HomeMy WebLinkAboutPermit Plumbing 2008-1-9
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225 FIITH STREIT' \PRlNGFIELD, OR 97477 , PH (';41)72b-3753 'F~'{ (541)726-3689
,rO 07-cPL(7L
CIty Job Number '-' VV\ 2--0
Job LocatIOn &:,{ 0 7 G /'A7 s ~(e-
J bO Z 0:3 Z 2-
LI'
Of YO ()
Assessors Mop
Tax Lo'
Owner /11/-. ~~'-
Address ~/O 7 G.....<<-,~-/.- toop Phonp ~22--(D3 2.-
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CIty 5PAJ Statp tJ r<., Zip 7'?.;. 7'ff'
,
BACKFLOW PREVENTION DEVICJ;; PERMIT FEE '1>6350
ATTENTION Oregon law requires you to
Contractor InformatIOn follow rules adopted by the Oregon Utility
0:::::- , I I L Notification Cente~Those rules are set forth
Contractor -.JC"-c.- S ~'" J" 6vtd<:;c. ~ IR,<OA~~-Q fllhrou~Q52-O~1.
UVl::tU rou 1I~ uu CUll vUI..IIC;' vi 1I10 IUIOO..y
/'0, t)o;t. 71'1-'5 callingthecel)t~~,,~ephone
;1;.,:~rJor tni ~lhlhy4dI"\"fl""'!:IIht,)Jl
Center IS 1-800-332-2344).
Zip 17,>,-01
Expires 2-/-..:8"'~"
Addres3
City
Evcf
State
o~
--
ConstructIOn Contractors RegistratIOn #
b "5$ ()
By sIgning thiS permlt/applicatlon, [ agree to call for an inspectIOn once the backflow preventIOn deVice
has been Installed and IS vIsible for inspection (726-3769) I also state that all mformatlon on thiS
permIt/applicatIOn IS correct
Slgnatu 'P
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Datp
1/7/0'(;'
For Office Use
Date of Applicattor
I-~- c:>?
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Checked for H Istoncal Statue
t...--'
Checked for DelmquencJP<
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Slnred Dnve (T )!Bulldlllg ronnslBad.f1ow Prevention 1 08 dO\:
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007,00472
ISSUED' 11/27/2007
APPLIED' 04/02/2007
EXPIRES. 07/09/2008
VALUE $ 419,78400
-~~
Status
Issued
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 6107 GRA YSTONE LP
ASSESSOR'S PARCEL NO 1802032201500
SPRINGFIETYPE OF WORK Smgle Family ReSIdence
TYPE OF USE
PROJECT DESCRIPTION Smgle famIly .eSldence - Mt Gate West lot 22/23
Owner ALLEN BOOTHE
Address 54789 EKING RD
BLUE RIVER OR 97413
I CONTRACTOR INFORMATION I
Contractor Type
General
Electncal
Landscape
Mechamcal
Plumbmg
Contractor
ANSLOW & DEGENEAULT INC
GOOD CONNECTIONS
SCHELSKYS LANDSCAPE AND IRRIGA TI
MARSHALLS INC
ABSOLUTF PLUMBING SERVICES INC
License
49169
160508
12170
25790
67664
-- ~I~'I ~ I BUILDING INFORMATION'
, 'I 11\ "ro[
"':..1--1. '~n It;yUII~:,j you to
, .' -1C,OOtbd by 'h", '" U
#ofUmts Ir ["'1 r rJ I' Th #'oT"fIi'i'if'iln lllily I
. , ,c f" ~~n er os~r~. " t.'~""
Pnmary Occnpancy Group JAR 852Rjd1 -001 0 lhr ,;,e n...\Y!\~crn"". 23 00
Secondary Occupancy Gr\9UPJ You m/rv obi Qrw.g;2-001i'orced Air Gas
Pnmary ConstructIOn TYP~~a"mg Ih;Yl:!enleral(~~;I~~~llJles by Gas
Secondary ConstructIOn TIIBt'lber for lhe Oregon II ~ ~hone Gas
# of Bedrooms Cenl~ IS 1.800- _ ij qjFatlon Path I
prm Je "Bmldmg nla
I DEVELOPMENT INFORMATION I
Front yard Setback
S,de 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
1480
4500
3830
2280
000
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
0/0 of Lot Coverage
New
ReSIdentIal
Phone Number 484-0070
ExpIratIOn Date
10/16/2008
07/01/2008
08131/2008
12/23/2009
07/11/2009
Phone
541-484-0070
541-434-6491
541-744-7135
541-747-7445
541-345-3055
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Ca. pOlt
Sq Ft Othel
Occupant Load
22,987
3,597
898
561
H,llSIde
7
Yes
2990
REQUIRED PARKING
Total 2
HandICapped
Compact
SubdlVI>lon Not Accepted
Street Improvements
Storm Sewer Available
SpecIal InstructIOn
I PUBLIC 1~~iMENTS I EXPIRE IF THE WORK
THIS ht\\V111 ""Jl.LL IWt\I IS NOT
Fullv Improved AUTHORIZED UNDER ~\'t\%Vflli i=f'\ ~QR
Yes COMMENCED OR IS AilAAI~~"'YDldlns
ANY 180 DAY PERIOD
CurbSIde 5'
To Storm Sewer
Notes Fo. thIS parcelm Mt Gate West, It IS the reeommendatlOn to the Bulldmg DIVISIOn, hy the CIty Engllleer "that
final occupancy should uot be gIven untIl the subdIVISIOn IS accepted by CIty Council" Storm tIed to deSIgnated
lateral Overwldth Appvd
Page I of 6
Status
Iss u ed
CITY VI' ~PRINGFIELD '
Building/Combination Permit
PERMIT NO. COM2007,00472
ISSUED. 11/27/2007
APPLIED: 04/02/2007
EXPIRES' 07/09/2008
VALUE $419,78400
225 F,fth Street, Sprmgfield. OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn Lme
I Valuation f}e~cnpt.lOn I
DeSCrIptIOn Tvpe of Constl uctlOn $ Per Sq Ft Square Footage
or multIplIer or Bid Amount
A C - Reslden AC - ReSidential $400 3,597 00
Deck/Balconv Deck $1900 56100
DwellIn2s V Wood Frame $10300 3,597 00
Cara2e Cara2e $2700 898 00
Value
Date Calculated
Total Value of ProJect
$14,38800
$10,65900
$370,491 00
$24,246 00
$419,78400
04/02/2007
04/02/2007
04/02/2007
04/02/2007
L.Fpp., P~lrI I
Fee DescrIptIOn Amount Paid Date Paid Receipt Numbel
Plan Review ReSidential $1,04367 4/2107 1200700000000000348
-Mechamcal1ssuance Fee- $10 00 4/30/07 2200700000000000617
+ 10% Admmlstratlve Fee $259 90 4/30/07 2200700000000000617
+ 5% Technology Fee $135 73 4/30/07 2200700000000000617
+ 8% State SUI charge $187 73 4/30/07 2200700000000000617
3 Baths One & Two Family $306 00 4/30/07 2200700000000000617
Addressmg Assignment $3100 4/30/07 2200700000000000617
ApplIance Veut $600 4/30/07 2200700000000000617
BOIlerlComp Up To 100,000 btu $12 00 4130/07 2200700000000000617
BUlldmg Permit $1,60565 4/30/07 2200700000000000617
Curbcnt Permit $40 00 4130/07 2200700000000000617
Curbcut Permit $80 00 4130/07 2200700000000000617
Dryer Vent $600 4/30/07 2200700000000000617
Exhaust Hoods $900 4/30/07 2200700000000000617
Fire SF Fee - ReSldent..1 $252 30 4130107 2200700000000000617
Fireplace (Listed) $30 00 4/30/07 2200700000000000617
Furnace - up to 100,000 btu $12 00 4130107 2200700000000000617
Cas Outlets 1-4 $400 4/30107 2200700000000000617
Cas Outlets 4+ $100 4/30/07 2200700000000000617
Plan Review Major - Planmng $198 00 4130107 2200700000000000617
PW DIsc - 2nd Permit $-30 00 4130107 2200700000000000617
ReSidence WIrIng 1000 Sq Ft $10600 4130/07 2200700000000000617
ReSidence WIrIng Ea Addtl 500 $133 00 4/30107 2200700000000000617
Samtary Sewer - Improvement $811 41 4/30/07 2200700000000000617
Sanitary Sewer - Reimbursement $1,06709 4130/07 2200700000000000617
SDC MWMC AdnllmstratlOn $1000 4/30/07 2200700000000000617
SDC MWMC Improvement $961 52 4130/07 2200700000000000617
SDC MWMC Reimbursement $9161 4130/07 2200700000000000617
SDC Samtary/Storm Admm $262 21 4130/07 2200700000000000617
SDC Transpo Admm $6138 4/30/07 2200700000000000617
SDC TI anspo Improvement $83632 4/30/07 2200700000000000617
SDC Transpo Reimbursement $189 58 4/30/07 2200700000000000617
SIdewalk Permit $80 00 4/30/07 2200700000000000617
Pa2e 2 of 6
Status
Issued
225 F,fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Storm Dramage ImpervIOus Area
Storm Sewer Each AddtllOO'
Temp Power 200 amps or less
Vent Fan
Wlllamalane Smgle Family
+ 10%, AdmuJlstratlYe Fee
+ 12% State Surcharge
+ 5% Technology Fee
B.ckllow Device
MmlmumlAdJustment Plumbmg
Total Amount PaId
Imtml Review
04/0312007
Pubhc Works RevIew
04103/2007
Pubhc Works RevIew
04/1012007
Pubhc Works Review
04/11/2007
$2,504 37
$42 00
$50 00
$24 00
$2,303 00
$500
$600
$250
$1400
$36 00
$13,79697
4/30/07
4/30/07
4/30107
4/30/07
4130/07
1/9/08
1/9108
1/9/08
1/9108
1/9/08
Plan ReViews I
04/03/2007
04108/2007
04/10/2007
0411112007
APP LLH
WI JLP
10 JLP
APP JLP
Paee 3 of6
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO
ISSUED
APPLIED.
EXPIRES
VALUE
COM2007,00472
11/27/2007
04/02/2007
07/09/2008
$ 419,78400
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200800000000000028
2200800000000000028
2200800000000000028
2200800000000000028
2200800000000000028
Rcvd 41312007---Waltmg m order
PW rcvd for rvw JLP4/4/07 ***
Overwldth apphc.tlOn routed to
Traflic department for approval
Also need to check with Plannmg
House IS proposed on two lots, with
the house centered over property
hne to melude both lots W,ll
proceed after resolvmg both JLP
418/007 WI/WE4/8/07
Tlkd wlTara Planmng hdS . fOI m
(filled out & tiled @ L C by owner)
allowmg bldg on two (2) lots As Ion!
as It does not mtertear with any
PUE or other easement {slIll
waltmg for overWldth appl oval from
Trdffic}JLP 4/90/071O/WI
Rcvd overw,dtb app' oval For thiS
parcel m Mt Gate West, It IS the
recommendation to the Buddmg
DIVISIOn, by the CIty Engmeer "thai
final occupancy should not be gIVen
unlIl the subdIVISIOn IS accepted by
CIty Council" Storm H20 to
deSignated Idler.1 JLP APP 4111/07
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00472
ISSUED: 1112712007
APPLIED. 04/0212007
EXPIRES. 07/09/2008
VALUE: $ 419,784.00
Status
Iss u ed
225 FIfth Street, SprlOgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection LlOe
StructUl al Review
04103/2007
04/16/2007
10 DLM
Structural Review
04116/2007
04119/2007
APP DLM
Planum!! Review
04/03/2007
04/26/2007
APP TAJ
Reqnested and ,ecelved revised sh 6
wI const notes from contr
4110/06dlm Requested Irom
apphcant, calculdtlons for large ftgs
dt gdl age per Code reqmt
4/11107dlm ReceIved 100tlOg
calculdtlOlls and revised FoundatIOn
Plan from contr 4/16/07dlm
See dOluments for Plan review
comments
Ok to remove odk 10 the
conservdhon easement per report by
Sperry Tree Ca. e It WIll be
replanted accordlOg the landscape
plan on page LA-Ion the bUlldlOg
plans All pldntlOgs "Ithm the
conservation edsement should follow
thIS plan
Place orange construction fencmg
along the conservation ed~ement and
keep all constr uctlOn actIvIty out of
thiS area
Choose street trees from hst on
Native trees m HillSide on page 6-4
of the street tree handout
It IS OK to budd over the lot hne
between lots 22 and 23 -- See
recorded deed restrictIOn m the
Address File
To Request an Inspection call the 24 hour recordIng at 726-3769. All inspectIOns requested before 7-00
a.m, wIll be made the same workIng day, InspectIOns requested after 7.00 a.m. Will be made the follOWIng
work day
IRp~
Ufe. Electrical GI ound Install ground I od at footmg and call for mspectlOn m conjunctIOn wIth footlllg andlor
foundation mspectlOn
Footmg After trenches are excavated
Fmal MechanIcal When all mecha",cal work IS complete
Temporary ElectriC Approval I eqUlred prior to Utlhty Company energIZIng pole
Rough ElectriC Prior to Cover
ElectriC Service ApplOVdl reqUIred prior to utrhty company energllIng servIce
Paee 4 of6
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2007-00472
ISSUED' 11/27/2007
APPLIED. 04/02/2007
EXPIRES' 07/09/2008
VALUE. $ 419,78400
225 F,fth Street, Spllngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn Lme
Fmal Electnc When dll electncal work IS complete
EroslOn/Grddmg InspectIOn PrlOl to ground disturbance and after erosIOn medsures are IDstalled
Sldewdlk - CurbsIde After forms are erected but prIOr to placement of concrete
Curbcut - Overwldth After forms are erected hut pnor to placement of concrete
Backflow DevIce Pnor to covenng and provIde a copy of the test report on sIte at the tIme 01 mspectlOn
FounddtlOD After forms are erected but pnor to concrete placement
Post and Beam Pnor to floor msulatlOn or deckmg
Floor InsulatlOlI Pnor to deckmg
Sheal Wall Ndlhng Belore covellng sheath 109 wIth fimsh matenals
Frammg InspectIOn Pnor to cover and after all rough 10 mspectlOns have heen approved
Wall InsulatIOn Pnor to cover
Celhng InslllatlOn PI lOr to cover.
Drywall Pnor to tapmg
Hold Dowlls Installed SpecIal InspectIOn performed pnor to placement of concrete PI oVlde report to CIty
BUIld 109 Inspector
Fmal BUlldmg After all reqUIred mspectlOns hdve been requested dnd approved and the bUlldmg IS complete
Pen meter FoundatIOn 01 ams After gravel dlld tilter cloth IS mstalled hut pnor to backfill
Underfloor Plumhmg Pnor to msulatlOn or deckmg
Underfloor Dr.UD Prior to cover 01 placement of concrete
Rough Plumbmg Pnor to cover and mcludmg required testmg
Shower Pan Prior to covenng and mcludmg reqUired testmg
Watel Lme Pnor to filhng trench and mcludmg reqUIred testmg
Samtdry Sewer Lme Pnor to filhllg trench and mcludmg requIred testmg
Storm Sewer Lllle PIIOI to filhng trellch
Fmal Plumbmg When all plumbmg work IS complete
Rough Gas Alter hne IS mstalled alld reqUIred testmg and capped If not attached to an apphance
Gas ServIce After hne IS mstalled and hne has been connected to a mmlmum of one apphance mcludmg requlI cd
testmg Presure test done at thIS pomt
Rough Mechamcal Pnor to Cover
Ullderfloor Mechamcal PI lOr to msuldtlOn 01 decklllg alld llIc1udmg reqlllred testmg
Fmal Gas When dll gas work IS complete
Paee 5 of6
Status
Issued
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007,00472
ISSUED. 11127/2007
APPLIED. 04/02/2007
EXPIRES 07/09/2008
VALVE: $ 419,784.00
By sIgnature, I state and agree, that I hdve carefully exammed the completed applicatIOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further cel tlfy thdt any and all work performed shall be done m dccordance wIth
the Ordmances of the CIty of Spnngfield dnd the Laws of the State of Oregon pertdllllllg to the work descnbed hel em, and
that NO OCCUPANCY will be made of any structure wIthout permISSIon of the CommuDlty ServIces DIVISIon, Bulldmg Sdfety
I turther cerhfy that only contractors and employees who are III compliance ,,,th ORS 701 005 WIll be used on thIS project
I further agree to ensure that all reqUIred mspectlOns are requested at the proper hme, that each address IS I eadable from the
street, that the permIt card IS located at the front of the property, and the approved set of pldns willI emam on the SIte at all
times dUring constructIOn
Cl\~
~
~
Owner or Contractors SIgnature
-
Paee 6 of6
Date
f/ or)
225 FIfth ~treet
Sprmgfield, Oregon 97477
541,726-3759 Phone
: p~o~;~
k
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
Payments
Type 01 Payment
CredltCard
cRecemtl
RECEIPT #.
2200800000000000028
Date. 01109/2008
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 087901 In Person
Payment Total
Page I of I
12 13 25PM
Amount Due
1400
3600
250
600
500
$63 50
Amount PaId
$63 50
$63 5U
1/9/2008