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Home My WebLink AboutPermit Plumbing 2011-5-18 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01003 IVR Number: 811183674510 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/18/2011 ISSUED: APPLIED: 05/18/2011 05/18/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfieJd.or.us EXPIRES: VALUE: 11/13/2011 $0.00 SITE ADDRESS: 205 S 54TH ST, SPACE# 75, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702330001200 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line. approx 251f Phone Number: OWNER: ADDRESS: CHALET VILLAGE MHC LLC 450 NEWPORT CENTER DR STE 595 NEWPORT BEACH CA 92660 Contractor Type Plumbing Contractor Contractor Name SUSAN JANE ARNOLD CONTRACTOR INFORMATION I Lic Type eeB 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 f Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 49561 Lic Exp 12/16/2012 Phone 541-484-3787 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 I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retai~i~91i\!lb . . .. Soils iReport{Required: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS N1)f COMMENCED OR IS ABANDONED H)~ ANY 180 DAY PERIOD. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those ruies 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). Springfield Building Permit 5/18/2011 1:37:14PM Page 1 of 3 SPRING FIE.LtiJ . ._,~ .~..~~. OREGOtol www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01003 IVR Number: 811183674510 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/18/2011 ISSUED: APPLIED: 05/18/2011 05/18/2011 EXPIRES: VALUE: 11/13/2011 $0.00 SITE ADDRESS: 205 S 54TH ST, SPACE# 75, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702330001200 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace water line. approx 251f DEVELOPMENT INFORMATION I Overlay Dist: # StreelTrees 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 ~ Descrlotion Tvoe of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID I DescriDtion State of Or".!),on Surcharge (12% of applicable fees) Water Line __ '~'~_~_____,M,M Technology fee (5% of permit total) Total Amount Paid Amount Paid $9.12 $76.00 $3.80 $88.92 Date Pa id 05/18/2011 _~__'.M' 05/18/2011 .'~M.....___.__ _____~. 05/18/2011 ReciDt # 2011001144 2011001144 ..-...--.--- 2011001144 Springfield Building Permit 5f18f2011 1:37:14PM Page 2 of 3 CITY OF SPRIN"GFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01003 IVR Number: 811183674510 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/18/2011 05/18/2011 05/18/2011 ISSUED: APPLIED: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us EXPIRES: VALUE: 11/13/2011 $0.00 SITE ADDRESS: 205 S 54TH ST, SPACE# 75, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702330001200 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line. approx 25ff Plan Review ~ Deoartment Application Acceptance Received Due Date 05/18/2011 05/18/2011 Comoleted 05/18/2011 Result Over the Counter Reviewer David Bowlsby rUt5,Hc'W6ij(s~eVi,~~::~~~;~~;'1~ ,;!O~r1 ~/20'1,:1: ~,~;,9.5Lr~L~p~t: .~~~R~l~(iOA~/~~:;-" ~ciJ~~~~q~j~~- ;/~~~_~_ i:~"*' ~'9,~VJp;l?~hWISP(~'~;. :,"j.g~~; j;;'~; ~{t !;' Comments:" .o~r!t~~,,~~t;;r.}~~~fIl~t:,t,[;<'-l ~'I~;,'?_1['i!}</T:'~ ,z~.~' ':., 'j ""~:~ .~.' . "~~i~?::.' -:'-~ :':f~'''' ~:'~J~"t<.~}". ~'\ j~.i-~~:,' .'.~'~! ; "t, "' Structural Review 05/18/2011 05/18/2011 05/18/2011 Not Required David Bowlsby Comments: Over the counter permit !PI~nni;;g'Revievi . : :~.." '~5/18/20}1""05/18/2011.. 05/18/20.11 > :NoFRequiiect;;.:';' 1 ,.,.,. _... .~ .~" '~:"1-rA'" ("~"~~;;~":fr t~~o'mmellts:""'?VeL~he~.c9u.~.t~~'p~rm1J:,,"i-;~ ' ~..:.~;: ~~ ~~~~~i'~}"'v~ Permit Issuance 05/18/2011 05/18/2011 05/18/2011 Issued David Bowlsby . ....~r:r"-~ '" ,[)avld Bowlsby . , 'L ' , "._, .('>;,-",:..'0,'"'''' .. ~. ,'. 'e. "c." ..,' ! .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. r 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. /K- ~ S--/;g-// Owner or Contractor Signature Date Springfield Building Permit 5/18/2011 1:37:14PM Page 3 of 3 S.~;~NG.:EL~.. . Ii.,..~ ~, .. "" OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 . www.ci.springfield.or.us 811-SPR2011-01003 205 S 54TH ST. SPACE 75 permitcenter@cLspringfield.or.us r'i%PA YMErit TYPE r'.P' Check 6695 RECEIPT NO: 2011001144 RECORD NO: 811-SPR2011-01003 DATE: 05/18/2011 ~DESCR'I~:;[I6N.:J~"~~~_~i?F'::'J\:."',tI,.",':jA ~~~.::i'r.:"'~':'~" ,':; <;~( Acc6.lfNiTlc.ODE:i\~ -i .~' : ~~LAMOUNT::DUEJ:~~J:~_.#j 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 '~PAYOR~CASHJER~-~SS~E~AN0:T:T'~1~:~~Ji7;!,C~OMME'NTS~~~~"_'Z}:~/:';_~;K:J~;~C;:AMOONf*RA!_P-~,C+iif:T~}5 right way plumbing 88.92 - .~ TOTAL PAID: 88.92