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Home My WebLink AboutPermit Plumbing 2011-3-15 .. SP"R~N~~ ~\,. It!,~ . ~ t...",~,,^.. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00422 IVR Number: 811146764271 www.ci.springfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitce nter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/15/2011 ISSUED: APPLIED: 03/15/2011 03/15/2011 EXPIRES: VALUE: 09/11/2011 $0,00 SITE ADDRESS: 3840 OREGON AVE, APT# 1, Springfield, OR 97478-6890 ASSESOR'S PARCEL NO: 1702314103702 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Plumbing Only Repair Residential PROJECT DESCRIPTION: Repair water line Phone Number: OWNER: ADDRESS: ARNDEll FAMilY TRUST 2885 FERN DALE DR EUGENE OR 97404 Contractor Type Plumbing Contractor Contractor Name OWNER CONTRACTOR INFORMATION I Lie Type OWNER BUilDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # 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 0000000 Lie Exp 08/12/2025 Phone 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 Engineere.d Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: ATTENTION: Oregon law requires you to Soils Report Re'l!tit!my rules 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 the center. (Note: the telephone number for the Oregon Utility Notification , Center is 1-800-332-2344). NOTICE _'c"'.;,;,i,;;:.,.,;'~"', ' . ~.. ~ h","' THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZEO UNDER THIS PERMIT IS NOT :; COMMENCED OR IS ABANDONED FOR \, " ' ANY 180 DAY PERIOD. Springfield Building Permit 3/15/2011 11:20:09AM Page 1 of3 SP~.I.NG..FIEL~ E.- iA;r~:~ ~ . +..;;7~s..... OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00422 IVR Number: 811146764271 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/15/2011 ISSUED: APPLIED: 03/15/2011 03/15/2011 EXPIRES: VALUE: 09/11/2011 $0,00 SITE ADDRESS: 3840 OREGON AVE, APT# 1, Springfield, OR 97478-6890 ASSESOR'S PARCEL NO: 1702314103702 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Plumbing Only Repair Residential PROJECT DESCRIPTION: Repair water line Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ 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 , Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valua~ion Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Description Water Line State of Oregon Surc~arge (1~'1'0 of applicable fees) Technology fee (5% of permit total) Total Amount Paid . Amount Paid $76.00 . $9.12 $3.80 $88.92 Date Pa id 03/15/2011 03/15/2011 03/15/2011 ReciDt # 2011000483 2011000483 2011000483 Springfield Building Permit 3/15/2011 11:20:09AM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00422 IVR Number: 811146764271 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 03/15/2011 03/15/2011 03/15/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us EXPIRES: VALUE: 09/11/2011 $0.00 SITE ADDRESS: 3840 OREGON AVE, APT# 1, Springfield, OR 97478-6890 ASSESOR'S PARCEL NO: 1702314103702 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Plumbing Only Repair Residential PROJECT DESCRIPTION: Repair water line Plan Review I DeDartment Application Acceptance Received Due Date Comoleted Result 03/15/2011 03/15/2011 03/15/2011 Over the Counter Reviewer David Bowlsby j~~:~irl.S,~'~w~~~e;_ r~\' /:. ~;','~," ~ -< .':./ Plumbing Review 03/15/2011 03/15/2011 Comments: Over the counter permit ~ni(i,as:evle6#,'.:. " ~,./403T15f29.112:'Q,3P~201.1. ". CommEHlts;:!;:overt.he,counterpermit::~~,~::~!.J . . . ""',_ -... ~.,<~ ~'_"'-:' .. -,', .. _. _'0'. ...., ", -"..",0: ^,', _ Not Required 03/15/2011 0'b3115/20:i~1r~?",()ve2'lhiC6unter } ",.:: '~:'~~'~'!'LZ~t>;;~,;:;-o,:,:r_L~.:C'>:;);"f ~4: . "'- ...... '" . <,~'::ifr David Bowlsby - :~t ~P,~yj(ji~~~~~bY' ",' ~ ,i'%;:,(;.: ,',:,;;0';,,,, '. ,... , ". ..~ ,- ~ , 11 ,';;;: J .';\,. 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 uction. 4JS/20(~ Date Springfield Building Permit 3/15/2011 11:20:09AM Page 3 of 3 . . " S!:RINGFIEl;j.D.... .' - -.'~, . m,$20"OREGON www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2011-00422 3840 OREGON AVE. APT 1 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 . 541-726-3753 pennitcen\er@ci,springfield.or.us RECEIPT NO: 2011000483 RECORD NO: 811-SPR2011-00422 DATE: 03/15/2011 fbESCRIe.TION~.-' -'F':-~S:Ii::.j~:}" .... .': 2i:.;!.. '-~;~:::JJSi-~~' -,;:JACCOUNT,cboE::";';'",'.. .'. "'_:-lMMbUNTcDUE:":~~__'- J State ~f Oregon Surcharge (12% of applicable fees) 821-00000-215004 9.12 Technology fee (5% of permit total) 100.00000-425605 3.80 Water Line 224-00000-425603 76.00 TOTAL DUE: 88,92 l.J>AYMENT.fYPE::,:,:::pA'(9jbfcASHIER?DBOWLSB'(+;;;;:-"':1\:~MMj:1'!!.S11'0~-:~41?/' ,,", :.::.AMOlJNT PAID~"'i:;-:"I:""-" .J Cash Robert Arndell 88,92 TOTAL PAID: 88.92