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Home My WebLink AboutPermit Plumbing 2010-11-24 SP;~NG.=~ ~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00782 IVR Number: 811122365650 www.cLspringfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennilce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/24/2010 ISSUED: APPLIED: 11/24/2010 11/24/2010 EXPIRES: VALUE: OS/23/2011 $0.00 SITE ADDRESS: 233 S 51ST ST. Springfield, OR 97478-6742 ASSESOR'S PARCEL NO: 1702333300700 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line Phone Number: OWNER: ADDRESS: JACOBS RHIANNA 233 S 51ST ST SPRINGFIELD OR 97478 Contractor Type Plumbing Contractor Contractor Name OWNER CONTRACTOR INFORMATION I Lie Type OWNER BUILDING INFORMATION ~ # of Stories: Height ~f Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # 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: Lie No 0000000 Lie Exp 08/1212025 Phone lot Size: Sq Ft 1st Floor: Sq Fl 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: ATTENTION: Oregon law requires you to So.ls Report Req~rr~gw rules adopted by the Oregon Utility Notification Center. Those rules are set forth 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). NOTICE: THE WORK THIS PERMIT SHALL EXPISIR~~~MIT IS NOT AUTHORIZED UNDER TH COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 11/24/201 11:49:14AM Page1of3 . 0 SP~~~.G...#h.FI,"E..L~ 't(~ '7",,;hf~ OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 wWw.cLspringfield.or.us Building I Residential Permit PERMIT NO: 811..SPR2010..00782 IVR Number: 811122365650 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 11/24/2010 11/24/20.10 EXPIRES: VALUE: OS/23/2011 $0.00 11/24/2010 SITE ADDRESS: 233 S 51ST ST, Springfield, OR 97478-6742 ASSESOR'S PARCEL NO: 1702333300700 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water 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 ~ Descriotion Tvo€ of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I Descriotion Water Line Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $76.00 $3.80 $9.12 $88.92 Date Paid 11/24/2010 11/24/2010 11/24/2010 Receiot # 374979 374979 374979 Springfield Building Permit 11/24/201 11:49:14AM Page 2 of 3 _I " S.P..RING F IE.L~D. ~'\^ . ~~:' ^~ -..~ ,"""''''' 'OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00782 IVR Number: 811122365650 www.ci.springfield.or.us 225 Fifth 5t 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: 155 ued 11/24/2010 ISSUED: APPLIED: 11/24/2010 11/24/2010 EXPIRES: VALUE: OS/23/2011 $0.00 SITE ADDRESS: 233 S 51ST ST, Springfield, OR 97478-6742 ASSESOR'S PARCEL NO: 1702333300700 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line Plan Review I Deoartment Application Acceptance Received Due Date ComDleted Result 11/24/2010 11/24/2010 11/24/2010 Over the Counter Reviewe r David Bowlsby Plumbing Review 11/24/2010 11/2412010 11/24/2010 Not Required David Bowlsby Comments: Over the counter permit [ft~~~~_i~i~:i~~e;~~:~:0~l~;:~}:~41:~.1~~:11~4(~O!9:;'::::_C1Y~ !r~f*~~~e~~~_:?~2~~;ld, ~o~~t:~_~L:: INSPECTIONS REQUIRED I Inspections 3315 Water Line 'I <,,-.1 " ," 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. ~~ V Owner or Contractor Signature 1/ ';tel-fO Date Springfield Building Permit 11124/201 11:49:14AM Page 3 of 3 .... ." -~ www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00782 233 S 51ST ST CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541-726-3753 pe rm itcenler@ci.springfield.or.us RECEIPT NO: 2010000915 RECORD NO, 81 I-SPR20 1 0-00782 DATE, 11/24/2010 fQ!;~CRIPTlbiC;i;;,{;;';, ~:;':~''fi; -' -', ':"~ +"~" _-~~-- Water Line Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) ":Ii-C_C_qUt-lT~C:ODE_~:.3, '. :~M<:lI.lN-r~D.UE:,: :,~-'j 224-00000-425603 $76.00 100-00000-425605 $3.80 821-00000-215004 $9.12 TOTAL DUE: $88.92 . "_'~,1'.~::Al'~!Q.Ull.I-f!~ID--;;..c?~S( ." J r 'PAYM~r~:rTYP~- :.- PAY9.R', :CASHIER;2Bo'WLsBV\'. ':CPMMEt:4J.$;c~' :- Cash JACOBS RHIANNA $88.92 $88.92