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HomeMy WebLinkAboutPermit Plumbing 2010-12-15 . -) '-' Sp'R~N. G..: IE~~ ~"4..... ~~. ~ "<1"\" OREGON 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 ~j* "... SP~I.N.G. F.IE~ . .-- ..:.~ :::~ 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 ra:;R;~~;~7~~~~~~S:::':~::_~=-:=~=-:fI2~t:i~L7t~~~, INSPECTIONS REQUIRED ~ , " _~_'__~."_0';:.:.'j 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 .. , ,~~ .~ 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