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HomeMy WebLinkAboutPermit Plumbing 2010-11-8 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00674 IVR Number: 811141849627 www.cLspringfield.or.U5 PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 11/08/2010 11/08/2010 11/08/2010 SITE ADDRESS: 205 57TH ST. SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1702334104000 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenter@ci. springfield ,or. us EXPIRES: VALUE: 05/07/2011 $0.00 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replumb manufactured home Phone Number: OWNER: ADDRESS: FIVE DOVES llC 940 HWY 99 N EUGENE OR 97402 CONTRACTOR INFORMATION ~ Contractor Type General Contractor Plumbing Contractor Contractor Name BENSON DEVELOPMENT CO LLC TOMS PLUMBING SERVICE INC Lic Type CCB CCB Lie No 143021 159425 Lie Exp OSf26f2012 05/18/2012 Phone 541-688-8897 541-607-8879 # of Units: BUilDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # of Bedrooms: 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: Sprinkled Building: Fire Alarms: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wa,l\HENTION: Oregon law requires you to Soils ReporlfB~g~ir~g;es adopted by the Oregon Utility Notification 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 Notification Center is 1-800-332-2344). .. ~:, 'r'. ~ . }'.'~'", "- 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 11/8/2010 8:17:41AM Page 1 of3 SPRI. HGfIE.~ . ~ .~ :7..~~ ~ OREGOH www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00674 IVR Number: 811141849627 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 11/08/2010 11/08/2010 EXPIRES: VALUE: 05/07/2011 $0.00 11/08/2010 SITE ADDRESS: 205 57TH ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1702334104000 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replumb manufactured home DEVELOPMENT INFORMA TION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north properly line: REQUIRED PARKiNG Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Special'lnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ DescriDtion Tvoe of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ Descriotion Fixture ---~ - -_._.._-~_.~. Techn."!'.'.91.!.'=..0.!~.0_permil lolal) ___ ~a-,-e_ of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $152.00 $7.60 $18.24 $177-84 Date Paid 11/08/2010 11/08/2010 11/08/2010 Receiot # 374824 374824 374824 Springfield Building Permit 11/8/2010 8:17:41AM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR201 0-00674 IVR Number: 811141849627 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: 11108/2010 11/08/2010 Issued 11/08/2010 ISSUED: APPLIED: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us EXPIRES: VALUE: 05/07/2011 $0.00 SITE ADDRESS: 205 57TH ST, SPRINGFIELD. OR 97477 ASSES OR'S PARCEL NO: 1702334104000 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replumb manufactured home Plan Review ~ Deoartment Application Acceptance Received Due Date Completed Result 11/08/2010 11/08/2010 11/08/2010 Over the Counter Reviewer David Bowlsby Plumbing Review 11/08/2010 11/08/2010 11108/2010 Not Required David Bowlsby Comments: Over the counter permit ~n!~ilm~~~':%1~E~f~~;i~;;2~~ 0 .~}~0:~!~;~f~:1/08/~012"':rr~~~~f1o?~!~:i:: ~:; ;?~~id;~~~:~f?ilY1::\; ~~~::}l~:/-cl INSPECTIONS REQUIRED I Inspections 3500 Rough Plumbing 3999 Final Plumbing ,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 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 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. ~~P1~ //-51- /tJ Owner or Contractor Signature Date Springfield Building Permit 11/8f2010 8:17:41AM Page 3013 S).~INGF.I.EL~ .A.\.~ _' .a;. 'OREGON www.cI_springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00674 205 57TH ST CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541~726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2010000778 RECORD NO: 811-SPR2010-00674 DATE: 11/08/2010 lDESCRIPTIQ~~," . ,/}'~_i-::::~:'- -~,'c.::).<,,;,,;'~';,: ..if';:' > ACJ;.b.(jNtLc.bOE_s::C:~:i:::t:AM()UNJ..:D.uI,:,;'?":'L..:.:.J Fixture 224-00000-425603 $152.00 1 00-00000-425605 $7.60 821.00000-215004 $18.24 TOTAL DUE: $177.84 L:,PAYME..t'!I'TYRE.;:':'PAYORiI-4:~C'AsHIER'DB6Y!LsB)'"G;Fc:~QMW!E}:fIS~: :;"';- :;.- ;.-" ,~}.. :';.AMOUNT.P AID'c-, c. " ~ Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Check 1361 benson development co lIe $177.84 $177.84