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Home My WebLink AboutPermit Plumbing 2011-1-24 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00106 IVR Number: 811161842687 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 01/24/2011 01/24/2011 Issued 01/24/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-725-3753 Inspection Phone: 541-725-3759 Fax: 541-726-3676 permitcenler@ci,springfieJd,or.us EXPIRES: VALUE: 07/23/2011 $0.00 SITE ADDRESS: 257 S 71ST ST, Springfield, OR 97478-8002 ASSESOR'S PARCEL NO: 1702353405900 SCOPE: Plumbing Only WORK INVOLVED: Repair' TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water service Phone Number: OWNER: ADDRESS: GUTH ANNA M & GEORGE G 257 S 71ST ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor Contractor Name GARYS ROOTER & PLUMBING SERVICE LLC Lie Type PLUMBING # of Units: BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # of Bedrooms: Sprinkled Buil~ing: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Resid'7ntial Specialty Code Edition: Structural Specialty Code Edition: . lic No 20-423PB lie Exp 07/01/2011 Phone 541-463-7568 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd 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 AI~a: Land HazardmIllVENTrON: Oregon 1 . Retaining W I pIl~w r~'es adopted b af reqUires you to Soils Report; ~Olfml!On Center Th Y he Oregon Ufifity ~n AR 952-001-0010 those rules are set forth 090. You may obtai rough OAR 952-001_ calling the center (ri~Ples of the rules by nUmber for the Or~ ana e:. the telephone Center is HrOO 3U3t2,lity Notification - -2344). NOTICE: . ,,"'-',,-":i"V;:;,;~', THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR '.' ANY 180 DAY PERIOD. .....,. '" , Springfield Building Permit 1/24/2011 9:21:24AM Page 1 of 3 S~.R.IN.G.F..IE.~D .' .::~ . . ./);;,;:0, 'OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00106 IVR Number: 811161842687 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: 155 ued ISSUED: APPLIED: 01/24/2011 01/24/2011 EXPIRES: VALUE: 07/23/2011 $0.00 01/24/2011 SITE ADDRESS: 257 S 71ST ST, Springfield, OR 97478-8002 ASSESOR'S PARCEL ND: 1702353405900 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace water service DEVELOPMENT INFORMATION I Overlay Oist: # 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 Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Description ~tate of Oreg~~!~~ar~~e:,(~!o of applic_able fe~s) Water Line ___~"~_0'_~___'__,.",_~,____,_,,~ Technology fee (5% of permit t~ta') Total Amount Paid Amount Paid Date Paid ReciDt # $9.12 01/24/2011 2011000147 _'_'"'~"_'__"_~~__,~m _ __~__ $76.00 01/24/2011 2011000147 _____ __.___"'__~__.'____+__~_0_._-"__ _ __._.~___.__ $3.80 01/24/2011 2011000147 -~-..._"._.._---,,,_.__.._.~--,- $88.92 Springfield Building Permit 1/24/2011 9:21:24AM Page 2 of3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00106 IVR Number: 811161842687 www.cl.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 01/24/2011 01/24/2011 Issued 01/24/2011 ........,.- 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield,or.us EXPIRES: VALUE: 07/23/2011 $0.00 SITE ADDRESS: 257 S 71ST ST, Springfield, OR 97478-8002 ASSESOR'S PARCEL NO: 1702353405900 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water service Plan Review I DeDartment Application Acceptance Received Due Date 01/24/2011 01/24/2011 Comoleted 01/24/2011 Result Over the Counter Plumbing Review 01/24/2011 01/24/2011 Comments: Over the counter permit nhitial'RevjetfJ:<~fi\~~-:;:'4!-~>~':;f-'s:!+01124ti01I1;'~(o411241io1 r;q~ni;~nt~':"'; oJe~:{h'~:.~6!;n~~fplr~TP!ID;~:10:~t+:~"'fr tA:L.*,,,,';;:; : .s..~0.-:..s$;:..s --''''jl'';;'''W~.idJ:e';H::~:''",,-'':.l. -'-, 01/24/2011 Not Required Reviewer David Bowlsby David Bowlsby , 4t201i1}~;";:0ver'the:CoUritel"l"" 'kt:V",oal,iid,'Bowlsby\:" "'.' " ;. _.,~;) +';':~7f'r7J __~~T!0'! ~ ';~i;~;~~~.~ {i~~-',r~=L}2'~1::-.~~;~~~Z::~~::J ~\)::~~~:,I.;~ii1Sl~i~~~?f+t;:~ ~~~. i INSPECTIONS REQUIRED ~ Inspections 3315 Water Line 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 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 Contractor Signature !/zffl , Date Springfield Building Permit 1/2412011 9:21:24AM Page 3 of 3 S~~..NG FI,E~ ~,S'2b ~:"~' : . OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 81 Springfield,OR 97477 541c726-3753 www.cLspringfield.or.us 811-SPR2011-00106 257 S 71ST ST pe!1Tlilce nter@ci.springfield.or.us RECEIPT NO: 2011000147 RECORO NO: 811-SPR2011-00106 li5ESCRIp.fION!:'r':'i::::!!1.0-'\',f,~~ft;~~';;;f:~ji12:ii~:,:;'1;'ACCO:UNT[C,ODE~j'r _.~e~':.gon Surcharge (12% of applicable fees) 822::I)OOO~2~5004 .____~echnology fee (5% of permit total) ___~__._,._ 100-~,0.2~~~~!?.._____..~_,__.. Water Line 224.00000.425603 -~-_..,~~-~ -,._,~-- TOTAL DUE: DATE: 01/24/2011 . ':'~j":: ':~:..1:MOUNTjbi.iE. o' ' '1 912 3,80 -- 76,00 88.92 r~' ;PAYMfNlG;t5f~i~~~:t:~l"f: ,-p A Y~9~F3:'.?::CASHJERfDBOWLS~Y,:~A2t\~!~:A6'QM~~fsj:.~~" Credit Card aaron mustin 02450b .'"",. ''';: ~l!l. 'A'MOU'NT'P'AID' " , " 4"'.')':"'~'~,\;;~:':" ~J,,'._ ...>/:,,' .. . ,::;'__, l; '. .. .-; ~ ..~,"'.....~_..... . ..~~""__._ . - -~--,-,,___.__-,"-..'J 88.92 TOTAL PAID: 88.92