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HomeMy WebLinkAboutPermit Plumbing 2011-1-28 S~iR.\..I.\N~~~ -;~: ~ "%' ".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 .. ~S:~~N~IElD .~~.. .~ '^'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 l~"'.'" ,~.",!!_. --, .., ......".-,.,...., .... ....~...7.__ --,', ."-'" _,_" ,.<..-.. ,.' !lnj~ia!._.~_~i~w0' i,;. ~ -;:..~~:--:~:-?"\- f;O~:,~_~;~~J}.:>:"8W,s~!2?1,~':.~-?~.?~/~P~.: ~_; ~v~r).~7-~q~~~~r ~::y' :.~".'"_ p~~i,q.J3~~!sby" F CO!f1f!1,ents:",:,". 0,' ve~th~e,G,~,~"n,t:~:;p;!m, It '-. \ ;',,~:i~:,_,i,',;:~'i:;"::-'_:,~ ., -"~ ~ '::'" -', ' '. :~~::.7eL'-~_.'';,''':-'''' ,: .' .;. . . _ ~. .~. ,;;;, . ~ _ _ ,'. ::"3~...~.J..:"::..",,,,..,._,._, Not Required "',,:,,~ INSPECTIONS REQUIRED ~ J,Jv...~,"';.._:_;"';:._~.;~ _ 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. -",,\ r>L '...... ......v ~/aB/~l Date Owner or Contractor Signature Springfield Building Permit 1/28/2011 1 :46:59PM Page 30f3 ., . S:i~~=~ ~ ~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 ~.::rf ';,.",i CQ~'MENjS ':~--'z';\ ,iA'-'; ""_k-"iF;-".;~.~:t~~~qUNlU?~ID"~- ~_. '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