Loading...
HomeMy WebLinkAboutPermit Plumbing 2010-12-3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00819 IVR Number: 811115369217 www.ci.springfield.or.us PROJECT STA TUS: STATUS DATE: 155 ued 12/03/2010 ISSUED: APPLIED: 12/03/2010 12103/2010 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us EXPIRES: VALUE: 06/01/2011 $0.00 SITE ADDRESS: 232 W D ST, Springfield, OR 97477-3860 ASSESOR'S PARCEL NO: 1703352306100 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line approx 90lf Phone Number: OWNER: ADDRESS: COOPER MOLLY M & JON E 232 W D ST SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor Contractor Name C & R PLUM8!NG LLC CONTRACTOR INFORMATION I Lie Type PLUMBJNG BUILDING INFORMATION I # of Stories: Height of 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 ~dition: Mechanical Specially Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition; Lic No PB69 Lic Exp 07/01/2011 Phone 541-206-7611 Lot Size: Sq Fl1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Fl Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area AT Land Hazard Area' TENT/ON: Oregon law re . Retaining Wall: NfOIlOW rules adopted by th oqwres you to .of If' t' e regon Ut'l' Soils Report ReqUII:llCl!ca IOn Center. Tho I Ilty in uAR 952-001-0010 th se ru es are set forth 0090. You ma' rough OAR 952-001_ calling the c~~~~~I(~ot.es of the rules by . number for the Orego~ ~ii/lre telephone Center is 1-800 y Notification -332-2344). 1'IQTlCE: .'J:-:, ',';;"'< THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT' COMMENCED OR IS ABANDONED FOR ' AN)' 180 DAY PERIOD. . . ' Springfield Building Permit 12/3/2010 10:15:08AM Page 1 of 3 SPRIN....G. FIE.~..... IR'(?- Q".' i/!;JJ; . . OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00819 IVR Number: 811115369217 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 PROJECT STATUS: STATUS DATE: 155 ued 12/03/2010 ISSUED: APPLIED: 12/03/2010 12/03/2010 EXPIRES: VALUE: 06/01/2011 $0.00 SITE ADDRESS: . 232 W D ST. Springfield. OR 97477-3860 AssEsOR's PARCEL NO: 1703352306100 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: sideyard Setback: Rearyard Setback: Solar Setback: Replace water line approx 90lf 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 ~ Descr[Dtion Tvee of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ 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 12/03/2010 12/03/2010 12/03/2010 ReceiDt # 375030 375030 375030 Springfield Building Permit 12/3/2010 10:15:08AM Page 2 of 3 .. , SPRING,.F,IEL~,D,' .- ' .,~ 0"'~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00819 IVR Number: 811115~69217 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541-726.3769 Fax: 541.726.3676 Issued permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 12/03/2010 12/03/2010 12/03/2010 SITE ADDRESS: 232 W D ST, Springfield, OR 97477-3860 ASSESOR'S PARCEL NO: 1703352306100 EXPIRES: VALUE: 06/01/2011 $0.00 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line approx 901f Plan Review ~ DeDartment Application Acceptance Received Due Date 12/03/2010 12/03/2010 Comoleted 12/03/2010 Result Over the Count~r Plumbin9 Review 12/03/2010 12/03/2010 12103/2010 Comments: Over the counter permit Inilial Revievi~,'" . ~S .~'. ;12/03/2010. ,;1'2/03/2010'..12/03/2010.' ."Over.lhe'C'ount€r:",'~ ','<Davio, Bowlsby " ',,' INSPECTIONS REQUIRED ~ Illspections 3315 Water Line Reviewer David Bowlsby ':, , ."" 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 readabl~ 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. \l-)'\'D Date Springfield Building Permit 12/3/2010 10:15:08AM Page 3 of 3 . . www.ci.springfield.or.us TRANSACTION REC.EIPT 811-SPR2010-00819 232 W D ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenler@ci.springfield.or.us RECEIPT NO: 2010000959 [DE~~fpTjbN,?~:~'''=>~\,,';' , Water Line RECORD NO: 81 I-SPR201O-00819 , DATE: 12/03/2010 " ));~,~ ,.;.,,, c.",;.; ',c:n'"",' '-.A,; -- ""A' C',',', C', '0', 'U",N-Y'C'O'D E ' "';;'ffitc,.) " "A' M" 0", 'U'N'Y'DU'E""" ";"f' .d " , ..",.~~~,",...",,~.( '"~"''1".,'..,.,'' " ",' ._:....., ........:..:.:....'....... ..:..:...::...._~..;:.,,~.~_._~ ._. _.."..._..;;.._~, .~~~.-<..i.\ 224-00000-425603 $76.00 100-00000-425605 $3.80 821-00000,215004 $9.12 YOY AL DUE: $88.92 I .,P~YMENt,.;YPE'tzt,~eAYOR&i,;;;cAsHiERI@:i\&tsBY~,;",Ic.QMNI!~:NIS ",;t--!~"", ....:?;-;.["AMbLJNTPJ\Ib~,_ "'.:. ' ..1 Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Credit Card 360741 C & R PLUMBING LLC $88.92 $88.92