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Home My WebLink AboutPermit Plumbing 2011-4-25 SP:I..~. G=-~ )1'1" ... ~ . ," ~'ci:'.~ B.,",.,;i"fI"- OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00676 IVR Number: 811160080556 www.ci.springfield.or.us 225 Fifth St Sprin9field,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726.3769 Fax: 541.726.3676 Issued permitcenler@ci.springfleld.or.us PROJECT STATUS: STATUS DATE: 04/25/2011 ISSUED: APPLIED: 04/25/2011 04/25/2011 EXPIRES: VALUE: 10/22/2011 $0.00 SITE ADDRESS: 389 SCOTTS GLEN DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271309800 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water supply lines Phone Number: OWNER: ADDRESS: HESTER ROBERT PATRICK 389 SCOTTS GLEN DR SPRINGFIELD OR 97478 CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor Contractor Name GARYS ROOTER & PLUMBING SERVtCE LlC Lie Type GGe # of Units: BUilDING INFORMATION I # of Stories: Height, of Structure: Type of Heat: Water Type: Range Type: Hazrnat: 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 Spetialty Code Edition: lic No 174640 lie Exp 02/28f2013 Phone 541-93546350 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 ~ Engineer.""illENTION: Oregon law requires you to Fill vOlunfl!lJ~~w r.ules adopted by the Oregon Utility Flood HllllilllllltQtilln Center. Those rules are set forth land Haln"caAAlI52-001-0010 through OAR 952-001- RetalnlnQ<lAIlilJ.= You may obtain copies of the rules b So.ls Repdnllful{JJil!tle:center. (Note: the telephone y . number for the, Oregon Utility Notification Center IS 1-800-332.2344). NOTICE: . " .... ;~~~PERM/T SHALL EXPIRE IF ;~~"~ORK CO ORIZED UNDER THIS PERMIT IS NOT MMENCED OR IS ABANDONED FOR . ANY 180 DAY PERIOD, . ;' ,. '0. > ~ Springfield Building Permit 4/25/2011 2:40:31 PM Page 1 of 3 .< .. www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00676 IVR Number: 811160080556 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci,springfield.or,us PROJECT STATUS: STATUS DATE: Issued 04/25/2011 ISSUED: APPLIED: 04/25/2011 04/25/2011 EXPIRES: VALUE: 10/22/2011 $0.00 SITE ADDRESS: 389 SCOTTS GLEN DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271309800 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace water supply lines DEVELOPMENT INFORMATION I Overlay nist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I 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 ~ Description Water Line ~.of Oregon Surcharge (12% of. applicable fe",,1 Technology fee (5% of permit total) Total Amount Paid Amount Paid $76.00 $9.12 $3.80 $88.92 Date Paid 04/25/2011 04/25/2011 04/25/2011 ReciDt # 2011000793 2011000793 2011000793 Springfield Building Permit 4/25/2011 2:40:31 PM Page 2 of 3 SP~~;:...F.I=?ij 0 ' E...~ ; ~ ~, OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00676 IVR Number: 811160080556 www.ci.springfield.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 04/25/2011 ISSUED: APPLIED: 04/25/2011 04/25/2011 EXPIRES: VALUE: 10/22/2011 $0,00 SITE ADDRESS: 389 SCOTTS GLEN DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271309800 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water supply Jines Plan Review ~ DeDartment Application Acceptance Received Due Date 04/25/2011 04/25/2011 ComDleted 04/25/2011 Result Over the Counter Plumbing Review 04/25/2011 04/25/2011 04/25/2011 Not Required Reviewer David Bowlsby David Bowlsby Comments: Initial Revh3w' .r .~. "T" ,Comh-ients: LA.;';' ~ . Over the counter permit . " ,r1:;;,;'~~\()4/25/2011t'ch04/25/2011';;~04/25/201t1;rv ~OvertheCo"uiite-r:: 7"> : David BoWlsby .:'- >~"-'=",-.~'X~~''''if''''!.::;'~',,-u,::-~ ~"".,,"Ti;,r.:;~:;"1 r '} u~~:,St~r~h' _"'1, t:,.'", -"';, '", t :,.~ '" OW< Over.the;counterperrnlt>< 1',",;:'::>),- ./"-r'~"17:,"''''+':;:~ '" ~'" . ~~ ':; ~ > AA ~~ -','''''''''-",).' '"\'''','.''-!.''' "4"-;;."01:.., ~, In.'Y''-''~.~~,/,'';~''4..',,,,,,, ,,~,~___."'" 0""-*:~-<::,:' " . . "I .. ~ '.'" ,. .;.- ~ !l~~:_ ,c',,"j ~ c\ '": 'i", .., 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 wil! 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. ~ 112->/;1 Owner or Contractor Signature Date Springfield Building Permit 4/25/2011 2:40:31 PM Page 3 of 3 .. ~ ,0 ~S~~INGfIELD j:fi~ " tI/i ~~:., . OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00676 389 SCOTTS GLEN DR perm itcenter@cLspringfield.or.us RECEIPT NO: 2011000793 RECORD NO: 811-SPR2011-00676 !DESCRIe.TlbN~.ti"'"', , .S"", ,.'ii'.r;;,;,~'0;'~'. '~:j?~.P'.j.;ACcbUN:t~cobE', State of Oregon Surcharge (12% of applicable fees) 821-00000.215004 Technology fee (5% of permit total) 100-00000-425605 Water Line 224-00000-425603 TOTAL DUE: ''''\i DATE: 04/25/2011 ;'i._, ,;'AI\IIOUNT';OU E':..' j f -,- 9.12 3.80 76.00 88.92 ':,'" 'AMOUNTd;>AID' 88,92 ".1 '<":.J CI:A'yMEH:L'tx~E ;, 'T;~',PA YOR -;cAsti!~l~LSBY;~'~J, ,,', ;;";~ -COMMENJ:S&i;~; Cash GARYS ROOTER & PLUMBING SERVICE LLC "~ .' .~ TOTAL PAID: 88.92 "