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Home My WebLink AboutPermit Plumbing 2010-10-29 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00614 IVR Number: 811187433482 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/29/2010 ISSUED: APPLIED: 10/29/2010 10/29/2010 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or.us EXPIRES: VALUE: 04/27/2011 $0.00 SITE ADDRESS: 910 L ST, Sprin9field, OR 97477-3178 ASSESOR'S PARCEL NO: 1703264303000 PROJECT DESCRIPTION: Replace approx 601f waterline Phone Number: OWNER: ADDRESS: BUZBY TABITHA A 910 L ST SPRINGFIELD OR 97477 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential CONTRACTOR INFORMATION ~ Lie Type OWNER BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Contractor Type Plumbing Contractor Contractor Name OWNER # of Units: o 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: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Lie No 0000000 Lic Exp 08/12/2025 Phone Lot Size: Sq Ft 1st Floor: Sq Fl2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: . t " " A.TTENTION" Oregon law requires you 0 Retaining Wall: " 0 Ut"l"ty " '"II"", .ules adopted by the regon II SOils Report Required: I t f th Notification Center" Those ru es are se or in OAR 952-001-0010through 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). Springfield Building Permit 10/29/201 2:40:53PM ~ NOTICE: _.';," THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT . COMMENCED OR IS ABANDONED FOR """ ANY 180 DAY PERIOD. "" " Page 1 of 3 . s.p~. IN..G. fiE. L~.D .~ !\c. ~ " .~JI JIG OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00614 IVR Number: 811187433482 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/29/2010 ISSUED: APPLIED: 10/29/2010 10/29/2010 EXPIRES: VALUE: 04/27/2011 $0.00 SITE ADDRESS: 910 L ST. Springfield, OR 97477-3178 ASSESOR'S PARCEL NO: 1703264303000 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace approx 601f waterline DEVELOPMENT INFORMATION' Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS , Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: I Valuation Description I Descriotion Tvoe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I DescriDtion Water Line Technology fee (5% of permit total) State: of Oregon Surcharge (12o/~ of applicable fees) Total Amount Paid Amount Paid $76.00 $3.80 $9.12 $88.92 Date Paid 10/29/2010 10/29/2010 10/29/2010 Receiot # 374752 374752 374752 Springfield Building Permit 10/29/201 2:40:53PM Page 2 of 3 . 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OREGON www,cLspringfield.or.u$ CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00614 IVR Number: 811187433482 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/29/2010 ISSUED: APPLIED: 10/29/2010 10/29/2010 EXPIRES: VALUE: 04/27/2011 $0.00 SITE ADDRESS: 910 l ST, Springfield, OR 97477-3178 ASSESOR'S PARCEL NO: 1703264303000 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace approx 601f waterline Plan Review ~ Department Permit Issuance Received 10/29/2010 Due Date 10/29/2010 Completed 10/29/2010 Result Issued Reviewer David Bowlsby rPT~7iibing'_,~,e~ieYf "~:- ,t~~'-~1~r_,~1 Ol29{2010, t~,:~o~~-e;r~~1J6~:r the'~~'6~~-h~~;Apet~1f.~_:;_w~ '.'~ Inilial Review 10/29/2010 10/29/2010 10/29/2010 Over the Counter David Bowlsby Comments: Over the counter permit APP9!::,t~.~' Acceptance' ':S>$T",10/2B/.~01P,';f:1Q~~,2010:~",19j29/~0, . ',' ., ',:",:;;.L:~' j~ '~-'-;~~;,,:l":'f-+/:; " +'~: :<':f#37z'~.{j ::' ;,~i:J~'?:t~;X><? INSPECTIONS REQUIRED ~ ~tfj~l~,qjJhte!E(~"i)'~,;; , D?yid:B~d~Y:;!spi'~~'\ ";~t;i~:ri:4~~~~' f' " ''If;-/:~'7~:+~~';~'~;!, Inspections 3315 Water Line 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. [ 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 constr: ction. /010-1 II~ J , Date Springfield Building Permit 10/29/201 2:40:53PM Page 3of3 TRANSACTION RECEIPT 811-SPR2010-00614 910 L ST www.ci.springfield.or.us CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permitcenter@ci,springfield.or.us RECEIPT NO: 2010000710 fOESCRIPTION"04"{'/:;':',', Water Line RECORD NO: 811-SPR201O,00614 . S d. .. . " . . ....A.C.C.OU. N'T" ',C'OO"'E' '..~~."".,it. ;;::..~ -':~~,~.::-':"J8j;,.~;~~/~._,":_:-~~. "_'. ,__~ ____~__ _. ~~k ',' 224-00000A25603 100-00000-425605 821-00000-215004 TOTAL OUE: ""'~, ,c- Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) 8AYMi::JmlYREL' ,'P1:lXOR" 'CA's~.rER{DB6WLSBY .' 'cQMMfNIS -', -i'.",'~;':; .~:t Credit Card 03567c BUZBY TABITHA A ,",,"-.41. DATE: 10/29/2010 :. ,AMOlJ.t!t~U.g'~:-.:......J $76 00 -- $3.80 $9.12 $88.92 ;AMOlJNTJ'AIO . '. I $88.92 $88.92