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HomeMy WebLinkAboutPermit Plumbing 2011-3-29 .. r'~sr~~N~FIELD j~:~" '" r!Jf; .' "".0;" 'OREGON 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 ~\,... ."~, ~ . ~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