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HomeMy WebLinkAboutPermit Plumbing 2010-11-9 ~ SP:~l:~~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811.5PR2010-00577 IVR Number: 811133154702 www.cLspringfield.or.us 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 11/09/2010 1 0/25/2010 Issued 11/09/2010 EXPIRES: VALUE: 05/08/2011 $0.00 SITE ADDRESS: 1623 MENLO lOOP, Springfield, OR 97477.7688 ASSESOR'S PARCEL NO: 1703273302100 SCOPE: Plumbing Only WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential Add plumbing fixtures for permit Com2008-00116 PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: BRONDEl DIANNE K 1623 MENLO lOOP SPRINGFIELD OR 97477 CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor Contractor Name READY ROOTER DRAIN CLEANING & REPAI Lie Type PLUMBING # of Units: o BUilDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: 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: Lie No 20-37BPB Lic Exp 07/01/2011 Phone 541-744-7991 lot Size: Sq Ft 15t Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2008 Site Information I ." ATTENTION: Oregon law re6~~e~X~~i;i~y follow rules adopted b~~hr~les ire set forth NotificatIOn Center. Tho hOAR 952-001- in OAR 952-001-0~t~~~~~~i~S of the rules by :0090, You may 0 (Note. the telephone calling the center. on uiility Notification number for the. 01 8g 2-2344). Center IS 1-800-33 Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: ',' ".OF" , NOTICE: THIS PERMlT SHALL EXPIRE If THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. SpringfIeld BuildIng Permit 11/9/2010 9:01:52AM Page 1 of 3 ... www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00577 IVR Number: 811133154702 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: STATUS DATE: Issued ISSUED: APPLIED: 11/09/2010 10/25/2010 EXPIRES: VALUE: 05/08/2011 $0.00 11/09/2010 SITE ADDRESS: 1623 MENLO LOOP, Springfield, OR 97477-7688 ASSESOR'S PARCEL NO: 1703273302100 SCOPE: Plumbing Only WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Add plumbing fixtures for permit Com2008.00116 DEVELOPMENT INFORMATION . I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING PROJECT DESCRIPTION: 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 TVDe Unit Cost Value FEES PAID ~ Descriotion Sink/basin/lavatory Showe~Showerpan Water closet Balance of Minimum Plumbing Permit Fees State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Amount Paid $19.00 $19.00 $19.00 $1.00 $6.96 $2.90 $67,86 Date Pa id 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 Receipt # 374841 ---- 374841 374841 374841 374841 374841 Springfield Building Permit 11f9/2010 9:01:52AM Page 2 of 3 .. CITY OF SPRINGFIELD Building IResidential Permit PERMIT NO: 811-SPR2010-00577 IVR Number: 811133154702 www.ci.springfield.or.U5 PROJECT STATUS: STATUS DATE: 11/09/2010 10/25/2010 Issued 11/09/2010 ISSUED: APPLIED: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us EXPIRES: VALUE: 05/08/2011 $0.00 SCOPE: Plumbing Only WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential Add plumbing fixtures for permit Com2008-00116 SITE ADDRESS:' 1623 MENLO LOOP, Springfield, OR 97477.7688 ASSESOR'S PARCEL NO: 1703273302100 PROJECT DESCRIPTION: Plan Review I DeDartment Application Acceptance Received 10/25/2010 Result Over the Counter Due Date 10/25/2010 Comoleted 10/25/2010 Reviewer Chris Carpenter 10/25/2010 10/25/2010 11/09/2010 Issued Permit Issuance Structural Review 10/25/2010 10/25/2010 10/25/2010 Not Required Comments: Over the counter permit Pia.;ngRevievl" ',.. .,;,";;\<10)~.?!2010; 10/25/2010',:'10/25/2010:,:. .Not Requlred;',~;;' ::c~:~"~~~::.~ :;O~'~r;~~~)9~ht~t;,~e;~if~~,:'_:~~ ':jz(i,~l;Tt:;--;~ ~~~'.l'~; ''f.j;~~~: ~) ~ ~~~~~~,~~ :' INSPECTIONS REQUIRED ~ Inspections 3500 Rough Plumbing 3999 Final Plumbing David Bowlsby Chris Carpenter "" ("Chris'8i:ir'pente'h~:',;; ", , 'Y~:~~:~~~1i<l:t::::~~,~i..::;; -;";=~~!;'<I ' , , ~s" ~ '>- . - .: :~":<;"'4'4j~: _: "':" -, " Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 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) 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 construction. k/M~~. ~~dIJ/l) , Owner or Contractor Signature Date Springfield Building Permit 1119/2010 9:01:52AM Page 3 of 3 , S~~~l~ ~~ ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00577 1623 MENLO LOOP CITY OF SPRINGFIELD 225 Fifth $t Springfield, OR 97477 541.726.3753 . permilcenter@ci.springfield.or.us RECEIPT NO: 2010000793 RECORn NO: 811-SPR2010-00577 nATE: 11/09/2010 :'" .:-c\~;'!:;:;.. :j.-;'.~i"':::Acc_bON;t":'C:ODE--I" :,., .; ~". 2~AIVIQ!J~I::PU~c~': -:~ 224-00000-425603 $19.00 224-00000-425603 $19.00 224-00000-425603 $19.00 224-00000-425603 $1.00 821-00000-215004 $6.96 100-00000-425605 $2.90 TOTAL DUE: $67.86 l.I;.AYMj:JliJf~f>E .- ~'F1 AYJ)B:.'; i: CgSHIER.DS6wESByI;c;. c:_i:>I\I1M~~Is::;~; i.t:i;r;;:"5''.:;.~;-.: ;;;,. )-:'~M0uJlif1?.o;I.Pl;;"'l:lL".2-- - ~ I Li:1.i;s(:;j~!PTI9N.'>"'j;L"'-:;;' ;--:~i;; Sink/basin/lavatory Shower/Shower pan Water closet Balance of ~inimum Plumbing Permit Fees State of Oregon Surchar~e (12% of applicable fees) Techno~~ee (5% of permit total) Check 6544 BRONDEl DIANNE K $67.86 $67.86