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Home My WebLink AboutPermit Plumbing 2010-11-23 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811.5PR2010-00768 IVR Number: 811192846364 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/23/2010 ISSUED: APPLIED: 11/23/2010 11/23/2010 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: OS/22/2011 $0.00 SITE ADDRESS: 3671 CHEROKEE DR, Springfield, OR 97478-6347 ASSESOR'S PARCEL NO: 1802061202200 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Sewer line permit w septic tank decomission Phone Number: OWNER: ADDRESS: PRIEBE GARY M 1708 CARRIAGE PL SPRINGFIELD OR 97477 CONTRACTOR INFORMATION I Contractor Type Contractor Name GARYS ROOTER & PLUMBING SERVICE LlC Lie Type CCB 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 Edition: Lic No 174640 Lic Exp 02/28/2011 Phone 541-935-6350 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 Wall: . .....,...:rcr..!T'r."'\N.O I . SOils Report Required: . regon aw requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth' in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain cories of the rules by calling the center. (Note: the telephone number for the Oregon Utliity i'lotificatioll Center is 1-800-332-2344). 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 11/23/201 9:23:02AM Page 1 of 3 SPRINGFIELD ~"L.. ,.-:;:~,- ~ t ."",~ OREGON CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.U5 Building I Residential Permit PERMIT NO: 811.5PR2010-00768 IVR Number: 811192846364 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/23/2010 ISSUED: APPLIED: 11/23/2010 11/23/2010 EXPIRES: VALUE: OS/22/2011 $0.00 SITE ADDRESS: 3671 CHEROKEE DR, Springfield, OR 97478-6347 ASSES OR'S PARCEL NO: 1802061202200 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Sewer line permit - septic tank decomission 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: DownspouUDrains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe . Unit Cost Value FEES PAID ~ Description Sanitary sewer Sewer cap/septic tank demolition State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Amount Paid $76.00 .~.__....-.-_..__..._- $58.00 $16.08 $6.70 $156.78 Date Paid 11/23/2010 11/23/2010 11/23/2010 11/23/2010 Receipt # 374963 374963 374963 374963 Springfield Building Permit 11f23f201 9:23:02AM Page 2 of 3 ..Io.. ," : ,-" S~~I~G. ;:E~ ~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00768 IVR Number: 811192846364 www.cLspringfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 In Review permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: 11/23/2010 ISSUED: APPLIED: 11/23/2010 EXPIRES: VALUE: OS/22/2011 $0.00 SITE ADDRESS: 3671 CHEROKEE DR, Sprin9field, OR 97478-6347 ASSESOR'S PARCEL NO: 1802061202200 SCOPE: Plumbin9 Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Sewer line permit. septic tank decomission Plan Review ~ Structural Review 11/23/2010 11/23/2010 11/23/2010 Not Required Nancy Machado; Comments: Over the counter permit IPlJ~,lic}.No~~CReyje,\Y.. p'., .:~~7^~~7'~f1/23/?'OJ 0171,1'/23/201 O' :Jf/~3/2q-W}\ >Ncg~Req~(e~.'.'>'~~ ;:+t,~':'N~mcfM~chad6~ ;' L~0', f ' ;c~~~~nt~~". O_v0~r 'ihe'2()~~f~~(p~r~::~ ',~', .:;;~~,p;t~c; ~~-fJ-~' ~ ~~: ~::' ~~:~::~,'~,q -:~'~~~~_~'~~~0~:.L: ~;~L~;uL'~~~.~~ '~j~ ;.,~ ,~: :b~" Planning Review 11/2312010 11/23/2010 11/23/2010 Not Required Nancy Machado Comments: Over the counter permit Deoartment Application Acceptance. Received Due Date 11/23/2010 11/23/2010 ComDleted 11/23/2010 Result Over the Counter Reviewer Nancy Machado """?3J"'" " " '.-".. ..,.;;':,--' ' ~"."_~~".A~~_'__""'~ INSPECTIONS REQUIRED ~ Inspections 3200 Sanitary Sewer 7160 Sewer/Septic Cap Sanitary Sewer Line: Prior to filling trench and including requir~d testing. 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 wor~ described hereir, 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 wHl remain on the site at all times during construction" /j --.2 / I //:-'---,/:;> -:;;.---- ("' r'J ~ It/) I... ./ (/ __/ '- Y /---;? .?/<.A _ U ...Own~ or Cd~tract0rsi9~afai:~ pp. Dat4 t --- Springfield Building Permit 11f23f201 9:14:57AM Page 3 of 3 SPRIN.G..FIE.L~ .7' ~. i!>... t ,~ .. ;::+: '~OREGON . www.ci.springfield.or.U5 TRANSACTION RECEIPT 811-SPR2010-00768 3671 CHEROKEE DR CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permitcenler@ci.springf;~ld.or.us RECEIPT NO: 20]0000900 RECORD NO: 81 ]-SPR20]0-00768 DATE: 11/23/2010 ,'. ,....~,; -.".,:;: ,~~\:~:::-:6.G:G,6l:lI'lJ_jjO[)E (''':-;.;~';-8M6_l:lI'lL[)IJJ:' '__~_~ 224-00000-425603 $76.00 224-00000-425603 $58.00 821-00000-215004 $16.08 100-00000-425605 $6.70 TOTAL DUE: $156.78 !;-';I'l:A.:'t:MENt-tyP;E;~; _;:pAY.OR:;::~g&sBI,,-i]:D.^1ACHAt50: ';(to_MrilEN1!LS:'-;1;st~;;;'f.._; ;>';.AMQ.tJNT PAfp '.:'.;: .-'. ':1 !DESCRIPTIQ.f.j: -.".d,y.,,~d<- Sanitary sewer Sewer cap/s~ptic tank demolition State of Oregon Surcharge (12% of applicable fees) Tech~2.1;;.~~~~J.5% of permit tol~.,_ Credit Card 023568 . GARYS ROOTER & PLUMB]NG SERVICE LLC/AARON MUST]N $156.78 $156.78