HomeMy WebLinkAboutPermit Plumbing 2011-5-18
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. """H"~ OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00990
IVR Number: 811195067198
www.ci.springfield.or.us
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:
APPLIED:
05/18/2011
05/18/2011
Issued
05/18/2011
EXPIRES:
VALUE:
11/13/2011
$0,00
SITE ADDRESS: 2563 20TH sT, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703244202733
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
'Approximate 45 feet of water line
Phone Number:
OWNER:
ADDRESS:
BROWNING RICHARD H & E A
2563 N 20TH sT
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION'
Contractor Type
Contractor Name
GARYS RoarER & PLUMBING SERVICE LLC
Lie Type
eeB
# of Units:
BUilDING INFORMATION I
# 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
174640
Lic Exp
02f28f2013
Phone
541-935-6350
lot Size:
sq Fl1 st Floor:
sq Fl2nd Floor:
Sq Ft Basement:
sq Ft Garage:
sq Fl Carport:
sq Ft Other: 0
Occupancy load:
Site Information
I
Engineered FiJI:
Fill Volume: '
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
NGWication Center, Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
f)090, You may obtain copies of the rules by
calling the center. (Note: the telephone
number tor the Oregon Utility Notification
Center is 1-800-332-2344).
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
^,UTHORIZED UNDER THIS PERMIT IS NOT
'OMMENCED OR IS ABANDONED FOR
./ .{ $\0 DAY PERIOD,
Springfield Building Permit
5/18/2011 12:47:14PM
Page 1 of 3
SP~~N.~. ~EL~
~~
~OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00990
IVR Number: 811195067198
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitce nter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
05/18/2011
ISSUED:
APPLIED:
05/18/2011
05/18/2011
EXPIRES:
VALUE:
11/13/2011
$0.00
SITE ADDRESS: 2563 20TH ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703244202733
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Approximate 45 feet of water line
DEVELOPMENT INFORMATION ~
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
~
Description
Tvpe of Construction
Unit Amount Unit Tyoe
Unit Cost
Value
FEES PAID
~
DescriDtion
Amount Paid Date Paid
$3.80 05/18/2011
$76.00 05/18/2011
_"..._~ _____.__ __~___.____""..."M...".__,,___._ ___
$9.12 05/18/2011
$88.92
!e~hnology fe~J5% o!.E.~~mit total).___._____..____
Water Line
--..--.-- -.---........---..--..
State of Oregon Surcharge (12M~ of applicable fees)
Total Amount Paid
Reciot #
2011001132
_._------~_............-
2011001132
~-- -----
2011001132
Springfield Building Permit
5/18/2011 12:47:14PM
Page 2 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00990
IVR Number: 811195067198
225 Fifth SI
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
05/18/2011
ISSUED:
APPLIED:
05/18/2011
05/18/2011
EXPIRES:
VALUE:
11/13/2011
$0.00
SITE ADDRESS: 2563 20TH ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703244202733
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Approximate 45 feet of water line
Plan Review
~
DeDartment
Permit Issuance
Received Due Date
05/18/2011 05/18/2011
Com Dieted
05/18/2011
Result
Issued
Reviewer
Nancy Machado
Initial Review
05/18/2011 05/18/2011
Over the Counter
Nancy Machado
05/18/2011
Comments: Over the counter permit
~PPI!~tLOD:C'CC3Bt~q~,tk.>;i? ~y;0.8!{18!201,-1~~"~2N:"~iQ~1:, ~,.~P W~&~i1 ,~_.," ;'~~ei.th~~ qp~ri.!~r;",-'l~:'~';
-'~ .'~ ~, .~, '*~fr " ''"'"~~'~~~,j,+"*,/;~g~J~: ,~-_,-J,~ ;:t:frt'>: '~_,1L':-}c:''[~':~~ ~~f~: ':.~\<:"T ~.._ F ~-. ' ~C"~..~
Nan~cy Machado --'E~.
'7~~:~~,.,:::'t:; "C ~_
~-~,s:; ""~1!,,",,,;_-, "j
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'''" -~ . '1
INSPECTIONS REQUIRED ~
Inspections
3315 Water Line
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, and the approved se~ of plans will remain on the site at all times during
constrUCliOu. \
~~ S-llijLoll
'"-Owner or Contractor Signature
Date
Springfield Building Permit
5/18/2011 12:47:14PM
Page 3 of 3
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2011-00990
2563 20TH ST
CITY OF SPRINGFIELD
225 Fifth 81
Springfield.OR 97477
541.726-3753
permitcenter@ci.springfield.or.us
C pAYI\lIENf:iYPE~4';;
Credit Card
000006
RECEIPT NO: 2011001132 RECORD NO: 811-SPR2011-00990 DATE: 05/18/2011
IDESCRIPjION.-,-~__':,:z.:::.:1~i". .~.~,; "';: '1"';':;,},:, ':: "':ACcbuNT~CODE. "~:~~~.;;~L:'.:...':AMOUN:tO.uE...": :':-...::J
State of Oregon Surcharge;. (12% of applicable fees) 821-00000-215004 9. 1?_ _....
Technology fee (5% of permit total) 100-00000-425605 3.80
Water Line 224-00000-425603 76.00
TOTAL DUE: 88.92
~-PA YQB.1 ;C:ASHiER~NMACiiAD6:~:;;;'~::'n~',cdMMENtS77::~:';#0lf-:::: _'i;.',AMOUNT-PAID.:..' "';'_0_'~
gary's rooter service 88.92
TOTAL PAID:
88.92