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.~ . ~
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~ 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