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Home My WebLink AboutPermit Plumbing 2010-12-20 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00940 IVR Number: 811175891107 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: 12/20/2010 12/20/2010 Issued 12/20/2010 ISSUED: APPLIED: 225 Fifth St Springfleld,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 permilcenter@ci,springfield.or.us EXPIRES: VALUE: 06/18/2011 $0,00 SITE ADDRESS: 2485 F ST, Springfield, OR 97477-4462 ASSESOR'S PARCEL NO: 1703361113700 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair water line Phone Number: OWNER: ADDRESS: MONTALVO JUAN R '2485 F ST SPRINGFIELD OR 97477 Contractor Type Plumbing ContractOr Contractor Name OWN ER CONTRACTOR INFORMATION ~ Lic Type OWNER BUILDING INFORMATION ~ # 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 Editic~m: Municipal f Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 0000000 Phone Lic Exp 08/12/2025 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Fl Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: ~ ATTENTI I Site Information , ' toll ON: Ore ' Engineered Fill: N OW rUles ad gon law re Fill Volume' , olitication C OPted by th oQUlres You to ' rn OAR enter T e re Flood Hazard Area: 009 952'001'0' hose rUles gon Utility Land Hazard Area: 0" YoU may bOlO thrOugh OAare Setforth Retaining Wall: ~allrng the cen~etaln COPies Oft R 952'001. Soils Report Required? mber for the 0 r, (Note: fhe t he rUles'by CregO U" eleph enter i n tlllty N " One s 1.aOO'332'2344jf1tlcalion Springfield Building Permit 12/20/201 3:04:57PM . ".'.' NOTICE: p\RE IF 1HE WORK THIS PERMl1 SHfl.~~ ~H\S PERMl1 IS NOr fl.UTHORIZED UNDIS fl.Bfl.NDONED FOR. <' COMMENCED OR. ,;" , fl.NY 180 Dfl.Y PERIOD, ," , Page 1 of 3 ! S~~:~G..~~~ ~~ ~'OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00940 IVR Number: 811175891107 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 12/20/2010 ISSUED: APPLIED: 12/2012010 12/20/2010 EXPIRES: VALUE: 06/18/2011 $0.00 SITE ADDRESS: 2485 F ST. Springfield, OR 97477-4462 ASSESOR'S PARCEL NO: 1703361113700 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ DescriDtion Water Line Sidewalk Repair _ State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Amount Paid $76.00 $15.50 $9.12 $4.58 $105.20 Date Paid 12/20/2010 12/20/2010 12/20/2010 12/20/2010 ReceiDt # 375191 375191 375191 375191 Springfield Building Permit 12f20/201 3:04:57PM Page 2 of 3 .. CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00940 IVR Number: 811175891107 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 12/20/2010 12/20/2010 Issued 12/20/2010 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: 06/18/2011 $0.00 SITE ADDRESS: 2485 F ST, Springfield. OR 97477-4462 ASSESOR'S PARCEL NO: 1703361113700 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair water line Plan Review ~ Department Application Acceptance Received 12/20/2010 Due Date 12/20/2010 Comoleted 12/20/2010 Result Over the Counter Reviewer David Bowlsby 12/20/2010 12/20/2010 12/20/2010 ..":-,,. Structural Review David Bowlsby Comments: Over the counter permit fi'ia~~i~~,Re~~e\V c",:;;;'c': ';,~12120'~01.0>',13i20/2?12,'12/20i2~lO:~ ,,~~ot,ReqU~!~d;~,>-r, L ,Davld,Bov-.:lsby_ 4 :~~- " . '::. '.- \ ..' ,,'.' . :] l~Comments:' 'Overthe,countecpermit-' . 'r_ '" ~ _-: f9:~.,*,..I.,;. !.:sC~;#;, ~~? .'.-- 'I." ~ r" ~ ~., " -,,' . ~'..' ;; '~~ "l - ~~"' ......-.:;"...~_r:.","': ~", ~,': . . Ji. _" 0; ~ '"_..__.~ __.. __""~ _ _-..::.: :1.' __~..j INSPECTIONS REQUIRED ~ Inspections 3315 Water Line 9506 Sidewalk - Setback Sidewalk - Setback: After forms are erected but prior to placement of concrete. By signature, I state and agree, tha~ I have carefully examined,the completed application and do hereby certify that all information 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 lime, lhat 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 WM~~ Owrk or Contractor Signature /:< ~.!4- /(J Date Springfield Building Permit 12/201201 3:D4:57PM Page3of3 SP:I~:-F 1EL:i1..... . '~.~..... . .~ f~, OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00940 2485 F ST CITY Or SPRINGFIELD 225 Fifth Sl Springfield,OR 97477 541.726.3753 permitcenter@cLspringfield.or.us RECEIPT NO: 2010001102 RECORD NO: 811-SPR2010-00940 DATE: 12/20/2010 t!fEscR'fp.TioN:,'1?, ;.'1?Is',~"i~; ,.:;,., '. 'c ~<~~~'c;+ ~A(;J:J5J'rN'tCOQE~;,~.;\ -;;':";'AM'P_UllIQ.uJ:'" < Water Line 224-00000-425603 $76.00 Sidewalk,Repalr 201-00000-428060 $15.50 State of Oreg-'!"l!:!!:"~ar~e (120~ of applicable feest_ 821-00009~22~<:~ __'_h~9.12 , ~~gY fee (5% of permit total)..__. 100'OOOOO-4256~~__.__ $4.58 TOTAL DUE: $105.20 L;PAYMENJ'TYPE 't,;'ZpAY()R;<;;'CASHIEB'D_B,?\NLSBY'_~ ',"C.o.MMEk(S':'. 'j.'",.-, Y" -';;', ': ;l-4.M.Q.Q!'I];;.~I!>~""._:L~ Credit Card 033408 MONTALVO JUAN R $105.20 $105.20