HomeMy WebLinkAboutPermit Plumbing 2010-12-15
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00895
IVR Number: 811125408859
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield,or,us
PROJECT STATUS:
STATUS DATE:
Issued
12/15/2010
12/15/2010
12/15/2010
EXPIRES:
VALUE:
06/13/2011
$0.00
ISSUED:
APPLIED:
SITE ADDRESS: 6720 CAMELLIA CT, Springfield, OR 97478-7016
ASSESOR'S PARCEL NO: 1702344400811
PROJECT DESCRIPTION:
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Install sump pump under house
Phone Number:
OWNER:
ADDRESS:
BROWN SCOTT C
550 S 67TH ST
SPRINGFIELD OR 97478
Contractor Type
Plumbing Contractor
# of Units:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Contractor Name
OWNER
CONTRACTOR INFORMATION I
Lie Type
OWNER
BUILDING INFORMA TION ~
Lie No
0000000
Lie Exp .
08/12/2025
Phone
o
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage.
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
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:
Site Information
ATTENTION: Oregon law requires you to
foHow 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 copies of the rules by
call1ng,the center. (Note: ihe telephone
number for the Oregon Utility Notification
Center is 1-800.332.2344).
12/15/201 10:15:23AM
~
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
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SP~I.N.G. F.IE~ .
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:::~ OREGON
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00895
IVR Number: 811125408859
225 Fifth SI
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
ISSUED:
APPLIED:
12/15/2010
12/15/2010
EXPIRES:
VALUE:
06/13/2011
$0.00
12/15/2010
SITE ADDRESS: 6720 CAMELLIA CT, Springfield, OR 97478-7016
ASSESOR'S PARCEL NO: 1702344400811
SCOPE: Plumbing Dnly
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Install sump pump under house
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north properly line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
50
Sidewalk Type:
Downspout/Drains:
I
Valuation Description
~
Description
Tvpe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
I
DescriDtion
Storm Sewer
Technology fee (5% of permit total)
State o! Oregon Surcharge (12% of applicable fees)
Total Amount Paid
Amount Paid
$76.00
-_._-~'---
$3.80
$9.12
$88.92
Date Paid
12/15/2010
12/15/2010
12/15/2010
ReceiDt #
375132
375132
375132
Springfield Building Permit
12/15/201 10:15:23AM
Page 2 of 3
!S..
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.us
Building I Residential Permit
PERMIT NO: 811-SPR2010-00895
IVR Number: 811125408859
permilcenter@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
12/15/2010
ISSUED:
APPLIED:
12/15/2010
12/15/2010
EXPIRES:
VALUE:
06/13/2011
$0.00
SITE ADDRESS: 6720 CAMELLIA CT, Springfield, OR 97478-7016
ASSESOR'S PARCEL NO: 1702344400811
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: ,Residential
PROJECT DESCRIPTION:
Install sump pump under house
Plan Review
~
Deoartment
Application Acceptance
Received
12/15/2010
Due Date
12/15/2010
Comoleted
12/15/2010
Result
Over the Counter
Reviewer
David Bowlsby
Plumbing Review 12/15/2010 12/15/2010 12/15/2010 Not Required David Bowlsby
Comments; Over the counter permit
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INSPECTIONS REQUIRED ~
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Inspections
3400 Slorm Sewer
Storm Sewer Line: Prior to filling trench.
By signature, I state and agree, that I have c.arefully examined the completed application and do hereby certify that all
info~mation hereon is true and correct, and J 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 6n the site at all times during
construction.
<1-:// f- ~ ~
~ner or Contractor Signature
-V-eL
Date
Ie:; . ;;;>"0/0
I
Springfield Building Permit
12/15/201 10:15:23AM
Page 3 of 3
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www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00895
6720 CAMELLIA CT
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
541-726-3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 2010001046 RECORD NO: 81 I-SPR20 1 0-00895 DATE: 12/15/2010
ItlESCRIPTION'T,,:,"YV';.;"'-" ". .,',;"':',''':'',.:71:.>: ",: ....A..C....C..O. '''U'-N'J..C' .O'-"'.E^', ..c.... AMOUNT "'UE . ....;. '. . .'
. .. '. . r. .~" . ... .,.::....-''-,1:',' u _ - ,^,,",_"""1' ,_;;-~, ~""'''''_'..~_ -'" ____~_,__ ______1.:1 _ ~ "~,- ;",:,' "_,:"_~_~.~ '::;"_:~._ " '" _ ~
Storm Sewer 224-00000-425603 $76.00
Technology fee (5% of permil total) 100-00000-425605 $3.80
State of ().l!gon Surch~,~e (12% of applicable fees) 821.00000.215004 $9.12
TOTAL DUE: $88.92
!~E\~.i~!$.tfLL'(e.I;~~~",~:J:?AY.9J3L:~~2H'ER:--PBOW\zS~~> _ ~"::~G_6,MMENTS~~~~~!-=L~,~~~~;. ^-'-'~~;i~M(:tuJ~I.p.AtP~-' ~,. ',i.i~~~4
Check
6067
scott brown construction inc
$88.92
$88.92