HomeMy WebLinkAboutPermit Plumbing 2011-3-2
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00330
IVR Number: 811118498977
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
03/02/2011
ISSUED:
APPLIED:
03/02/2011
03/02/2011
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726~3769
Fax: 541-726-3676
permilcenter@ci.springfield.or.us
EXPIRES:
VALUE:
08/29/2011
$0.00
SITE ADDRESS: . 703 HAYDEN BRIDGE PL, Springfield, OR 97477-1574
ASSESOR'S PARCEL NO: 1703261201502
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Repipe water service - approximately 40 feet
!'
I
OWNER:
ADDRESS:
WESTFALL GLENDA
703 HAYDEN BRIDGE RD
SPRINGFIELD OR 97477
Plumbing Only
New
Residential
Phone Number:
CONTRACTOR INFORMATION
~
Contractor Type
Plumbing Contractor
Contractor Name
JOE PISCOPO PLUMBING LLC
Lie Type
CCB
# 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:
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:
lic No
167915
Lic Exp
01/10/2012
Phone
541-510-0770
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Fl Other: 0
Occupancy Load:
Site Information
~
Engineered Fill:,
Fill Volume:
Flood Hazard Area:
Land Hazard Area: ATTENTION: Oregon law requires you to
Retaining Wall: foU~w r~les adopted by the Oregon Utility
Soils Report Requir~Ptlflcatlon Center. Those rules are set forth
In OAR 952-001-001 0 through OAR 952-001-
. 0090. You may obtain copies of the rules by
caUing the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit
3/2/2011 1:10:04PM
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
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YJ;:<-\:.OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00330
IVR Number: 811118498977
225 Fifth SI
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
03/02/2011
ISSUED:
APPLIED:
03/02/2011
03/02/2011
EXPIRES:
VALUE:
08/29/2011
$0.00
SITE ADDRESS: 703 HAYDEN BRIDGE PL, Springfield, OR 97477-1574
ASSES OR'S PARCEL NO: 1703261201502
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Plumbing Only
New
Residential
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Repipe water service - approximately 40 feet
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
PROJECT DESCRIPTION:
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Description
Tvpe of Construction'
Unit Amount Unit Tvpe
Unit Cost
Value
FEES PAID
I
Description
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Water Line
-----
Fixture
Total Amount Paid
Amount Paid
$38.76
$16.15
$76.00
$247.00
$377.91
Date Paid Reciot #
03/02/2011 2011000381
03/02/2011 2011000381
~_.__.'~---,_._--
03/02/2011 2011000381
~----,-
03/02/2011 2011000381
Springfield Building Permit
3/2/2011 1:10:04PM
Page 2 of3
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L~,~
~OReGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00330
IVR Number: 811118498977
www.cLspringfield.or.Us
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
perm itcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
03/02/2011
03/02/2011
Issued
03/02/2011
EXPIRES:
VALUE:
08/29/2011
$0.00
SITE ADDRESS: 703 HAYDEN BRIDGE Pl. Springfield, OR 97477-1574
ASSESOR'S PARCEL NO: 1703261201502
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Plumbing Only
New
Residential
PROJECT DESCRIPTION:
Repipe water service - approximately 40 feet
Plan Review
I
DeDartment
Application Acceptance
Received
03/0212011
Result
Over the Counter
Due Date
03/02/2011
Comoleted
03/02/2011
Permit Issuance
03/02/2011
03/02/2011
03/02/2011
Issued
Reviewer
Nancy Machado
Nancy Machado
Structural Review 03/02/2011 03/02/2011 03/02/2011 Not Required Nancy Machado
Comments: Over the counter permit
rp..;;,lanhJ,n,g'HeVje~,:.7 :c:.: 'I.' ;f,'{,',:Z;.~'03/02/20.1 f, ~j03/02,/, 2l),1".1r,~,103/,02,-li6n"'," ~,'," N,ot, ;R,.eq,uRea" "',',' ':",{,:,~,N^::'Nancy~Ma.Ch.adO'''',\: ';;,'
m,;;~''':'^' ;:;~; '~.T"1'7#'~~"",l'
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.of"
~~cpmllte~:~;~,~q~,8:,;g"~q~te! pe~f!lit_ ,," -'J ',~ ~:~0:ii:\;':..:,':il.c,-' ~. "~:,f:, +c:;:n.~' ~~;,~y~\:~! "',. '{ ",":' ,;w>'< :~':' ':,~;:~:':7A'~5~'''"~';;;:~-.'~~~', ..',',
INSPECTIONS REQUIRED ~
Inspections
'3315 Water Line
3500 Rough Plumbing
3999 Final Plumbing
Rough Plumbing: Prior to cover and including required testing.
Fi~al Plumbing: When all'plumbing work is complete.
By signature, , 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. 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
constructi:cg. h Co ;t~ 3. .J . / /
/
Owner or Contractor Signature
Date
Springfield Building Permit
3/2/2011 1:10:04PM
Page 3 of 3
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TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth SI
Springfield,OR 97477
541-726-3753
WWW.ci.springfield.or.us
811-SPR2011-00330
703 HAYDEN BRIDGE PL
permitcenler@cLspringfield.or.us
RECEIPT NO: 2011000361 RECORD NO: 811-SPR2011-00330
tDES.CRI "'tION~q ,'. ",'.cr':'l'J";T,,'P,'ik:'cS:2:: i:'t~", . ''';~Ji+;;:;'';,~' .t\CCOUN:(C::ODE:'." .'$
Fixture 224-00000-425603
State of Oregon Surcharge (12% of applicable fees) 621-00000-215004
Technology fee (5% of p~rmit total) 100-00000-425605
Water Line 224-00000-425603
TOTAL DUE:
DATE: 03/02/2011
:' :~~~~-:AMOUNTtD.UE'. -"-~' I
247.00
36.76
16.15
76.00
377.91
Lf~~XM~~J"--i.YR~";,'.," ,-"-~r ~YQR~~f;;CASHIER:'NMACHAOO+>:~';;_~f.,~,;'", c9j1j~t~I~1E~.~~',:7~'~ i!,v2i~'+ '~:- }:::- ~1VIS>.lJNTJP-AID r~+::/<',
Check giuseppe piscopo 377.91
2597
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TOTAL PAID:
377.91