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Home My WebLink AboutPermit Plumbing 2010-12-29 CITY OF SPRINGFIELD Buildingl Residential Permit PERMIT NO: 811-SPR2010-00999 IVR Number: 811187573638 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: 12/29/2010 12/29/2010 Issued 12/29/2010 ISSUED: APPLIED: 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: 06/27/2011 $0.00 SITE ADDRESS: 1430 B ST, Springfield, OR 974774964 ASSESOR'S PARCEL NO: 1703362311800 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Water line and sidewalk repair Phone Number: OWNER: ADDRESS: NEILL MORGAN S 1430 B ST SPRINGFIELD OR 97477 Contractor Type Contractor Name CONTRACTOR INFORMATION I Lic Type Lie No Phone Lie Exp BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: I req\ ."PO If''U 10 ATTENTION: Oregon aw HazmatU: 1'\'1 dId by Ihe Oregon II Y follow rules a op e les are set forlh Nolificalion Genler. ThhOSe rUh OAR 952-001- 'n OAR 952-001-001 0 I roug, . ,,-,...,' _ _ h\f. . . I Y may oblain copies CElectncai'Speclalty Code Edition: 0090. OU N I 'Iho. 'plpl'h,,~P calling Ihe cenler. (. 0 e, Springfield Fire Code Edition: h 0 egon Utility NOtlllCilUtJll number for I ,e r ,~ ,Mechanical Specialty Code Edition: G t r is 1-800-3,,~ -",,~~). # of Bedrooms:" en e Municipal I Development Code: Sprinkled Building: Plumbing Specialty Code Edition: Fire Alarms: Residential Specialty Code Edition: Energy Path: Structural Specialty Code Edition: # of Units: o Lot Size: Sq Ft 1st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: ~vmCE: IF THE WORK THIS PERMIT SHALL ETXH~~~ERM\T IS NOT AUTHORIZED UNDER R COMMENCED OR IS ABANDONED FO ANY 180 DAY PERIOD. Springfield Building Permit 12/29/201 2:41:28PM Page 1 of 3 SPRING. 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'.~ ""', ",$> 'OREGON www.ci.springfield.OLUS CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00999 IVR Number: 811187573638 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/29/2010 ISSUED: APPLIED: 12/29/2010 12/29/2010 EXPIRES: VALUE: 06/27/2011 $0.00 SITE ADDRESS: 1430 B ST, Springfield, OR 97477-4964 ASSESOR'S PARCEL NO: 1703362311800 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Water line and sidewalk repair DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PROJECT DESCRIPTION: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I DescriDtion Tvoe of Construction Unit Amount Unit TVDe Unit Cost Value FEES PAID I Descriotion Water Line ?_tate o.~.OE~gon ~~ge (12% of a!?p'~cable fees) Sidewalk Repair .!.:.~?logX teeJ5% ot permit total) ~.nology fee (5% of permit total) Total Amount Paid Amount Paid $76.00 $9.12 -_.~_._.,--_._-,_._--^--- $31.00 $1.55 $3.80 $121.47 Date Pa id 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 Reciot # 2010001171 2010001171 2010001171 2010001171 .'__T'._"___~. 2010001171 Springfield Building Permit 12/29/201 2:41:28PM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00999 IVR Number: 811187573638 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 12/29/2010 12/29/2010 Issued 12/29/2010 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 ,oermilcenter@ci,springfield.or.us EXPIRES: VALUE: 06/27/2011 $0.00 SITE ADDRESS: 1430 B ST, Springfield, OR 97477-4964 ASSESOR'S PARCEL NO: 1703362311800 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Water line and sidewalk repair Plan Review ~ Deoartment Application Acceptance Received Due Date 12/29/2010 12/29/2010 ComDleted 12/29/2010 Result Over the Counter Reviewer Nancy Machado Permit Issuance 12/29/2010 12/29/2010 12/29/2010 Issued Nancy Machado PubljC,Works Review " ~ ::, ~_ _ :12/291.2010: y1f129/2P1Q- ;)2/29/201 Of~' ~~6ffi'~~';~:'~~:2ver~~ttl~~g~~e'r '~~~,\r~~~:' "':,,~'r:w~:..':;2~"' .2,;?; \, ":'~ -~~J:: ,N6fRequireCf1<f!,ii":,;.. ,1;J;N~:mcy Macliaao(~ ,.~~ ~'" ':'; ";;~~'i;:'~~;:':; t;,~"t': '~~-S7;.:''>~;~ 12:.:'jv: :: -"~::~~ i -t~j',~;;'i/' , ",-' , .;,;,j Structural Review 12/29/2010 12/29/2010 12/29/2010 Not Required Nancy Machado Comments: Over the counter permit !Plailriing Reviewl:;'-'~: ,~, '~~.12/29/20'10;' ~<12/29/2010-:v J2/2~/2010 ::- NotReq;r;r:~~' jNan-gy'Machad07' f(-c~.m~~6~;>~q~e~:~hEtcou~nteh~~'~~Ti~1~:~<:'_:~?e ..T.,~:'-r:;,:;~~~~_ "~-;"1~~~:~' ":~,-~:~: ,"woJ '-. : ,'~L'" '1 I .i -<,'- INSPECTIONS REQUIRED I Inspections 3315 Water Line 9503 Curbcut - Close & Replace Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. 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 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 herejn, 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. ~----~ $//{ Owner or Co actor Signature /2/2;:/20/,0 Date Springfield Building Permit 12/29/201 2:41:28PM Page 3of3 ;. . . .' 'Cil.!J of 6prinufic1d .' '. " :'.,: ~;:~ - . , '. '. .- '.: ;,:.: " ':D~IVEVV~~/Sn)EWALk :'>. ": .,~,_.,;;' ~ERMIT lpP~ICA+lo~:::~;.:,;~:t 225 FIFTH STREET .PE=~ SPRINGFIELD. OREGON 97477 ~- ENGINEERING DMSION OFFICE TELEPHONE 1503) 126-3753 PERMIT NUMBER: APPLICATION DATE: /2./79/'70/0 DATE ISSLlED: SITE INFORMATION: LOCATION OF ~RK: /..1,/;') n J-< .C r APPU",-"T ~~rr ~h, /' / PHONE /,-';/ - 9',( y: - 2 :3 9'7 ADDRESS: .I"~ .')/ TAX MAP: aTY: S"'// Ylyhe /.fsTATE: elf( ZIP; '7 /'/7 '7 TAX LOT: - , SUBDIVISION: ONNER: PHONE: ADDRESS: /.r39 /f c,,t!- aTY: ~L1r, ry;;}- U STAT'" OA' ZIP: 97.y 77 REOUESTEO PERMITS: , 0 SIDEWALK: ......................... .................. .............................. . . . . . . . . . . , . $88.00 ................ ..... .. = $ . . AMOUNT OF SIDEWALK IN EXCESS OF 90FT. @$0.08 SF. =$ '[(" SIDEWALK REPAJR:...................................,............. ........ ........ ......:. $15507,.{!.<?J!f./5.. = $ 'li , 0 CURB CUTjDRIVEWAY; NUMBER OF DRIVEWAYS - X ...................... $88.00 1st Cut = $ 0 MULTIPLE PERMIT DISCOUNT EA: .........{MAX2) ............ ........... ..$30.00 2nd Cut =$j- ) (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION..QM.Y =$ APPLIES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWAll< REPAJRl 0 5% Technology Fee $ TOTAL DUE WITH PERMIT $ 0 PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER CONTRACTOR INFORMATION: CONTRACTOR: PXJ..J~ ADDRESS: PHONE; CONTRACTOR REGISTRATION NO: EXPlRA nON DA 7'E; PROJECT SUPERVISOR: PHONE: INSPECTIONS: AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE. AFTER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO POUR. CURB CUT AND SIDEWALK INSPECTIONS CAlL 726-3769 (RECORDER) STATE YOUR DESlGINATED Cln' JOB NUMBER/PERMIT NUMBER, JOB ADDRESS, lYPE OF lNSPEC7JON REQUESTED, AND V'otiEN YOU WILL BE READY FOA INS PECTlON, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REQUESTS RECEIVED BEFORE 7:00 A.M. WILL BE MADE THE SAME DAY, REQUESTS AFTER 7:00 A.M. WILL BE MADE-THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FOAM WORK IS IN PU>.CE BUT PRIOR TO POURING CONCRETE. , YOU ARE REQUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" 1-800-332-2344 .a HOURS BEFORE DIGGING SIGNATURE: AMOUNT RECEIVED: ~ YZ-, c;S D~TEPAIO: /2-d-"'1-/0 RECEIPT NO, Sp 'lv I \) - \11/ RECBVED BY: ,,;Ki).....! By signature. I slale and agee, Jhall have careluRy examined the compleled appucalion and do he repy cerlify lhat aR inrormation herein \s lrue and COITect and llurther c~ thaI a~ and all wo;k .QedQ(med shall be done in accordance wilh the Ordinances of the Ci~ of Spllngfield, llppli le Ci~ landard speaficalians and Draw;nw. and the laws of the Slale of Oregon perlaining 10 lhe work desaibed herein. I rurttier certify hal,onfy contractors and em oyees who are In compliance with 0 S 701.055 'Mil be used on lhls projed. Ttle City may inspeclthe wOfk site desaibed in this permit at_any lime during a one year period 10 nowing lhe receipt by !he City of notice of corn~elion of the d.e5cnbed work and.~pe<;:ity, al.the City's sole discrelioo, any \lddIUanal, restoration work required 10 relurn lh,e site 10 a standard accep.table to the CI . The perrmtlee Will be nOllfled In wflllng 0' any work r~uired and Will halle Ihlrty days (30) Irom the dale oIlhe nollce to complete the work. Work not camp eted allhe end of lhe Ihlfiy days will be pertormed by the City an the costs win be billed 10 lIie perrmllee. ' Ilurthef agee 10 ensure lhat all required inspections are r~uesled allhe proper lime, that proj ect address is reada~e from lhe street, and the approved sel of plans will remain on the sile al I times dUling COllstrudion. . Signal.ure .~~"" a,/:(! Dale ///~ <7/2 r/ 10 " www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00999 1430 B ST CITY OF SPRINGFIELD 225 Fifth Sl Springfield,OR 97477 541-726-3753 permilcenter@ci.springfield.or.us RECEIPT NO, 2010001171 RECORD NO, 811-SPR2010-00999 DATE,12/29/2010 "3i'-~ , -2"'^"v.~;";-7;i-'>;;_'4"^" ':i'Ac,co,U~N:fi.C9PE.1',~q:&:~+-EMQuNtoub, ^~ l.oEl,tCRIP,TION Ce," ,'s< _~;_,if Water Line State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Sidewalk Repair Technology fee (5% of permit total) 224-00000-425603 821,00000-215004 100,00000-425605 201-00000-428060 100-00000-425605 TOTAL DUE: fe^ P,,(YMENT-TYF'E ^';^','P)i.Y;OR:' -CASHIEkNM~CHADO' i ,'COMMENTS' Lt'~_"'_,'....m_.._,' , . "... .~".. . ~...,...._._......_._.......~.,..j ,."..-. ," , ~ , ';~;: >::'" i ',\'_:"!'l'l,.. :'..',. Cash Morgan Neil $76,00 $9,12 $3,80 $31,00 $1,55 $121.47 AMOUNT PAlO $121.47 $121,47 "', 'I """~