HomeMy WebLinkAboutPermit Building 2010-11-15
..
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00714
IVR Number: 811187805409
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
11/15/2010
11/15/2010
Issued
11/15/2010
ISSUED:
APPLIED:
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspeelion Phone: 541-726-3769
Fax: 541-726-3676 '
permitcenler@cLspringfield.or.us
EXPIRES:
VALUE:
05/14/2011
$0.00
SITE ADDRESS: 227 DEADMOND FERRY RD, Springfield, OR 97477-9402
ASSESOR'S PARCEL NO: 1703154001400
SCOPE:
WORK INVOLVED:
TYPE 'OF STRUCTURE:
PROJECT DESCRIPTION:
Install LP lank, lines to H20 heater and cook stove
Phone Number:
OWNER:
ADDRESS:
DENHAM MICHAEL & JEANETTE
227 DEADMOND FERRY RD
SPRINGFIELD OR 97477
Single Family Residence
New
Residential
CONTRACTOR INFORMATION I
Contractor Type
Plumbing Contractor
Mechanical Contractor
Contractor Name
BLUE STAR GAS ASSOCIATES CO
BLUE STAR GAS ASSOCIATES CO
Lie Type
ceB
ceB
Lie No
179266
179266
lie Exp
12f03/2011
12{Q3fZ011
Phone
707-573-3130
707-573-3130
# of Units:
BUILDING INFORMATION'
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
o
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Elect.rical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Sp;ecialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Editio!,"!:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Fl Carport:
Sq Ft Other: 0
Occupancy Load:
Site Information
,
Engineered Fill:
Fill Volume:
FI d H ~~TENTION: Oregon law requires you to
00 azar ,rea:
L d H 0, W. rules adopted by the Oregon Utility
an a~ ~.. .
R Ia. , ( fHcatlon Center. Those rules are set forth
e Intng a 'AR
S 'I R ~ 95~?-001-0010through OAR 952-001-
01 5 epo ulI:e ' bt ' ,
. YO may 0 am caples of the rules by
calling the center. (Note: the telephone
, number for the Oregon Utility Notification
Center is 1-800-332-2344),
,'-~,:. .:~,.;,-;:;~.t' "',
NOTICE: ' lF1HE WORK
THIS PERMIT SHAll ~:'~~ERMIT IS NOT
AUTHORIZED UND,ESRABANDONED FOR ::<:
COMMENCED OR , .' ["
ANY 180 DAY PERIOD.' "
Springfield Building Permit
11/15/201 2:43:30PM
Page 1 of 3
SP~INGFIELD.
..\~
.. . "i\. OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811~SPR2010-00714
IVR Number: 811187805409
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
permilcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
11/15/2010
ISSUED:
APPLIED:
11/15/2010
11/15/2010
EXPIRES:
VALUE:
05/14/2011
$0.00
SITE ADDRESS: 227 DEADMOND FERRY RD, Springfield, OR 97477-9402
ASSESOR'S PARCEL NO: 1703154001400
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Single F~mily Residence
New
Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Install LP tank, lines to H20 heater and cook stove
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
~
Descriotion
Tvpe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
DescriDtion
Water heater
Balance of Mini~um Plumbing Permit Fees
First Appliance Fee
State of Oregon Surcharge (12% of applicable fees)
TechnolojJY fee (5% of permit total)
Total Amount Paid
FEES PAID
Amou-nt Paid
$19.00
$39.00
$79.00
$16.44
$6.85
, $180.29
~
Date Paid
11/15/2010
11/15/2010
11/15/2010
1111512010
11/15/2010
ReceiDt #
374882
374882
374882
374882
374882
Springfield Building Permit
11/15/201 2:43:30PM
Page 2 of3
S:i~;;l~
~~.
~"OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00714
IVR Number: 811187805409
www.cLspringfield.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:
STATUS DATE:
11/15/2010
11/15/2010
Issued
11/15/2010
ISSUED:
APPLIED:
EXPIRES:
VALUE:
05/14/2011
$0.00
SITE ADDRESS: 227 DEADMOND FERRY RD, Springfield, OR 97477-9402
ASSESOR'S PARCEL NO: 1703154001400
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Single Family Residence
New
Residential
PROJECT DESCRIPTION:
Install LP tank, lines to H20 heater and cook stove
Plan Review
Deoartment
Application Acceptance
Received . Due Date
11/15/2010 11/15/2010
Comoleted
11/15/2010
Result
Over the Counter
Permit Issuance
11/15/2010 11/15/2010 11/15/2010
Issued
~
Reviewer
David Bowlsby
Not Required
David Bowlsby
Structural Review .11/15/2010 11/15/2010 11/15/2010
Comments: Over the counter permit
IPlan~;~~;:-;"'" ''',i;i'~'fm5720W 0.11/15/2010'" 11/15/2010!" Not Required,'. ,,',: .Davld Bowlsby" "/'
r Co'm'ms nts', ',' ,jOver the'coun1er~'perfnit' i::~-""'"d ,..,/"",,,;::",,: !%):L r .,J--(-~:.!~'.i:_~_:_~_';J~w.: ~... { ",,ofJ' ~ "% ~-
L..:;:' ,"'''''' , .. _~m''h:''::'';,;i'.;-'''''__ ',;'~~_,\-,:t ::,_",;~:f'YL*'~'" ,~,';'.F":m~Ji:;::,_5;,,;:.J.;.::} " . r..l'~i,.); '.;. ,
"
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1
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4~'
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INSPECTIONS REQUIRED I
Inspections
2250 Gas Piping
2300 Rough Mechanical
2999 Final Mechanical
Rough Mechanical: Prior to Cover
Final Mechanical: ,When all mechanical work is complete.
3500 Rough Plumbing
3999 Final Plumbing
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
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. I further
certify that only contractors and employees who are in compliance with ORS 701,005 will be used on this project. 1 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.
~I/fi---
~wner or Contractor Signature
1/- 16--/U
Date
Springfield Buiiding Permit
11/15f201 2:43:30PM
Page 3 of 3
. '
SP-fING. FIE.L~
. .~!EGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00714
227 DEADMOND FERRY RD
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenler@ci.springfield,or.us
RECEIPT NO: 2010000827
RECORD NO: 81 I-SPR20IO-00714
DATE: 11/15/2010
--11-ggcOIJNrlcoQ.E >. --t\MQ.LJNT DUE
224-00000-425603 $19.00
224-00000-425603 $39.00
224-00000-425604 $79.00
821-00000-215004 $16.44
100-00000-425605 $6.85
TOTAL DUE: $160,29
1~})AYMENT_T,.YPE"i<i,:f'AYO.R.'_'.~~.,,: CASHIER:.PBOWLSBY",~' 'CO, MMENTS": ,'i~;" .": _' .-, -AMOUllfrPAI[) ":;
Ii ~ _ ..._ _ .. _ 'q - __ ""~',~. "^
\Q.J;$_CRIPTlgN-'--~{- ' , '''' :,;:C;>:;' ..;-. ,~~- ...4G..,y,,-,""-'--
Water heater
Balance of Minimum Plumbing Permit Fees
First Appliance Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
"
I
.;J
Credit Card
015892
jeff stewart
$160,29
$160.29