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Home My WebLink AboutPermit Plumbing 2010-10-18 SPRINGFIELD '~'c'" . ""' ""'-' 'iitT',.e~ - ~XLA~~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00528 IVR Number: 811189018372 225 Fifth SI Springfield,OR 97477 Phone: 541.726.3753 !nspection Phone: 541.726.3769 Fax: 541.726.3676 www.ci.springfield.or.us permitcenter@ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/18/2010 ISSUED: 10/18/2010 APPLIED: 10/18/10 EXPIRES: 4/16/2011 VALUE: $0.00 SITE ADDRESS: 132 S 15TH ST, Springfield, OR 97477.5227 ASSESOR'S PARCEL NO: 1703363205600 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace approx 40lf sanitary line OWNER: ADDRESS: JOSEPH J BALA TY REVOCABLE LIVING TRUST 33328 HOWE LN CRESWELL OR 97426 Phone Number: CONTRACTOR INFORMATION ~ Contractor Type Plumbing Contractor Contractor Name READY ROOTER DRAIN CLEANING & REPAI Lie Type PLUMBING Lie No 20-378PB Lie Exp 07/01/2011 Phone 541-744-7991 BUILDING INFORMATION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy load: # of Bedrooms: Sprinkled Building: Fire Ala rms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Energy Path: ~ite Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard4>.Tla::NT/ON: Oregon la . Retaining wl>t~(ow rules adopted b ~~eqUlres you ~o Soils Repo.NtRe~ir\idil Center. Tho~ ,Oregon Utility In OAR 952-001.0010 th e ru es are set forth 0090. You ma 0 . rough OAR 952.001_ calling the c~nt~~afil(NcotPles of the rules by b ,0 e: the teleph . num er for the Oregon Utilit N " one Center is 1 800 332 Y otlflcallon . '. .2344), Springfield Building Permit 10f18/201 9:50:25AM . ...f" r;::F'i. ~ \\\~ 'l'l ~O\ "i:.'j..'rW'~ '\ 'r-.\'l\\\ \S ~O~\C\\'l\\\ S\\~~\'-. \\\\~~~~'t.\) rO'r-. -n\\'.) 'r~\'-.Y1..'t.\) \l6\'-. \S \1-'01" j;.\ll\\ \'l\'t.~C't.\) V't.'r-.\G\)' COWl '00 \)t>.'l j;.~i'\ Page 1 of3 .. Y~I\N, (;,<=~ .J~~~ :1:r+_ OREGON www.ci.spri.ngfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00528 IVR Number: 811189018372 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: 10/18/2010 ISSUED: 10/18/2010 APPLIED: 10/18/10 EXPIRES: 4/16/2011 VALUE: $0.00 SITE ADDRESS: 132 S 15TH ST, Springfield, OR 97477.5227 ASSESOR'S PARCEL NO: 1703363205600 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace approx 40ft sanitary line DEVELOPMENT INFORMATION ~ REQUIRED PARKING Fronlyard 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 ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value f > ~7- 'c:~;.:;;/;~~;z:-- -: . -'~~~'Z:~.~':':J,:,~ f"?:"'.~EESPAID : :~":;:'%':A~~;;"Y:;] -~ -;- ':~Yj- , ~,~~n,..: ~', . '1 Descriotion Sanitary sewer Technology feeJ5% of permit total) _ State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $76.00 $3.60 $9.12 $88.92 Date Paid 10/18/2010 10/18/2010 10/18/2010 Receiot # 374628 374628 374626 Springfield Building Permit 10/18/201 9:50:25AM Page 2 of3 . S:~~:;~EL~ L~!b. ~OREGOrl www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00528 IVR Number: 811189018372 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: 10/18/2010 ISSUED: 10/18/2010 APPLIED: 10/18/10 EXPIRES: 4/16/2011 VALUE: $0.00 SITE ADDRESS: 132 S 15TH ST, Springfield, OR 97477-5227 ASSESOR'S PARCEL NO: 1703363205600 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace approx 40lf sanitary line r::~~:~c~~;;;"S~4{" i";,~?2 $'r~~W'\';; ;:,:'~~~;:'PLcil! Revie-vii'o:"'_~~7;;~~~_~:~'e2~'~~ -~. -'D '" '''',:::,,\*?,4~ DeDartment Received Due Date Comoleted Result Reviewer Permit Issuance 10/18/2010 10/18/2010 10/18/2010 Issued David Bowlsby Comments: Application Acceptance 10/18/2010 10/18/2010 10/18/2010 Over the Counter David Bowlsby Comments: Structural Review 10/18/2010 10/18/2010 10/18/2010 Not Required David Bowlsby Comments: Over the counter permit Planning Review 10/18/2010 10/18/2010 10/18/2010 Not Required David Bowlsby Comments: Over the counter permit Public Works Review 10/18/2010 10/18/2010 10/18/2010 Not Required David Bowlsby Comments: Over the counter permit Initial Review 10/18/2010 10/18/2010 10/18/2010 Over the Counter David Bowlsby Comments: Over the counter permit INSPECTIONS REQUIRED ~ Inspections 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any.and all work performed shall be done in accordance with the Ordinances of the- City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance,with ORS 701.005 will be used on th}s project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. 7/f$;U /O;/f? 110 I I Date Owner or Contractor Signature Springfield Building Permit 10/18/201 9:50:25AM Page 30f3 .S~!~N~. FIE.~~ ~ ~'OREGON . www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00528 132 S 15TH ST CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 permitcenter@ci.springfield,or.us RECEIPT NO: 2010000596 RECORD NO: 811-SPR20 1 0-00528 DATE: 10/18/2010 [Q!=SCRiH:JION;;!S:!;?f'''s;;:;;G:-~\''(~;i'.c,,:~";j;;' \;%'*ZkJ';",,,,7-:;Z< :i;g.G~QQt.jlr~(;.9Ji~T""" ,!\;;:::Y!,.7A~Q].&fD[jE .' . I Sanitary sewer 224-00000-425603 $76.00 Technology fee (5% of permit total) 100-00000-425605 $3.80 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $9.12 TOTAL DUE: $88.92 [','PAYMENT TYPE /'f RAYbR>'JCASHIER'OBOWLSBY;Z! ;COI'JiMENTsT~;fT::;~:.!! ,':;;4-"' ,"',KlVioUNY"flAID. is',,!;:! " ~~--,'..^,-~.~.~---.~.,~... "-;,"",,' ., ...~.'... .............."" ~. - . Credit Card 04563d david nichols $88.92 $88.92 ~-