HomeMy WebLinkAboutPermit Plumbing 2011-3-9
~....
5[1.,.I.::-.IE~
~~
~OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00364
IVR Number: 811157956896
www.ci.springfield.oLus
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci,springfield.OLuS
PROJECT STATUS:
STATUS DATE:
Issued
03/09/2011
ISSUED:
APPLIED:
03/09/2011
03/09/2011
EXPIRES:
VALUE:
09/05/2011
$0.00
SITE ADDRESS: 325 D ST, Springfield, OR 97477-4633
ASSESOR'S PARCEL NO: 1703352410100
SCOPE: Plumbing Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace water service
Phone Number:
OWNER:
ADDRESS:
ROYALL CHRISTINA
334 SE 30TH PL
PORTLAND OR 97214
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
ROTa ROOTER SERVICE & PLUMBING
Lie Type
COMBO
# of Units:
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
o
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
M~chanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Special~ Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
lie No
PM4
Lie Exp
07/01/2011
Phone
541-731-1947
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazarl!-~mON: Oregon law requires you.t?
Retaining 'I'/JIlbw rules adopted by the Oregon Utility
Soils ReP\\'b~1\~\!;ifi~ Center. Those rules are set lorth
in OAR 952-001-0010 through OAR 95~-00~'
0090. You may obtain copies 01 the ru es y
callin the center. (Note: the tele~hone
numb~r for the Oregon Utility Nolilicatlon
. Center is 1-800-332-2344). .
NOTICE:
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
3/9/2011 8:45:32AM
.' ,--....-
- ~" -.>~~~~~;'J"" ~....
Page 1 of 3
...
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00364
IVR Number: 811157956896
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
03/09/2011
ISSUED:
APPLIED:
03/09/2011
03/09/2011
EXPIRES:
VALUE:
09/05/2011
$0.00
SITE ADDRESS: 325 D ST, Springfield, OR 97477-4633
ASSESOR'S PARCEL NO: 1703352410100
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 ~
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 TVDe
Unit Cost
Value
FEES PAID
~
DescriDtion
State of Oregon Surcharge (12% of app!icable fees)
Water Line
-^._,._."~_._._----".._-
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$9.12
$76.00
$3.80
$88.92
Date Paid ReciDt #
03/09/2011 2011000427
-.-..-..-..-.-.- --
03/09/2011 2011000427
.....03/09/201"1---- --- --261 i 000427-
Springfield Building Permit
3/9/2011 8:45:32AM
Page 2 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00364
IVR Number: 811157956896
225 Fifth 5t
5pringfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
03/09/2011
03/09/2011
EXPIRES:
VALUE:
09/05/2011
$0.00
03/09/2011
SITE ADDRESS: 325 D ST, Springfield, OR 97477-4633
ASSESOR'S PARCEL NO: 1703352410100
SCOPE: Plumbing Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace water service
Plan Review
I
Deoartment
Permit Issuance
Received Due Date Comoleted Result
03/09/2011 03/09/2011 03/09/2011 Issued
Reviewer
David Bowlsby
Initial Review
03/09/2011
Comments: Over the counter permit
rfJ,\BP!1C~!j?fi'~:f{~~~q~~~;~Ft~~~18'~I.~,,~1~;!,JW6~!~O~/;i~3c~q~.~~>, Overthe;Counte7 ~:V:::' ihDavjaB6WTsbY-'_~.-- a1't7 - ~j , " ~ <~lr" ;. ~ 'J
' , , ", ,. _ . ," . ~. ,I ,-',.,::,:;",~~:..,~~:"~~ ":;"r~",r,;;'f,;~;!2,,~,,''',:f,fr+y:,:~~,~;~,':,'..'o.,.~.7',";<_1.",,, ,~',-.<' <-_,f "',',-''''~',"_' ^/';"\""";~,;,',,:,f::~
.~,',;f";,'":,' ~
- _'.~;, :/'i... - '.., ;;>::~:__-"':::.\~,' :':::~, .:'~u':<, ~~ ,'c- ';',lC';;'~~",-' ~ _, ~. ._'.- .1: ;: -' <~. . '~. . .~. ~.~.. M '.' ..... ." :~." , .. .. ' ~'_~. ......~<....
.: '~.."" ~
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 t;>f plans will remain on the site at all times during
construction.
. U 1/!{deIJ/(,
Owner or Contractor Signature
?// 9//
Date
Springfield Building Permit
3/9/2011 8:45:32AM
I
Page 3 of 3
.~
s~~~~~.~.~
~~Ci!1i
. S';t'''~ OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2011-00364
325 D ST
CiTY OF SPRINGFiELD -
225 Fifth 8t
Springfield,OR 97477
541-726-3753
permitcenter@cLspringfield,OLUS
RECEIPT NO: 2011000427 RECORD NO: 811-SPR2011-00364 DATE: 03/09/2011
lI:IESCRfI'1.TION. irr:..<f~~~'j/,,,,;: .t ""i:~ "'~'.' 2(,,,"t"St~;;c4")';"Ac.COl.iN;f~cODE4r, ,,,,Jf ; ::. '~'\l\MOUN:f.O:UE'3.;; I,; ']
State of 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~AYM~~ict'(eJ:,:t'3'f{!JmiQB~f~g!,SHrE'R~,DBOWLSBY<>:";2~" /\;~J;,-~M_~~f$2:;';'~:" ;~~~~:!:t;iZ:!~~~>::;AMOU~~AIP:<{' '.- :'~-~*'1::J
Check ROTO ROOTER SERVICE & 88.92
1207 PLUMBING
TOTAL PAID:
88.92