HomeMy WebLinkAboutPermit Building 2010-8-12
CITY OF SPRINGFIELD
Building '..Residential Permit
PERMIT NO: 811-SPR2010-00045
IVR Number: 811127770604
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www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541.726.3753
Inspection Phone: 541.726.3769
Fax: 541.726.3676
permitcenter@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/12/10
APPLIED: 8/12/10
EXPIRES: 2/7/2011
VALUE: $0.00
SITE ADDRESS: 880 21ST
ASSESOR'S PARCEL NO:
....
,
SCOPE:
, .;,.. WORK INVOLVED:
TYPE OF STRUCTURE:
'.,
Springfield
1703361204800
PROJECT DESCRIPTION:
Install gas piping for LPG ~ange
Phone Number:
OWNER:
ADDRESS:
DAZIEl ROBIN W
880 21 ST ST
SPRINGFIELD OR 97477
Contractor Type
Contractor Name
J LOGUE GAS WORKS INC
CONTRACTOR INFORMATION ~
Phone
541-345.7599
Lie Type
CCB
lie No
147111
Lie Exp
03f06/2011
BUilDING INFORMATION' . I
:}'\;. t.i ,'t'~ ~ '\.'h I'
# 0/ St;;ri~s: . ..,.
I Height?f Structure:
Type of Heat:
Water Type:
. ,1 .'~ I 1.',',
Electrical Speci~'1Y 90de Edition:
Springfield Fire Code Editibn:
Mech;u,1!cal Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
# of Units: 0
# of Bedrooms:
Sprinkled B~ilding:
Fire Alanns:
Range Type:
Hazmat:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
.A.TTENTIOI\Sq:!it~9,f!!!or:requires youto
follow rules Sq1FfBagein.ht9 Oregon Utility
Notification CS'~Ft'GJ~ne~e rules are set forth
in OAR 952.0n~ -~0d 0 t~r9ugh OAR 952-001-
0090. You m~~ oDl~m't'8pies of the rules by
calling the %'!!'i!<9'h~r.ote: the telephone
number for OllCuplini;Yluda'li!ity Notification
Center is 1-800-332-2344).
Site Infonnation
t.
NU IllIt.. IRE IF THE WORK
" THIS PERMIT SHALE~ ~~S PERMIT IS NOT
AUTHORIZED UNO FOR
. COMMENCED OR IS ABANDONED
ANY 180 DAY PERIOD.
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
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Springfield Building Permit
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Page 1 of3
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CITY OF SPRINGFIELD
S~R.Y.."....G. FI.EL.~
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~,};~. OREGON
Building I Residential Permit
PERMIT NO: 811-SPR2010"00045
www.ci.springfield.or.us
v,
IVR Number: 811127770604
~'.- .'
225 Fifth St
Springfield,o.R 97477
Phone: 541-726-3753
Inspection Phone: 541-726.3769
Fax: 541.726-3676
permitcenter@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/12/10
APPLIED: 8/12/10
EXPIRES: 2/7/2011
VALUE: $0.00
SITE ADDRESS: 880 21ST
ASSESo.R'S PARCEL NO.:
SCo.PE:
Wo.RK INVo.lVED:
TYPE o.F STRUCTURE:
Springfield
1703361204800
PRo.JECT DESCRIPTlo.N:
Install gas piping for LPG r~nge
I DEVElO~MENT;lNFo.RMATlo.N
~
i ; U; I i: ;-;'~ ' ~" ~;'f.l ,.
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
OverlaY'ofst:
# StreetTrees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure to
north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPRo.VEMENTS ~
, ., ~ . ".; :^ 1 ;;
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
!~..,f~;1~~:'~
~,i 1 \~]::T',
1?0wnspoutlDrains:
,J'
Descriotion
-~~~~al"a~~n'l)eSCriPtion ~
'(i~'j~!,.j7t~4:.':':~ ':
Tvoe of Construction .... Unit Amount Unit Tvee
- \7'r.'~'
Unit Cost
Value
,::J
Description
Gas Piping up to 4 outlets
First Appliance Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
.. 'FEE~.P".b,.1D
Amount Paid
$7.00
$79.00
$10.32
$4.30
$100.62 .
Date Paid
08/12/2010
08/12/2010
08/12/2010
08/12/2010
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Springfield Building Permit
8/12/2010 1:21:45PM
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Receipt #
224426
224426
224426
224426
Page 2 of 3
www.ci.springfield.or.us
CITY OEJ?P.BIN~FIELD
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Building !:B~sj'~~~ial'Permit
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PERMIT NO: 811-SPR2010-00045
IVR Number: 811127770604
225 Fifth St
Springfield,OR 97477
Phone: 541.726.3753
Inspection Phone: 541.726.3769
Fax: 541.726.3676
S"PRIH.GFIE~.D
~~
;:': ,~
J:'~. OREGON
permitcenter@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/12/10
APPLIED: 8/12/10
EXPIRES: 2/7/2011
VALUE: $0.00
SITE ADDRESS: 880 21ST
ASSESOR'S PARCEL NO:
Springfield
1703361204800
SCOPE:
WORK INVOLVED:
TYPE "OF STRUCTURE:
,!:
, . ~ ..
. ,
PROJECT DESCRIPTION:
Install gas piping for L,p.q range "
Deoartment
Permit Issuance
Application Acceptance
Initial Review
Planning Review
Public Works Review
Structural Review
Received
08/12/2010
08/12/2010
08/12/2010
08/12/2010
08/12/2010
08/12/2010
. -.-- -'r--"'-~-"'.-;'-__ _._-------
- . Plan ReYl~Y'I-'
Due Date Comerete Result
08/12/2010 08/12/2010 Issued
08/12/2010 08/12/2010 Over the Counler
08/12/2010 08/12/2010 Over the Counler
08112/2010 08/12/2010 Over the Counter
08/12/2010 08/12/2010 Over the Counter
08/12/2010 08/12/2010;' Over~he,Co~nler".
,
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Reviewer
Chris Carpenter
Chris Carpenter
Chris Carpenter
Chris Carpenter
Chris Carpenter
Chris Carpenter
Comments
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Inspections
2250 Gas Piping
2260 Gas Service
INSPEc;nONSIREQUIRED"",
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81-'~
2310 Rough Gas
2995 Final Gas
2999 Final Mechanical
By signature, I state and agree, that I have carefully examined the com'pleted application and do hereby certify that all
information hereon is true and correct, and I further certify that any and altw~rk_performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oreg6ri'-'~ei1ai~ing 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
. ..'''''1.
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 th~rproper 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 o~ the site at all times during
construction. .
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Page30f3
Springfield Building Permit
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TRANSACTION RECEIPT
CITY OF SPRINGF]ELD
225 Fifth St
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
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permilcenter@ci.springfield.or.us
L~~~ YMENT_TYPg c :c. p.~ YOf.l.~HIER: GeAR?""T"R.
Check J LOGUE GAS WORKS ]NC
RECEIPT NO: 20]0000047 RECORD NO~::8r.'I-S'i;R2610'00045 DATE: 08/12/2010
'bElfCRIP;tioN:"'i~",..:,,it"r:~~ic"',;~~~IVW;"'" -;~.~~~~t' ~'ACC6UNT.COOE;f;;"';)r, ."'AMQ@J,lQ.UE,~:I' '" ,'a
Gas Piping up to 4 outlets ::;i; ,. 224:0'0000.425604 $700
First Appliance Fee 224-00000-425604 $79.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $10.32
Techno]ogy fee (5% of permit total) 100.00009.~2...___ $4.30
TOTAL DUE: $100,62
;C.6MME"n:S~:;...__,,::_Z....::L,c.:6AI\(IPUNH~I[l._ ":::":._' '~2~_J
.; $100.62
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