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HomeMy WebLinkAboutPermit Plumbing 2011-5-18 .. SPR.IN.G FIEl~ ~~- }'J~;'~ ~. . ft.. , . """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 ~. '1:> ;~~;'t"^',~~':~.~~~:~~l '''" -~ . '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