HomeMy WebLinkAboutPermit Plumbing 2011-1-28
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"%' ".1. OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00138
IVR Number: 811152380950
www.cLspringlield.or.us
225 Fifth St
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:
APPLIED:
01/28/2011
01/28/2011
Issued
01/28/2011
EXPIRES:
VALUE:
07/27/2011
$0.00
SITE ADDRESS: 270 S 52ND ST, Springfield, OR 97478-6219
ASSESOR'S PARCEL NO: 1702333402000
SCOPE: Plumbing Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Repair sewer line
Phone Number:
OWNER:
ADDRESS:
COX EDWIN L
PO BOX 1343
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION I
Contractor Type
General Contractor
Contractor Name
WAGGONER CONSTRUCTION LLC
Lie Type
eCB
BUILDING INFORMATION I
# 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 Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lie No
176602
Lie Exp
06f19/2011
Phone
541-935-0346
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 Area:
land Hazard Area:
Retaining Wi!hENTION: Oregon law requires you to
SOIls Repofofi6~JI{(i~~s 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
calling lhe center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
NOTlCE:":"Z'" .
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
1/28/2011 1:46:59PM
Page 1 of 3
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'^'7"~'OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00138
IVR Number: 811152380950
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
permitcenler@ci.springfield.or,us
PROJECT STATUS:
STATUS DATE:
Issued
01/28/2011
ISSUED:
APPLIED:
01/28/2011
01/28/2011
EXPIRES:
VALUE:
07/27/2011
$0.00
SITE ADDRESS: 270 S 52ND ST, Springfield, OR 97478-6219
ASSESOR'S PARCEL NO: 1702333402000
SCOPE: Plumbing Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Repair sewer 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
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
~
Descriotion
State of Oregon Surcharge (12% of applicable fees)
Sa_~~~ry s:wer ._._.__
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$9.12
$76.00
$3.80
$88.92
Date Paid
01/28/2011
01/28/2011
01/2812011
Reciot #
2011000182
2011000182
2011000182
Springfield Building Permit
1/28/2011 1:46:59PM
Page 2 of 3
S~~~\N~tij
~,~
~.OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00138
IVR Number: 811152380950
www.ci.springfield.or.l.ls
225 Fifth St
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
01/28/2011
ISSUED:
APPLIED:
01/28/2011
01/28/2011
EXPIRES:
VALUE:
07/27/2011
$0.00
SITE ADDRESS: 270 S 52ND ST, Springfield, OR 97478-6219
ASSESOR'S PARCEL NO: 1702333402000
SCOPE: Plumbing Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Repair sewer line
Plan Review
~'
DeDartment
Application Acceptance
Received Due Date Completed Result
01/28/2011 01/28/2011 01/28/2011 Over the Counter
Reviewer
David Bowlsby
David Bowlsby
Plumbing Review 01/28/2011 01/28/2011 01/28/2011
Comments: Over the counter permit
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F CO!f1f!1,ents:",:,". 0,' ve~th~e,G,~,~"n,t:~:;p;!m, It '-. \ ;',,~:i~:,_,i,',;:~'i:;"::-'_:,~ ., -"~ ~ '::'" -', ' '. :~~::.7eL'-~_.'';,''':-'''' ,: .' .;. . .
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Not Required
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INSPECTIONS REQUIRED ~
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Inspections
3200 Sanitary Sewer
Sanitary Sewer Line: Prior to filling trench and including required testing.
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 pertormed 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.
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Date
Owner or Contractor Signature
Springfield Building Permit
1/28/2011 1 :46:59PM
Page 30f3
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S:i~~=~
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~OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2011-00138
270 S 52ND ST
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
541-726-3753
permilcenter@ci,springfield.oLus
RECEIPT NO: 2011000182
[OE'SCRIi:ffIONF.....:.g..,.",,, ..>,~:::",
Sanitary sewer
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
RECORD NO: 811-SPR2011-00138 DATE: 01/28/2011
;~'J:'i&:,.);;.-."::':';;',+ '.ACC'QUNT.cODE,:t: · "';;;'4.AMOUNT~bi.JE:""":"-,-~
224-00000-425803 76,00
821-00000-215004 9,12
100-00000-425605 3,80
TOTAL DUE: 88.92
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'1
~RAYI\'I~l'!lT.:jYF{E ',.":',!, T!f~5':.o.B" ,CASHIE"?OSOWLSBY"; "
Credit Card james waggoner
02865b
88,92
TOTAL PAID:
88.92