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HomeMy WebLinkAboutPermit Plumbing 2011-3-16 ~ .. SPRINGFIEL~ I . . :'01:,\.~.. .:!~ :ve;~~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00431 IVR Number: 811102352435 www.cLspringfield.or.us 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: Issued 03/16/2011 ISSUED: APPLIED: 03/16/2011 03/16/2011 EXPIRES: VALUE: 09/12/2011 $0.00 SITE ADDRESS: 2323 9TI:I ST, Springfield, OR 97477-2314 ASSESOR'S PARCEL NO: 1703261204302 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Approximately 25 feet of water line Phone Number: OWNER: ADDRESS: ANGCO FAMILY TRUST 2566 37TH ST SPRINGFIELD OR 97477 ANGCO FERIL S JR TE & SHEILA A TE 2566 37TH ST SPRINGFIELD OR 97477 OWNER: ADDRESS: Phone Number: Contractor Type CONTRACTOR INFORMATION I Contractor Name Lic Type READY ROOTER DRAIN CLEANING & REPAIR SERVICE I CCB 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: Lie No 92524 Lic Exp 02/18/2013 Phone 541-744-7991 Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: ~., ~_MM low requireS you to I II-I" 1.__.' . - OJ th Oregon uu II Site Informa J r.... ...I,,~ Jpted by e t forth Those rules are se Notification cent~~1O through OAR 952-001- in OAR 952-001- btain copies of the rules by 0090. You may 0 Note: the telephone calling the cen~r. (on Utility Notification number for the r1e~00_332-234:4). Center IS - Engineered Fill: Fill Volume: Flood Hazard Area: Illn-..",r- L!.and Hazard Area: ~~H'Jn!h11l'l'\'j\I!i SHALL EXPIRE IF THE WORK Soils"ReporttRequired::R THIS PERMIT IS NOT ,..\U I IU,'\ILC.U UI\;UL.. COMMENCED OR IS ABANDONED FOR IllY 180 DAY PERIOD Springfield Building Permit 3/16/2011 11:52:57AM Page1of3 .. ~.. SPRIN.G.F.IEl.~ !E~<l~' .~. ...... '!;:: ~1 ,,: . OReGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00431 IVR Number: 811102352435 225 Fifth St Springfield.OR 97477 Phone: 541-725-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitce nter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 03/16/2011 ISSUED: APPLIED: 03/16/2011 03/16/2011 EXPIRES: VALUE: 09/12/2011 $0.00 SITE ADDRESS: 2323 9TH ST, Springfield, OR 97477-2314 ASSESOR'S PARCEL NO: 1703261204302 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Approximately 25 feet of water line DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north properly line: REQUIRED PARKING PROJECT DESCRIPTION: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Description Type of Construction Unit Amount Unit TVDe Unit Cost Value FEES PAID ~ Descriotion Technology fee (5% of permit total) Water Line _~~~_._0.~~0_.~*.0~_* State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $3.80 $76.00 $9.12 $88.92 Date Paid 03/16/2011 03/16/2011 03/16/2011 ReciDt # 2011000496 2011000496 2011000496 Springfield Building Permit 3f16f2011 11:S2:S7AM Page 2 of 3 ::;.. ,. Sf~~;;~ L~.~ ~OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00431 IVR Number: 811102352435 225 Fifth SI 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 03/16/2011 ISSUED: APPLIED: 03/16/2011 03/16/2011 EXPIRES: VALUE: 09/12/2011 $0.00 SITE ADDRESS: 2323 9TH ST, Springfield, OR 97477-2314 ASSESOR'S PARCEL NO: 1703261204302 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Approximately 25 feet of water line Plan Review ~ Deoartment Permit Issuance Received Due Date Comoleted Result 03/16/2011 03/16/2011 03/16/2011 Issued Reviewer Nancy Machado Nancy Machado Initial Review 03/16/2011 03/16/2011 03/16/2011 Over the Counter Comments: Over the counter permit ~Ap~ltsa_~~~~ ;~c:p:~e~:.e~.; _.,', >.,' > ,~,~~~/.16/fP.1.1:'-' 93/.16/29J~- ~.St~/1?/~011 ~~~O~~~J~~p:q,~~~j~~~~~~aRc,~h~d{ _ ; ~ ~:,._.".' ""<.--;'41;.__-_-,..,;.~Ji~~6;:._';,_~<>4_':- :,:_",7,$ q,~~""~,,, ~~'i,"';, ~-:;~= '" :,..:; l~ f "'"4 "- t, "w., ",_ '= -,:""';,',;'f*. "1." ;, .. - ~ ~* ~ ."~-,,, -'. J ' -'~- _:.~. :.;-. ,. -~__' " .. ",,'" "-' ~ ""'-',,,-'., , -',-,'. INSPECTIONS REQUIRED I 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 emptqyees 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 located at the front of the property, and the approved set of plans will remain on the site at all times during cOflstructio :5.----/5- -// Owner or Contractor Signature Date Springfield Buiiding Permit 3/16/2011 11:52:57AM Page 3 of3 :;-- . ;, S,P:~N~~ L~~ ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00431 2323 9TH ST CITY OF SPRINGFIELD 225 Fifth 5t Springfleld,OR 97477 541-726-3753 permi1center@ci.springfield.or.us L'~AYMEriffYPE Credit Card 04577c RECEIPT NO: 2011000496 RECORD NO: 811.SPR2011.00431 DATE: 03/16/2011 tDESCRIP.JTION' .':,._" ,,:;'F, 9,'1';,/",'.-' .~:'!: ",~:' iT,'+-' '::'A.,ccoUIIi:'flcbbE'f ''',',,'.' :~'r.MO:l.lNJj)UE";,.'" , 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 f;n&>*~';F!Ay6R -., C~ASHiERtNrlACHAD6~:Z~J:#jZ 0h~~'C~O,".M,,'MEN"-'T' S;{;i~t::t\'~!3r',i~ ').;L~ ~.:;>;~'",' ;;', AMOUNrp AID? ':...;~ ,', ~',~- +::1, 1 ; l: -.,li, ",___ .. """", C"~"_"' ,~,,~,_ _, . ,"', ."N-,",:. READY ROOTER DRAIN 88.92 CLEANING & REPAIR SERVICE TOTAL PAID: 88.92