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Home My WebLink AboutPermit Plumbing 2011-7-7 (2) 5. PR~NG. ~ I,E, L~ ~" .' ''-'.""", ' . ,"c. .IJ1i .<'',:'',. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01699 IVR Number: 811154023994 www.ci.springfield.or.l.Is 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/07/2011 ISSUED: APPLIED: 07/07/2011 07/07/?011 EXPIRES: VALUE: 01/02/2012 $0.00 SITE ADDRESS: 1879 G ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703362115200 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line Phone Number: OWNER: ADDRESS: WRYN JUSTIN 1879 G ST SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor Contractor Name OWN ER CONTRACTOR INFORMATION ~ Lie Type OWN ER BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o Lie No 0000000 Lie Exp 08/1.2/2025 Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: A~~F\IT'O" 0 '" I I ,',,: regon law requ' Plumbing Specialty Code Edition: f J:.IV r~Oj~ adopied b th 0 lies you to , .,~ . y e regon Utility Residential Specialty Code Edition: 0IIIl"atlon Center Those rules a t f h in O'lP 052001 0 . re se ort Structural Specialty Code Edition'oOfJn ~"" ;"'0" ~~,~O_through OAR 952-001_ I cail ~Ig th ,-- .-.., "V,""eo en llle rUles by Site Intonnation I e center. (Note: the telephone ,"v, HUer for the Oregon Utility Notification Center is 1-800-332-2344). # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wail: Soils Report Required: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 of 3 Springfield Building Permit 7/7/2011 11:14:19AM SP~~Nih.::EL~ -~,~ ~~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: B11-5PR2011-01699 IVR Number: 811154023994 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 07107/2011 ISSUED: APPLIED: 07/07/2011 07/07/2011 EXPIRES: VALUE: 01/02/2012 $0.00 SITE ADDRESS: 1879 G ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703362115200 SCOPE: Plumbin9 Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 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: Vall!ation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion Technology feeJ5% of permit total) Water Line State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $3.80 $76.00 ___.000~__.* $9.12 $88.92 Date Paid 07107/2011 07/07/2011 _.._~--* 07/07/2011 ReciDt # 2011001911 2011001911 2011001911 Springfield Building Permit 7R12011 11:14:19AM Page 2 of 3 S~:~N~. 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OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01699 IVR Number: 811154023994 www.cLspringfield.or.us 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: APPLIED: 07/07/2011 07/07/2011 155 ued 07/07/2011 EXPIRES: VALUE: 01/02/2012 $0.00 SITE ADDRESS: 1879 G ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703362115200 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line Plan Review ~ DeDartment Application Acceptance Received 07/07/2011 Due Date 07/07/2011 Completed 07/07/2011 Result Over the Counter Reviewer Chris Carpenter ..""C-_,'," Plumbing Review 07/07/2011 07/07/2011 07/07/2011 Not Required Chris Carpenter Comments: Over the counter permit !lnJt:ial_ReVie~: j; ,,;L""i\'/,P~:~ ,'-q!I07/201'1~""~,~RZJ:q!(?O~"1'~~"07.fO?I,~~~!;' 'qye5~th~E;?o~~6ter}"~~:,-...~CbIi~,~s~tP.e~)~rf("\~ \_" _~,::""-: :" "J : 'J.f~rn~en~~_;_:..:.?J:~,:!t~~?~U~~f~:~~~r..~.~~~_:r:::~~:,~~~:'~~,~~~_L ~"~'~~ _~_ -~~ :'j~ ~'~,- ~"~,-:\~ -L:>; ~ ~-C.~;~_~~:_ _ t __~ i:~:;~~_'~' -2-~'.' r:-_~_~_";<::_~ _,:"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' 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 construction. ~ z;-- 02 Contractor Signature "7 -- 7 --- I( Date Springfield Building Permit 71712011 11:14:19AM Page 3 of 3 SP::~::IEL~ ~",.~ ~^L^ . _,t.". OREGON TRANSACTION RECEIPT CITY OF SPRrNGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2D11-D1699 1879 G ST permitcenter@ci,springfield.or.us ic".f..AYM.ENT TYPE," ';PAYOR,', ,,;C~E,R:,CCARP!;!'JER, "__COI'IINII:.tiT~?"-; Credit Card WRYN JUSTIN RECEIPT NO: 2011001911 RECORD NO: 811-SPR2011-01699 DATE: 07/07/2011 lDESdRII~l'ION' '0: : ,"('< ~;-1i:;/1,>;:'7,"" ".-;';;',;''''..'9,,,'; ,-< "Ac_co:UNif~cobE' -, e, ;.', r,"AMOUNtOUE 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 "~,AMOUNT PAID,., ,';,,----3 $88,92 ,-. 135965 $88.92 TOTAL PAID: