HomeMy WebLinkAboutPermit Plumbing 2010-10-28
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~O:EGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00600
IVR Number: 811183235968 .
www.ci.springfie~d.or.us
225 Fifth SI
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfleld,or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
10/28/2010
10/28/2010
Issued
10/28/2010
EXPIRES:
VALUE:
04/26/2011
$0.00
SITE ADDRESS: 380 24TH ST, Springfield, OR 97477.5115
ASSESOR'S PARCEL NO: 1703361408800
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Sewer Line
Phone Number:
OWNER:
ADDRESS:
COLBURN JOSEPH R
385 24TH ST
SPRINGFIELD OR 97477
Contractor Type
CONTRACTOR INFORMATION ~
Contractor Name lie Type
READY ROOTER DRAIN CLEANING & REPAIR SERVICE I CCB
Lie No
92524
Lie Exp
02/18/2011
Phone
541-744-7991
BUilDING INFORMATION I
# of Units:
o
# 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 Edi!~on:
lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupan~y load:
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
l.'(. r,^~
Soils Repoi"U~~.quired:
THIS PERMIT SH
:UTHORIZED UN~LL EXPIRE IF THE WORK
OMMENCED OR~~~~HIS PERMIT IS NOT
NY 180 DAY PERIOD. ANDONED FOR
ATTENTION' Ore .
foUow rules ~do t~~l law requires you to
.NotlflCation Centtr Th by the Oregoll Utility
In OAR 952-001-0010 those rules are set forth
0090. You may obtain rO,ugh OAR 952-001_
caJ/ing the center (~ofJles of the rules by
number for the Or~gonO~ii/~~e ~elephbne
Center is 1-800 Y ollfrcallon
-332-2344) .
Springfield Building Permit
10/28/201 9:03:43AM
Page 1 of 3
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00600
IVR Number: 811183235968
225 Fifth St
Springfield,OR 97477
Phone: 541.726.3753
Inspection Phone: 541.726.3769
Fax: 541.726-3676
permilcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
10/28/2010
ISSUED:
APPLIED:
10/28/2010
10/28/2010
EXPIRES:
VALUE:
04/26/2011
$0.00
SITE ADDRESS: 380 24TH ST, Springfield, OR 97477-5115
ASSESOR'S PARCEL NO: 1703361408800
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Sewer Line
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
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:
Valuation Description
~
Description
Tvpe of Construction
Unit Amount Unit Tvee
Unit Cost
Value
FEES PAID
~
DescriDtion
~anit~ry s.::~er
:rechnology fee (5% of permit total)
State of OreQ.~n Surcharge (12% of applicable fees)
Total Amount Paid
Amount Paid
$76.00
.--.---...-
$3,80
$9.12
$88.92
Date Paid
10/28/2010
10/28/2010
10/28/2010
Receiot #
374728
374728
374728
Springfield Building Permit
10/28/201 9:03:43AM
Page 2 of3
SPRING.. FIE.~.
..'~'
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-,'~ OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00600
IVR Number: 811183235968
www.ci.springfield.or.us
225 Fifth SI
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
10/28/2010
ISSUED:
APPLIED:
10/28/2010
10/28/2010
EXPIRES:
VALUE:
04/26/2011
$0.00
SITE ADDRESS: 380 24TH ST, Sprin9field, OR 97477-5115
ASSESOR'S PARCEL NO: 1703361408800
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Sewer Line
Plan Review
~
Deoartment
Application Acceptance
Received Due Date Completed Result
10/28/2010 10/28/2010 10/28/2010 Over the Counter
Reviewer
Nancy Machado
Structural Review 10/28/2010 10/28/2010 10/28/2010 Not Required Nancy Machado
Comments: Over the counter permit
If?lJ~'nriOg, ReVj~w/',~tl].,;" ,- ,~F;J Oji8/,~919i" /~W?8120:1m.:.~,1 O/~8f2010:,,'" .",{t,~OrReqUire:d,~/:<'J'"','0, NancyiMachado
[2,9'~~ir;en!s: ~-:9\~Yih,e:s~~~n!er perr{ii.t;,~'~~~. ~ _:~.;; :~' >r ::,\.:" ~ ;~~~~~:~ "':;:~;~~1~J~::'.' ,::~>>~~~ *:' :~~:;~ . ~; ~ ~ ~ '~~~
INSPECTIONS REQUIRED ~
Inspections
3200 Sanitary Sewer
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Sanitary Sewer Line: Prior to filling trench and including required testing.
By signature, 1 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 tim~s during
construction.
~{<
ZYcJcJ 10
Owner or Contractor Signature
Date
Springfield Building Permit
10/28/201 9;03:43AM
Page 3 of 3
.
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L~~
~.OR.EGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00600
380 24TH ST
CITY or SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 2010000688 RECORD NO: 81 I.SPR20 I 0-00600 DATE: 10/28/2010
rDESCRIPTI6N"";'~"';< ~"'.!;!:";--"';;"~~-Z~e:+-.;'."-;;';'-' ee -';'p.:C.c:Odtl'E&_QD_~:::2-'"'':'':~:-~:8Mb_UJ,tj:blLl;'''<.,'" 'i
Sanitary sewer 224-00000-425603 $76,00
Technology fee (5% of permit total) 100-00000-4256~ _,._..~
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $9,12
TOTAL DUE: $66.92
r. PAYMENT,'T!(RE-::+:f'AYOR'::--::'lASHIERNMic;8_"Q,?-;.,f'i'C-'~MM~tlis:'-"c.'-'-" :'.;~~.." 'AMOUNT PAID,
'j
----.J
Credit Card
055650
READY ROOTER DRAIN
CLEANING & REPAIR
$66.92
$66.92
~