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HomeMy WebLinkAboutPermit Plumbing 2010-10-12 SPXI.C..G.~~~ ~,<~',~ ~^-"""'~~""OkEGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00494 IVR Number: 811176901688 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: Issued STATUS DATE: 10/12/2010 ISSUED: APPLIED: 10/12/10 EXPIRES: 4/10/2011 VALUE: $0.00 SITE ADDRESS: 3957 HAYDEN BRIDGE RD, Springfield, OR 97477-1860 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702190003300 WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replace existing 4"RP with new 8,"RP and 20lf of new 8"PW pipe. OWNER: ADDRESS: CITY OF EUGENE CITY HAll EUGENE OR 97401 Phone Number: Contractor Type Plumbing Contractor # of Units: Contractor Name HARVEY & PRICE CO CONTRACTOR INFORMATION ~ Lie Type eeB BUilDING INFORMATION I o # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Hazmat: Electrical Specialty Code Edition: Springfield Fire ~ode Edition: Mechanical Specialty Code Edition: Municipal I Development Code: " Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard A'rea: Retaining Wall: Soils Report RequiredATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notifioation Center. Those rules are set forth in OAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notifioation Center is 1-800-332-2344). Springfield Building Permit 10/12/201 10:21:28AM Lic No 77 Lie Exp 10/31/2012 Phone 541.746-1621 Lot Size: Sq Fl1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq FIOther: Occupancy Load: I , .. .~.. _~,_;':;;'1: ' ",i' NOTICE: -;' : THIS PERMIT SHALL EXPIRE IF THE WOR~:.. AUTHORIZED UNDER THIS PERMIT IS NO _,';' COMMENCED OR IS ABANDONED FOR ;;:.;' ANY 180 DAY PERIOD. . '. , Page 1 of 4 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00494 IVR Number: 811176901688 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield,or.us PROJECT STATUS: Issued STATUS DATE: 10/12/2010 ISSUED: APPLIED: 10/12/10 EXPIRES: 4/10/2011 VALUE: $0.00 SITE ADDRESS: 3957 HAYDEN BRIDGE RD, Springfield, OR 97477-1860 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702190003300 WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replace existing 4"RP with new 8uRP and 2011 of new 8"PW pipe. DEVELOPMENT INFORMATION ~ REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # 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: Downspout/Drains: Valuation Description ~ Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value ~~9~fIOW preventer Water Line State of Oregan'Surcharge (12% of appl~cable fees) Tech~~ fee (5% of permit total) Total Amount Paid Amount Paid $19.00 $76.00 $11.40 $4.75 $111.15 Date Paid Receiot # 10/12/2010 374569 1011212010-..----.. 37456g- -------.,---- 10/1212010 374569 10/12/2010 374569 Descriotion Springfield Building'Permit 10/12/201 10:21:28AM Page 2 of4 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-SPR2010-00494 IVR Number: 811176901688 permitce nter@ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/12/2010 ISSUED: APPLIED: 10/12/10 EXPIRES: 4/10/2011 VALUE: $0.00 SITE ADDRESS: 3957 HAYDEN BRIDGE RD, Springfield, OR 97477-1860 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702190003300 .wORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: 4"RP with newS"RP and 20lf of new S"PW pipe. Deoartment Received Due Date Comoleted Result Reviewer Application Acceptance 10/12/2010 10/12/2010 10/12/2010 Over the Counter David Bowlsby Comments: Initial Review 10/12/2010 10/12/2010 10/12/2010 Over the Counter David Bowlsby Comments: Over the counter permit Electrical Review 10/12/2010 10/12/2010 10/12/2010 Not Required David Bowtsby Comments; Over the counter permit Mechanical Review 10/12/2010 10/12/2010 10/12/2010 Not Required David Bowlsby Comments: Over the counter permit Plumbing Review 10/12/2010 10/12/2010 10/12/2010 Not Required David Bowlsby Comments: Over the counter permit Permit Issuance 10/12/2010 10/12/2010 10/12/2010 Issued David Bowlsby Comments: Fire Review 10/12/2010 10/12/2010 10/12/2010 Not Required David Bowlsby Comments: Over the counter permit Public Works Review 10/12/2010 10/12/2010 10/12/2010 Not Required David Bowlsby Comments: Over the counter permit Energy Code Review 10/12/2010 10/12/2010 10/12/2010 Not Required David Bowlsby Comments: Over the counter permit Traffic Review 10/12/2010 10/12/2010 10/12/2010 Not Required David Bowlsby Comments: Over the counter permit Structural Review _ 10/1212010 10112/2010 10/12/2010 Not Required David Bowlsby Comments: Over the counter permit Planning R.eview 10/12/2010 10/12/2010 10/12/2010 Not Required David Bowlsby Comments: Over the counter permit INSPECTIONS REQUIRED I Inspections 3315 Water Line 3620 8ackflow Device Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Springfield Building Permit 10/12/201 10:21:28AM Page 3 of 4 www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00494 IVR Number: 811176901688 225 Fifth St Springfield,OR, 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 5~~~H.G.;~ ~~ ~'"bREGON permitcenter@cLspringfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/12/2010 ISSUED: APPLIED: 10/12/10 EXPIRES: 4/10/2011 VALUE: $0.00 SITE ADDRESS: 3957 HAYDEN BRIDGE RD. Springfield, OR 97477-1860 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702190003300 WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replace existing 4"RP with new 8"RP and 20lf of new 8"PW pipe. 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 wilt 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, Sh ~~(L \ ~. CJ S' Owner or ontractor Ignature IO!Id.-//() Date Springfield Buiiding Permit 10/12/201 10:21:28AM Page 4 of 4 . .' . TRANSACTION RECEIPT 811-SPR2010-00494 3957 HAYDEN BRIDGE RD www.ci.springfield.or.us CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@cLspringfleld,or,us RECEIPT NO: 2010000545 RECORD NO: 81 I-SPR2010-00494 DATE: 10/12/2010 :~- . -,'\"~:!:~CCQUNT;&ODEi:~;"';':"'-"KIlli6J.j~:U).u~~_,--~ lQ~_SJ~ Ri~I!.9_~~;' +~Zf"t:.: .~~~~:., .-j,', ~;;~t<:"~- _ ':;'-"":;' ,Backflow preventer Water Line State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) 224-00000-425603 224-00000-425603 821-00000-215004 100-00000-425605 TOTAL DUE: L:i.~AYI'iiENf"TYI'?E;?:t."-PA Y()Rr-]-SASH[ER1~~I,VY'~BY~(:gMMt;~[~;l.k;l:'" ,\!,": -::.~ _ '.' - , Check 24781 HARVEY & PRICE CO $19.00 $76 00 $11.40 $4.75 $111_15 r-AMOUNTPAID $111.15 $111.15 :..:.J