HomeMy WebLinkAboutPermit Plumbing 2010-10-12
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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
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