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Home My WebLink AboutPermit Mechanical 2010-11-12 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00705 IVR Number: 811118767655 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/12/2010 ISSUED: APPLIED: 11/12/2010 11/12/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 05/11/2011 $0,00 SITE ADDRESS: 2440 HAYDEN BRIDGE RD, Springfield, OR 97477-1736 ASSESOR'S PARCEL NO: 1703240000200 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Mechanical Only Alteration Residential PROJECT DESCRIPTION: Relocate gas meter Phone Number: OWNER: ADDRESS: SANCHEZ-PHILLIPS SYLVIA & PHILLIPS K T 2440 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor Contractor Name OWNER CONTRACTOR INFORMATION I Lie Type OWNER 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 I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No 0000000 Lic Exp 08/12/2025 Phone 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: Retaining WalJ.\TTENTION: Oregon law requires youto Soils Report Required: les adopted by the Oregon Utility N~';ifi~;tion 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). NOTICE: . " , THIS PERMIT SHAll EXPlRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR : ANY 180 DAY PERIOD, Springfield Building Permit .. -- 11/12/201 1:16:23PM Page 1 of3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00705 IVR Number: 811118767655 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/12/2010 ISSUED: APPLIED: 11/12/2010 11/12/2010 EXPIRES: VALUE: 05/11/2011 $0.00 SITE ADDRESS: 2440 HAYDEN BRIDGE RD, Springfield, OR 97477-1736 ASSESOR'S PARCEL NO: 1703240000200 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Mechanical Only Alteration Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Relocate gas meter DEVELOPMENT INFORMA TION ~ 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: Valuation Description ~ Descrietion Tvee of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID I Description Gas Piping up ~o 4 outlets .. " FirstApplia~ F~--'--'-~ --~---~'---'-'-' '---~- State of Oregon_~charge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Amount Paid $7.00 $79.00 $10.32 $4.30 $100.62 Date Paid 11/12/2010 11/12/2010 11/12/2010 11/12/2010 Receipt # 374865 ------~-- 374865 ------- --:374865---- .---.-----.,.-.- 374865 Springfield Building Permit 11/12/201 1:16:23PM Page 20f3 . CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00705 IVR Number: '811118767655 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/12/2010 ISSUED: APPLIED: 11/12/2010 11/12/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 05/11/2011 $0.00 SITE ADDRESS: 2440 HAYDEN BRIDGE RD, Springfield, OR 97477.1736 ASSESOR'S PARCEL NO: 1703240000200 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Mechanical Only Alteration Residential PROJECT DESCRIPTION: Relocate gas meter Plan Review I DeDartment Application Acceptance Received Due Date 11/12/2010 11/12/2010 ComDleted 11/12/2010 Result Over the Counter Reviewer David Bowlsby Mechanical Review 11/12/2010 11/12/2010 11/12/2010 Not Required David Bowlsby Comments: Over the counter permit InitiaIRevieW"+'.; ;""' ,.:.: :::\lZ12(?q10~, 11112/2010",11/12/2010. ;.,.Qver th~c:6~nter,(.~' . Q"vid'Bowls8y:," ',';",: ':', ;:-:.: :', ~,;_:,,'I l,~~1~1ll1e~~;~~0~€r-ih-t~g(t~I1t~r:P~~1f1it}>~~:~\it~i'~A' 1L~~ ~.::~.:,~ '~~::;~~~;:~~:'f::,i4l;J:~~~',E~~:,;,;~~,}~ f:~1~>:'r~~1:~:?~{~~~~~i0"-~'::~~ ,~;, :. ~,~ INSPECTIONS REQUIRED I Inspections 2250 Gas Piping By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thatall information hereon is true and correct, and I further certify that any and aU 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. loc ted e ont of the property, and the approved set of plans will remain on the site at all times during constfuc. n. /1 Date Springfield Building Permit 11/12/201' 1:16:23PM Page 3 of 3 . ., SP~ING. fIE~.. . .~. " 1::" , ,~: .0.. ~ OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00705 2440 HAYDEN BRIDGE RD CITY OF SPRINGF[ELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 permitcenler@cLspringfield.or.us RECEIPT NO: 20[0000814 RECORD NO: 8[ I-SPR20[0-00705 DATE: 11/12/2010 [PESCRJB..TJ.9l1::-: :,;~:.'S';;;';:':::~~..:...::'~'[L8,",,;~;,"(:.::~(,-C_Ql.JNt.C:QDE ,~;;;D...:'gMQUIiTj:~.uE, . .F" . . 'I Ga~eir1~~e..~~ ouHets _ 224.00000.425604 $700 First Aee'~!,~e Fee 224-00000.425604 $79.00 State of Oregon Surcharge (12% of applicab[e fees) .-E1.00000.215004 $10.32 J!chnology fee (5% of e.ermit total) 100-00000.425605 $4.30 TOTAL DUE: $100.62 1.";'''A~{MENttypE'' zry:PAYOR,...0t,,6s8IERbB()~JBY'':'''Y;?;c..QMMI~'fS:'":.:';>' .. . ':.. ,T;;>,.j1oAMOUNT;pAID. ,;,.. .;~ . Check 1378 SANCHEZ-PHilLIPS SYLVIA & PHilLIPS K T $100.62 $100.62