HomeMy WebLinkAboutPermit Plumbing 2011-3-29
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00507
IVR Number: 811192003304
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
03/29/2011
03/29/2011
Issued
03/29/2011
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
EXPIRES:
VALUE:
09/25/2011
$0.00
SITE ADDRESS: 4467 IVY ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802052401500
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace water heater
Phone Number:
OWNER:
ADDRESS:
LANGIS MICHAEL R
4467 IVY ST
SPRINGFIELD OR 97478
Contractor Type
Plumbing Contractor
Contractor Name
OWN ER
CONTRACTOR INFORMATION I
Lie Type
OWN ER
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:
Lic No
0000000
Lic Exp
08/12/2025
Phone
Lot Size:
Sq Ft 1st 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 A~ENTION: Oregon law requires you to
Retaining Walrollow rules adopted by the Oregon Utility
Soils Report IlIutltlll':2l!ion Center. Those rules 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).
NonCE: . .. ",,;,':;:',"
THIS PERMIT SHAll EXPIRE IF THE WORK .
AUTHORIZED UNDER THIS PERMIT IS NOT"
COMMENCED OR IS ABANDONED FOR
ANY 1 SO DAY PERIOD.
Springfield Building Permit
3/29/2011 8:50:10AM
Page 1 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00507
IVR Number: 811192003304
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:
Issued
ISSUED:
APPLIED:
03/29/2011
03/29/2011
EXPIRES:
VALUE:
09/25/2011
$0.00
03/29/2011
SITE ADDRESS: 4467 IVY ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802052401500
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Replace water heater
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
0/0 of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon: .
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
~
Descriotion
State of OreQ~n Surcharge (1}% of applicable fees)
:,:",chnolojiX!",.:J.5% of permit total)
Water heater
~~~: of Minimum ~!_~_~~ing Permit Fees
Total Amount Paid
Amount Paid
$6.96
$2.90
$19.00
$39.00
$67.86
Date Pa id
03/29/2011
03/29/2011
03/29/2011
0312912011
Reciot #
2011000566
_~____._w__
2011000566
*_.~--..---
2011000566
2011000566
Springfield Building Permit
3/29/2011 8:50:10AM
Page 2 of3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00507
IVR Number: 811192003304
225 Fifth St
Springfield,OR 97477
Phorie: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pe rmitcenter@ci.springfield,or,us
PROJECT STATUS:
STATUS DATE:
Issued
03/29/2011
ISSUED:
APPLIED:
03/29/2011
03/29/2011
EXPIRES:
VALUE:
09/25/2011
$0,00
SITE ADDRESS: 4467 IVY ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802052401500
SCOPE: Plumbin9 Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Structural Review 03/29/2011 03/29/2011 03/29/2011 Not Required David Bowlsby
Comments: Over the counter permit
!Pla~ning ~ev~,~ -,'~ :~~~ ;:::::::{p/~~ifo1 f . ,.9~~~gl?'Q;1,1(>0~/~g/~2~J~~~" ,t!o.t:~~9uired ~,::~T:~:~;,Jgavld!J~o~!s~X
~:~~~~~~:e:?~~k~ 3.V~~~~:T2'!,:~,~3~',:~:{':B~~k~i,}1/:~'~ ~._~~;ZS~::_'~_i~i~~~~:~.';:..~~~:'~ _ ~
INSPECTIONS REQUIRED ~
",,;,
~':~t~'l
I
,~ ;
Inspections
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. 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 r and the approved set of plans will remain on the site at all times during
~/d;p ;?-,??'-?o(f
Owner or Contractor Signature Date
Springfield Building Permit
3f29/2011 8:50:10AM
Page 3 of 3
..SP~I.\N..G._.FIE L.~.O
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."~, ~
. ~4~ ~REGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-00507
4467 IVY ST
permilcenter@ci,springfield.or.us
RECEIPT NO: 2011000566 RECORD NO: 811-SPR2011-00507 DATE: 03/29/2011
[DESCRIP-TION ,,;~' '~-. ,~.- -'F,,;t{;~""9:'::'; -i\\i.i'1lif'';;~~::/fA<rCQLJr{rlcooE~':;;;);;'.~:-'';;;;;'~AMOUNT.DUE'j
Balance of Minimum Plumbin9 Permit Fees 224-00000-425603 39.00
State of Oregon Surcharge (12% of ap~licable fees) 821-00000-215004 6.96
__.T~chnology fe,:J.~% of permit total) _.__:!..o.<!.:~0000-425605 2.90
Water heater 224-00000-425603 1 g.OO
.." ~.- --~--_. --_._--~. ..-....-."---
TOTAL DUE: 67.86
,;;.LeA'y'ME:NTIXpE',,, 7:._g,A,'(,OR~:","_C!\.S'HIERiP..B<i"L~SBV:. - ,:.:L,'];:;:;,c..61iIlVi~'Ni$::it:1.';;C_,~~lj-'-'::i.3LAMOUN! .!'~Il:).. ... .~ ..' _ ~.-'-.;
Check LANG IS MICHAEL R 67.86
1331
TOTAL PAID:
67.86