-3753 RECEII'T NO: 20]0000574 RECORD NO: 8] ]-SPR20]0-005]4 permitcenter@ci.springfield.or.us I DESCRIPTioN' Sanitary sewer Techno]ogy fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) . AC_C.O.VNU.QDE 224-00000-425603 100.00000.425605 621-00000-215004 TOTAL DUE: t-. PA YMENT-TYPE","'PA YCR";.i, CASHiER:NMACHAD6'7~ .C.QMI\IIENIS ';'-0' Credit Card 01456b gary mustin DATE: 10/14/2010 AM9.UNLD.UE $76.00 $360 $9.12 $88.92 .AMOUNT PAID $86.92 $88.92