HomeMy WebLinkAboutPermit Plumbing 2008-1-9
225 FIfTH STRfET . ~rRlNGFIELD, OR 97477 . PH (541)726-3753 . FAX (<;41)726-%89
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SPR'NCiFIELD ;
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CO"M "Z-OO 7 - 060 () 't
CIty Job Number ,- _ I
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Job LocatIOn b b ..J
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Tax Lot
06300
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HACKFLOW PIU:VEN'I ION DEVICE PERMIT FI,.: '1>63 50
II ";T<>: ITION
f ,,,aI' ru' Oregon fa
I / I I / lOLl,' a' ,es adoPtedJ<..-tW requlrejl YOt
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"w'O/oer for the~' (No'(e the t:;~ rUleS by
~r~r IS ~~~Y.t'II~ t1flJ~phQDe7 40 I
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ConstructIOn Contractors RegistratIOn #
By signing thIS permit/application, I agree to call for an inspection once the back flow prevention deVice
has been Installed and IS vIsible for inspection (726-3769) I also state that all informatIOn on thiS
permlt/appilcatlOn IS correct
c{:)v--
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L----/
Datp
l/i(O-S
(
Date of ApplicatIOn
/ -
N-ZTIOE:
For OfWif: ~MIT ~I-IA11 ~PIRI= 11= THE WORK
,..AUTHORIZED UNDER THIS PERMIT IS NOT
'5 - 0 ls"COMMENCED OR IS ABANDONED FOR
I\IH IOU uA't1'CniG[i.
V V
Checked for IIlstorlcal Statu<
Checked for DellnquencJP<
Shared DnH. (T )JBUlldlllb fonnsfBad.no.... Pre\entlon I 08 doc
CITY OF SPRIl'litd' H-LJJ '
Building/Combination Permit
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
PERMIT NO
ISSUED.
APPLIED.
EXPIRES.
VALUE
COM2007-00009
03/14/2007
01/02/2007
07/0912008
$ 502,31600
SITE ADDRESS 6065 FERNHILL LP
ASSESSOR'S PARCEL NO 1702343406300
Spnngfield TYPE OF WORK Smgle Fdmlly ResIdence
TYPE OF USE New
PROJECT DESCRIPTION Smgle famIly resIdence - lot 55, Mountam Gdte SubdIVIsIOn
Owner
Address
ANSLOW & DEGENEAUL T INC
1953 GARDEN A VENUE
EUGENE OR 97403
I CONTRACTOR INFORMATION I
Contractor Type
Generdl
Electncal
Landscape
Low Voltage Electncal
MechaOlcal
Plumbmg
Contractor
ANSLOW & DEGENEAULT INC
GOOD CONNECTIONS
SCHELSKYS LANDSCAPE AND IRRIGATI
DIVERSIFIED ELECTRONICS
MARSHALLS INC
ABSOLUTE PLUMBING SERVICES INC
License
49169
160508
12170
144685
25790
67664
I BlJl~M!;\\1IlFORMA TlON ,
laVl i." OllJ.".'
OlegOl\ Oleg It\h
# of UOItS .,._~\ ,-\\0\-1 \ell b'i \\10 lesta\llti sl\lt \. 2
Pnmary Occupanc{Group ,ieS ac\~:i-);"nose IUn ~ a-1cture 3200
Secondary OccupaJcy, Gro~p:\ ce~ 00"10 \nlOUg S ~e (,j at Forced AIr Gas
, "w. 00 ,- On\e U\ 0 ..
Pnmary Construchon(TypeJS'2.' o~ij).\l\ C .. , \\1 al.\tJn Gas
Seconddry Constru~tI8~~Type) ll\a~el\\el t\-lO\~\II\\I1~\lfype ElectrIC
# of Bedrooms v cal,l\l\g \ne \ne G1egOll.'3'3'2.-iiiAf'\Iy Path Patb I
l\Ull\bel 101 tel IS ,.aOO Spnnkled BUlldmg n/d
r.el\
, DEVELOPMENT INFORMATION I
Frontyard Setback
SIde I Setback
SIde 2 Setbdck
Rearyard Setbdck
Solar Setbacks
10 00
II 00
800
2100
1930
SubdlvlMol1 Not Accepted
Street Improvements
Storm Sewer Available
SpecIal InstructIOn
Resldenhal
Phone Number 541-484-0070
ExpiratIOn Date
1011612008
07/01/2008
08131/2008
06123/2008
12123/2009
07/1112009
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GdrdgelCal port
Sq Ft Otber
Occupant Load
Phone
541-484-0070
541-434-6491
541-744-7135
541-484-9078
541-747-7445
54 I .345.3055
17,860
2,980
1,350
1,052
558
CurbSide 5'
To Storm Sewer
Notes 1'01 tbls parcel 10 Mt Gate, It IS the recommendatIOn to tbe BUlldmg DIVISIOn, by the CIty Engllleer "lhJt final
occupancy should not be gIven unlil the subdIVISIOn IS accepted by CIty Council" Storm & SdOltdl) to deSIgnated
laterals JLP
REQUIRED PARKING
OverldY Dlst HillSide Total 2
# Street Trees Rqd 0 Q~dndlcapped
Paved Dnve Rqd ~"'t. 'l'l ~6'fmpact
% of Lot Coverage €f-?\"'t3'~l\ll\\ \~ ~
.. ~\ct... ~"'f>-\.~_ "\"\0\)<2> ?~~ c;t) ~Q?
I PUBLIC'~WO~j(~''i~~: t>.\)t>.~V;:;'~
\\\r,J <:'u ,,1 "t\..
I' II I d f>-'v .A<:'\C~ t')<:p-~v~dewdlk Type
u V mprove Q\'J'\"'~\" ~ f~"
Yes C N \'ill) Q Downspouts/Drams
No Occupancy until subdIVISIOn !h\lrastructure IS accepted by the CIty
Paee I of 7
Status
Issued
225 F,fth StI eet, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspechon LIOe
DescriptIOn
Tvpe of ConstructIOn
AC - ResIdential
Deck
V Wood Frame
Gdraee
A C - Reslden
Deck/Balconv
Dwelhnes
Garaee
Fee DescrIptIOn
Plan RevIew ResIdential
-Mechamcal Issuance Fee-
+ 10% Admlmstratlve Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
AddresslOg AssIgnment
BUIld 109 Permit
Dryer Vent
Exhaust Hoods
FIre SF Fee - Resldentldl
Fixture
Furnace - up to 100,000 btu
Gas Fu eplace
Gas Outlets 1-4
MountalOgate ImpervIous Area
Plan RevIew Major - Pldnmng
Plan RevIew ReSIdential
ReSIdence Wiring 1000 Sq Ft
ReSIdence Wiring Ea Addtl 500
Samtary Sewer. Imp) ovement
Samtary Sewer - ReImbursement
SDC MWMC AdmlOlstldtlOn
SDC MWMC Improvement
SDC MWMC ReImbursement
SDC SdmtarylStorm AdmlO
SDC TI anspo AdmlO
SDC Transpo Improvement
SDC Transpo ReImbursement
Storm Sewel EdCh AddtllOO'
Vent Fan
Wlllamalane SIOgle FamIly
+ 10% AdmlOlstratlve Fee
l ValuatIOn Descriotion I
$ Per Sq Ft
or multiplier
$400
$1900
$103 00
$27 00
Square Footage
or Bid Amount
4,330 00
558 00
4,330 00
1,052 00
Total Value of ProJect,
Fpp< ~
Amount Pdld
$1,19577
$10 00
$287 38
$14013
$20837
$306 00
$3100
$1,83965
$600
$900
$269 10
$70 00
$1200
$1500
$400
$3,03934
$198 00
$11520
$10600
$171 00
$930 16
$1,223 25
$10 00
$1,92304
$18322
$335 48
$132 56
$1,672 64
$379 16
$42 00
$24 00
$2,303 00
$450
Date PaId
1/2107
-3/14107
3114107
3/14/07
3/14/07
3114/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3114107
3/14/07
3/14/07
3/14/07
3/14/07
3114/07
3114/07
3/14/07
3/14/07
3/14/07
3/14/07
3/14/07
3114/07
3/14/07
3/14/07
3114/07
3/14/07
3/14/07
3/16/07
Paee 2 of7
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO, COM2007,00009
ISSUED 03/14/2007
APPLIED 01/0212007
EXPIRES' 07/09/2008
VALUE- $ 502,316.00
Vdlue
Date Calculated
$17,32000
$10,602 00
$445,990 00
$28,404 00
$502,316 00
0110212007
03/14/2007
0110212007
01102/2007
ReceIpt Number
1200700000000000002
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
1200700000000000272
2200700000000000362
-Wii[~
Status
Issued
225 FIfth Street, Spl mgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspechon Lme
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - ResIdentIal
Mmlmum/Adjustment ElectrIcdl
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Backllow DevIce
MmlmumlAdjustment Plnmbmg
Total Amount PaId
IDlhal Review
01/09/2007
Structural RevIew
01/0912007
Public Works RevIew
01/0912007
Structural RevIew
01/11/2007
PlanDlng RevIew
01/09/2007
$225
$360
$2500
$20 00
$500
$600
$250
$1400
$36 00
$17,31030
3/16/07
3/16/07
3/16/07
3116107
1/9/08
1/9108
1/9/08
1/9/08
1/9/08
I Plan Reviews I
01/09/2007
01/11/2007
01/1212007
01/18/2007
03/09/2007
APP SKG
10 LLH
WE JLP
APP LLH
APP TAJ
Page 3 01 7
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO. COM2007,00009
ISSUED. 03/14/2007
APPLIED 01102/2007
EXPIRES 07/0912008
VALUE. $ 502,316.00
2200700000000000362
2200700000000000362
2200700000000000362
2200700000000000362
2200800000000000026
2200800000000000026
2200800000000000026
2200800000000000026
2200800000000000026
Plans sent to Bulldmg Depal tment
for review under contract with the
CIty of SprIngfield
W dlhng m order PW I cvd for
rvw JLP ***
Plans reHewed by tbe BUlldmg
Department, Ddve MOl her, under
contract wIth the CIty 01 Spl mgfield
Kitchen Improvements (slOk, stove,
rdnge bood and frIdge) are deleted
per emall from Gordon Anslow
3/02/07 Owner ,,,II apply for an
ADU later In the meantIme, no
kItchen IS dllowed and thIS IS not
considered a second dwelling DOlt
The lot IS very close to capaclly for
coverage It's unlikely any
dddltlOnal coverage would be
allowed
Status
Issued
225 FIfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Puhhc Works RevIew
0210112007
03/14/2007
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO. COM2007-00009
ISSUED. 03/14/2007
APPLIED 0110212007
EXPIRES. 07/09/2008
VALUE' $ 502,316.00
APP JLP
Paee 4 of7
Rcvd phone call from James @
Ang&Deg Tld hIm they are #19 10
41cases waltmg for rvw & date PW
rcvd was 1/12I07JLP *** *** Cld
484-0070 @ 3 50pm, project
manager not 10 otfice Lft msg
w/Rachael Need to supply all
necessary geo-tech & other reports
for pervIOus pavel s to show how I un
off wIll be collected I faxed
requirement sheet & memo on max
500sq/ft ImpervIOus credIt to
Rachael, so project managel would
have when he I eturns PW wdl hold
untIl rc, call, due to potenhal for
deSIgn changes JLP2/1212007 ***
Rcvd vOlcemad today 2114107 from
GOI don I cld hIm b..ck @ 484-0070
10 45..m Per Rachael at same, he
not avadable 11ft msg I was
returnmg hIS call & I can be reached
after Ipm today JLP 2114/07 ***
Rcvd vOlcem..d from Gordon, I cld
b..ck he not 10 2I15/07JLP ***
Rcvd vOlcemad, I cld Gordon b..ck
@ I 15pm 2116107-- X sd WIll not be
changmg sq/ft on drive, but WIll get
all necessary documents for pervlOu~
pavmglStorm H20 requirements
Tld X I ",II process & forward to
Tara When XX completes plannmg
rvw, XX Will return, and P\V wIll
hold until rcv necessary documents
& approval ot same before PW
approval JLP2I16107 *** For thIS
parcel III Mt Gate, It IS the
recommend..tlOn to the Buddmg
DIVISion, by the City Englllcer "that
final occupancy should not be gIven
unhl the subdIVIsIOn IS accepted by
CIty Councd" Storm & SaDlt..ry to
deSIgnated laterals ImpervIOus area
calcs mclude 500 sqlft deductIOn lor
pervIous pavers as layed out by
buddmg & PW dIVIsIOn gUldehues (
see JIm Douavan for cl..rlficatlOu )
Passmg file on to Tara to expedIte
process T ..ra WIll return to PW
when she IS has completed PI..nDlng
Rvw P\V can not" dpprove" untIl
-~~
Status
Issued
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspechon LIOe
Pubhc Works RevIew
04/03/2007
Pubhc WOI ks RevIew
04/1212007
Plan Review Comments
04/13/2007
04/03/2007
04/1212007
04/13/2007
10
10
10
Pa2e 5 of7
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO' COM2007,00009
ISSUED 03/14/2007
APPLIED 01102/2007
EXPIRES 07/09/2008
VALUE' $502,31600
we receive & approve pervIOus
pavIOg& storm H20 pldn JLP
2/22/07 *** 10---Rcvd liIe back
from Tara, I forwardcd to Enc for
pervIOus paverldeSlgn review JLP
*** Rcvd pervIOus paver docs back
from Enc W --Demed-- BefOl e 1
made cntct ,,/A&D, rcvd cdll from
Jeff of A& D @ 2 05pm 3113107 I
expldlOed submittal WdS demed by
Enc & "hdl" required to correct
Waltmg for A&D to submit correct
mformatlOn & pass P\V review pnor
to release JLP 3113/07 *** T1kd
w/Ddna @ counter, he tn bnng 10
rernammg mro for pervIOus system
to meet cntelld req by Enc Will
approve pend 109 that IOfo IS
complete JLP 3/12/07 *** Rcvd IOfo
from Tara, ADU IS belOg deleted,
reduced DFU by one kItchen slOk,
mdde chdnges to SDC fees,
worksheet, and file Passmg on to
Don for completIOn of permit pdcket
& ISSUdnce toddY (per Don) 10 PM
JLP 3/14/07
JLP
Double entry and d"elhng umt
cdlculuhon en ors were made and
fee's paid on 3/14/07 A refund IS
belOg generated by FlOauce
department and supportmg docs arc
dllached A&D hds been nollfied VIa
telephone JLP
JLP
Rcvd cross sectIOnal drJwmg from
Ddnd Routed to LlSd 101 pldcement
10 bldg perm file JLP 10 4/12107
LLH
Received getechmcal/clvll
engmeenng regal dmg concrete 01
bnck paver border I was dsked to
and did place IOformallon 10 Job file
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Slreel, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769InspeellOn Lme
PERMIT NO' COM2007,00009
ISSUED. 03/1412007
APPLIED. 01/02/2007
EXPIRES. 07/0912008
VALUE $ 502,31600
Status
Issued
Pnbhc Works RevIew
08106/2007
JLP
10
08/06/2007
On 812107 Rcvd qnesllOn from Billy
CnrtIs RE A&D checkmg on fees
Appe.red 10 Ihem Ihey mIght be
overch., ged I explamed to BIlly,
because the ongmal fee dOloont,
(which IS mcorrect) w.s paId,
Tldem., k WIll nol allow ns to
remove that $0 balance hne Ilem
(even thongh mcorrect amonnt)
A&D w.s refnnded Ihe correct
amount, and COplCS of the
calcnlatlOn for Ihal refnnd provIded
10 A&D I also showed these to
Billy BIlly reqnested I look over
agam stIli unclear 10 him On 8/6/07
I checked over the notes, balances,
and my file to find the same
Allhongh the hne Item m Tldemal k
shows the IUcorrect double fee, It call
not be deleled dne to Ihe $0 bal.nce
However, on 413107 I calcnl,lled the
refnnd amonnt from Ihat paId and a
refund was Issued lD the dOloont of
$5,03274 (emall 10 follow 10 Billy,
Dave P, & Les) JLP 8/6/07
To Request an mspectIOn call the 24 hour recordmg at 726-3769 All mspectIOns requested before 7 00
a m will be made the same workmg day, inspectIons requested after 7'00 a.m, wIll be made the followmg
work day.
~TI:rp1 r"iJ,l~rJlnn~ I
Ufel Electrical Ground Inslall gronnd rod al foolmg and call for mspecllOn m conJuncllOn wllh foolmg and/or
foundatIOn IOspectlOD
Footmg After trenches are excavated
Foundation After forms are erected but pnor to concrete placement
Posl and Beam Pnor 10 floor msnlallOn or deckmg
Floor InsnlallOn Pno, 10 deckmg
She., Wall Nalhng Before cove,mg shealhmg wIth filllsh malen.ls
Frammg InspectIOn Pnor 10 cover .nd aller all rongh m mspecllOns have heen approved
WalllnsulatlOD Prior to cover
Celhng InsulatIOn Pnor to cover
Dryw.1I Pnor to tapmg
Paee 6 of7
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007,00009
ISSUED. 03/14/2007
APPLIED. 01/02/2007
EXPIRES: 07/0912008
VALUE $ 502,316 00
225 FIfth Street, Spllngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlOe
FlOal BulldlOg After all reqUIred IOspechons have been requested and approved and the bUlldlOg IS complete
Penmeter FoundatIOn DralOs After gravel and filter cloth IS IOstdlled but pnor to backfill
Underlloor PlumblOg Pnor to IOsulatlOn or decklOg
Rough PlumblOg Pnor to cover and IOcludlOg required testlOg
Water LlOe Pnor to filhng trench and IOcludlOg reqUIred testlOg
Samtdry Sewer LlOe Pnor to filhng trench and IOcludlOg required testlOg
Storm Sewer LlOe Pnor to filhng trench
FlOal PlumblOg When all plumblOg WOI k IS complete
Underlloor Mechamcal Pnor to IOsuldtlOn or decklOg and IOcludlOg required testlOg
Underlloor Gas After hne IS Illstdlled and required testlOg and capped Ifnot attached to an apphance
Rough Gas Alter hne IS IOstalled and reqUIred testlOg and cdpped If not attached to dn apphance
Gas ServIce After hne IS IOstalled and hne has been connected to a mlOlmum of one apphance IOcludlOg required
testlOg Presure test done at thIS pOlOt
Rough Mechdmcal Pnor to Cover
FlOal Gas When all gas work IS complete
FlOal Mechamcal When all mechamcdl work IS complete
Temporary Electnc Apploval requlled pnol to UlIhty Company enelglZlOg pole
Rough Electnc Pnor to Cover
Electnc ServIce Approval reqUIred pnor to utlhty company energIZIng servIce
FlOdl Electnc When all electncal work IS complete
EroslOn/GradlOg InspectIOn Prior to ground disturbance and after erosIOn measures are mstalled
Low Voltage Pnor to cover
Backflow Device Prior to covenng and provide a copy of the test report on site at the time of m~pectlOn
By sIgnature, 1 state and agree, that 1 have carefully examlOed the completed apphcatlOn and do hereby certIfy that all
IOformatlOn hereon IS true dnd correct, and I lurther cel tlfy that any and all work performed shall be done 10 accordance wIth
the 01 dlOdnces 01 the CIty of Spnngfield and the Laws of the State 01 01 egon pertalOlOg to the work descnbed herelO, and
that NO OCCUPANCY WIll be mdde of an} structure wIthout permISSIOn of the Commumty ServIces DIVIsIOn, BulldlOg Safety
I further cerhfy that only contrdctors and employees who are III comphance wIth ORS 701 005 will be used on thIS project
1 further dgree to ensure that all required IOspectlOns dre lequested at the proper hme, that each address IS readable from the
street, that the pel nut card IS located at the fl ont of the property, and the appruved set of plans will remalO on the sIte at all
limes dGg cunst)"ctlOn
'- ./ ~
h-/___
/- ( ~
Ddtc
Owner or Contractor~ SIgnature
Paee 7 of7
225 FIfth Street
Springfield, Oregon 97477
541-726-3759 Phone
~,
CIty of Sprmgfield OfficIal ReceIpt
Development Services Department
PublIc Works Department
Job/Journal Number
COM2007-00009
COM2007-00009
COM2007-00009
COM2007-00009
COM2007-00009
Payments
Type of Payment
CreduCard
cRecemtl
RECEIPT #.
2200800000000000026
Date: 01/09/2008
DescnptlOn
Backflow Device
Minimum/AdJustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
PaId By
DARREN SCHELSKY
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 08790 I In Person
Payment Total
Page I of 1
12 ]] 04PM
Amount Due
1400
3600
250
600
500
$63 50
Amount PaId
$63 50
$63 50
119/2008