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HomeMy WebLinkAboutPermit Building 2010-8-12 CITY OF SPRINGFIELD Building '..Residential Permit PERMIT NO: 811-SPR2010-00045 IVR Number: 811127770604 SP .R.....I..NG. FIE~ ~- . ;,' . @l1 /' . ~ OREGOl-l 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: " " . . .~~~, :. ;, <;,';'1....;. ',~ / , ,:, 1. ..1" [~\ . ,..r:; ,,~,:'~' l' . ,I , Springfield Building Permit . . . _''':''I.I'~' ,....i:'f.' ;'1 ," ,;1 y. n ~.'8d2l~91'OI\~";21;45P,M . '!i~:fH~ld ""0 Co. , . ?llt i '~.i I Page 1 of3 .f\-..."I. CITY OF SPRINGFIELD S~R.Y.."....G. FI.EL.~ IIJ"" 'i:C:,.~ ~,};~. 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 ,..";:'1;,;';'::' :."'? . ,J ~..,._ , Springfield Building Permit 8/12/2010 1:21:45PM 1.~.r.1l'~.. :"_'''._'_M'''' '~.I~~ '~~~;~,r:21' /\\Ij, T - Receipt # 224426 224426 224426 224426 Page 2 of 3 www.ci.springfield.or.us CITY OEJ?P.BIN~FIELD . -:=,N U".:1....".1~.i ;;'" ~;, .'. Building !:B~sj'~~~ial'Permit .,>: .1..t!.", 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". , --'-.....:.~--.....:__..:.i:-,__....._J r~---~, ~'.' 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"", '. -~.~ .'. ~~.. . ...1, . , ~ ~ 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. . ------ ~ -l~ LD ,.," v . Date =z:~.,.~~..~..:...~:.i':: .' F~~ :'~i~~~1~r ,;l~". . . ~ ~ " ',' /:~1:1 .. ! ';':.~;. i:Voi.;U"1f,;j! . . }1'~'~., J' '8/1212010 1;2.1:.~5,~'M ,I . ; 11 .It . {'- nll"'I, Page30f3 Springfield Building Permit . k'c.jl' "'if .( ,t, ~ii':~'~}: "l;' , ;,.'" TRANSACTION RECEIPT CITY OF SPRINGF]ELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us ,.~'~,j ;~ ~~i . 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 4462 "~ ft: -. " ..:;-,.;g,~ ..~~':i~~tl+'~,'". .:-:::c-': --"~'-:,"""-- - ':i>tg1:J '~pi;'-: ~:1"-:"' ,~y,',~~t,'. ~,,'..';'~(;j;; :.: "'-:WZ"'!;i4i:;f ;'1 'Sk;.t.F'.j' { '~i,~7~~T: 4': -; "".' : ,,1/,' ' }'. '.~.. '}J~.t" '.\