HomeMy WebLinkAboutPermit Plumbing 2008-1-9
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225HITHSTREET. SPRINGFlELD,OR97477. PH (541)726,3753 . fAX ('541)726-3689
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Tax Lo'
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Owner A/f~ l1..k.16
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BACKFLOW PREVENTION DEVICE PERMIT FEE 506350
Con!1 aL!or IIl!ornlll!wn
Contractor
5c t {~c:..'-7' ~ ~,"",-d'5<:''Y'''-
P D, !fox 71'1-'5"
Addres~
City
-
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State
Construction Contractors RegistratIOn #
(, 5~O
ATIENTION Oregon law requires you to
follow rules adopted by the Oregon Ulihty
Notlflcatlo~ y~nter Those rules are set forth
o:t- ~L!9-QI?1a,.9~~1-00+Jtil:l'8ugh OAR 952-001.
-3e9ff::}.':L ,'t}i~tT:;il-eoples af tile rules by
calhn.g.J~9 ,c;ent&! ' WQ1e: the telephone
Ph~P. m',n;;--portvIiIiIV Nollflcabon
Center IS 1-800-332-2344).
t/ !Z Zip ~ ?'ftJ/
ExpIres
2/2-?/O t
By signing thiS permit/applicatIOn, I agree to caIl for an inspectIOn once the back flow preventIOn deVice
has been InstaIled and IS vIsible for inspectIOn (726-3769) I also state that all Informalion on thiS
::~~:::PQ': ~ ~ 0"," ;j~/. w
For Office Use
Date of AppllCalion
1- 7 - of
Checked for Delinquencle'
l.----""
Checked for HistorIcal Statu<
1.--"""""
IJfJTI"E'
THIS ;ERMIT SHAll EXPIRE IF THE WORK
'1UTHORIZED UNDER THIS PERMIT IS NOT
COrvlMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Shlll"ed Dme (T )/Bulld111g Fonns/Bac"llow Pre\entlon I 08 doc
-~~
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED.
APPLIED
EXPIRES,
VALUE:
COM2007,00654
06/0812007
05/07/2007
07/0912008
$ 612,70000
225 Fifth Street, SprIDgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LIDe
SITE ADDRESS 6094 GRA YSTONE LP
ASSESSOR'S PARCEL NO 1702343302700
Spllllgfield TYPE OF WORK SIDgle Family ReSIdence
TYPE OF USE
PROJECT DESCRIPTION SIDgle famIly lesldence - Mt Gate West lot I I
New
Owner LLOYD WEBB
Address 806 S 69TH ST
SPRINGFIELD OR 97477
Resldentml
Phone Number 541-726-9194
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Landscape
Low V oItage Electrical
MechanICal
PlumblDg
Contractor License
ANSLOW & DEGENEAUL T INC 491630u \0
GOOD CONNECTIONS n ~('.!~W requl~AllJ\\IIt'1
SCHELSKYS L~fi.~A~Jt~~Om~'!;e\ lonh
DIVERSIFIED Illl\~~ter 1hose lu\e~~~1!lS2-001'
MARSHALLS 1~6\lllca\IOn 01-0010 \hIOU9~ OfWl4lIUles b'1
ABSOLUTE PLi~\lf.~\f~If:~?~?,~~phOn~~
\;~~~~nID.'1~~flm7.lKlf\l),:,v_t
num iiC6~!l\~~I':s 1 2
Height of Structure 3600
Type of Heat Forced Air Gas
Water Type Gas
Range Type GdS
Enel gy Path Path 1
Sprinkled BUlldmg nla
ExpiratIOn Date
10/16/2008
07/01/2008
08/31/2008
06123/2008
1212312009
07/11/2009
# of UUltS
Primary Occupancy GI oup
Secondary Occupdncy Group
Primal) ConstructIOn Type
Seconddry ConstructIOn Type
# of Bedrooms
1
R-3
U
VB
Lot Slle
Sq FI 1st Floor
Sq Ft 2nd Flnor
Sq Ft Basement
Sq Ft Gdrage/Carport
Sq Ft Othel
Occupant Load
2
I DEVELOPMENT INFORMATION I
Frontyard Setback
SIde I Setback
Side 2 Setback
Rearyard Setback
Solar Selbacks
2500
500
13 00
6400
6000
Overlay Dlsl HIllsIde Total
# Street Tree. Rqd 3 Handlcdpped
Paved Drive Rqd Yes ~QI\i\I<.
% of Lot c'\tO'{~CE~ S\-1~\.t.~\RE If \1 IS 1'401
l\-1\S P_E~~~ lI"'OER1\-1IS~~~I'II=OR
I PUBLIC IMPROv.Jl~;"'1~':;tED OR IS A~I\"t.ov ,-
" ~ DA'l t;>f:RIOD.
Fullv Improved AI'4'l 180 Slll'e'walk Type
Yes Downspouts/DrdlDs
SubdlV/'lOn Nul Accepted
Street Improvements
Storm Sewer AVdllable
SpecmllnstructlOn
Phone
54 I -484-0070
541-434-6491
541-744-7135
541-484-9078
541-747-7445
541-345-3055
16,000
3,347
1,049
1,264
781
CurbSide 5'
To Storm Sewer
Notes For this palcellO Mt Gate West, It IS the recommendatIOn to the BUlldmg DIvIsIOn, by the City Engmeel "that no
connecllons shall be mdde 10 saUltary or storm H20 systems, unlll the subd,vl>lOn IS dccepted hy City Council"
REQUIRED PARKING
2
Paee I of5
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00654
ISSUED: 06/08/2007
APPLIED' 05/07/2007
EXPIRES: 07/09/2008
VALUE' $ 612,70000
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I ValuatIOn Descr,lDtJo~ I
BId Amount Use BId Amount
$ Per Sq Ft
or multlpher
$100
Square Footage
or BId Amount
612,70000
Value
Date Calculated
DescriptIOn Tvpe of ConstructIOn
Total Value of Project
$6 I 2,700 00
$612,70000
05/07/2007
~
Fee DescrIption Amount PaId Date PaId ReceIpt Numher
Plan RevIew ReSldent..1 $1,45139 5/7/07 2200700000000000665
-Mechamcdl Issudnce Fee- $10 00 6/8/07 2200700000000000938
+ 10% Admmlstratlve Fee $329 79 6/8/07 2200700000000000938
+ 5% Technology Fee $16265 6/8107 2200700000000000938
+ 8% State Surcharge $241 19 618107 2200700000000000938
3 Baths One & Two FamIly $306 00 6/8/07 2200700000000000938
Addressmg AssIgnment $3100 6/8/07 2200700000000000938
BuIldmg PermIt $2,232 90 618107 2200700000000000938
Curbcut PermIt $40 00 6/8107 2200700000000000938
Dryer Vent $600 6/8/07 2200700000000000938
Exhaust Hoods $900 6/8/07 2200700000000000938
FIre SF Fee - ResIdential $283 00 6/8/07 2200700000000000938
FIreplace (LIsted) $1500 6/8/07 2200700000000000938
Fixture $42 00 618107 2200700000000000938
Furnace - up to 100,000 btu $12 00 6/8/07 2200700000000000938
Gas Outlets 1-4 $400 6/8/07 2200700000000000938
Heat Pump $1200 6/8/07 2200700000000000938
Plan RevIew Major - Plannmg $198 00 618107 2200700000000000938
ResIdence WIrIng 1000 Sq Ft $10600 618107 2200700000000000938
ResIdence Wiring Ed AddU 500 $19000 618107 2200700000000000938
Samtary Sewer - Implovement $791 62 618107 2200700000000000938
SdOltary Sewer - Reimbursement $1,04106 6/8/07 2200700000000000938
SDC MWMC AdmmlstratlOn $10 00 6/8/07 2200700000000000938
SDC MWMC Improvement $96 I 52 6/8107 2200700000000000938
SDC MWMC ReImbursement $9161 618107 2200700000000000938
SDC SamtarylStorm Admm $236 79 618/07 2200700000000000938
SDC Tlanspo Admm $62 38 6/8/07 2200700000000000938
SDC Transpo Improvement $83632 618/07 2200700000000000938
SDC Trdnspo ReImbursement $[ 89 58 6/8/07 2200700000000000938
Storm Dramage ImpervIOus Area $2,061 70 6/8/07 2200700000000000938
Temp Power 200 amps or less $50 00 6/8/07 2200700000000000938
Vent Fan $30 00 6/8/07 2200700000000000938
Wlllamaldne Smgle FamIly $2,303 00 618/07 2200700000000000938
+ [0% Admmlstratlve Fee $500 9/14/07 3200700000000000623
+ 5% Technology Fee $250 91[4/07 3200700000000000623
+ 8% State Surcharge $400 9/14107 3200700000000000623
Paee 2 of 5
~~~
Status
Issued
225 F.fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fdx
541-726-3769 InspectIOn Lme
Low Voltage - ReSIdential
MIUlmnmlAdjustment Electncal
+ 10% AdmlUlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Backtlow DeVIce
MIUlmum/Adjustment Plumbmg
Total Amount Paid
Structural ReVIew
10/01/2007
Intltal ReVIew
05/08/2007
Public Works ReVieW
05/0812007
Structural ReVIew
0510812007
Public Works ReVIew
05/11/2007
Planum!! ReView
05108/2007
$25 00
$25 00
$5.00
$600
$250
$1400
$36 00
$14,472 50
9114/07
9/14/07
1/9/08
1/9/08
1/9/08
1/9/08
1/9108
I Plan ReViews I
0510812007
05/09/2007
05110/2007
05/11/2007
OS/25/2007
APP NJM
WI
APP RJB
APP JLP
APP T AJ
Pd2e 3 of5
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO
ISSUED
APPLIED
EXPIRES:
VALUE
COM2007-00654
06/08/2007
05/0712007
07/09/2008
$ 612,700.00
3200700000000000623
3200700000000000623
2200800000000000027
2200800000000000027
2200800000000000027
2200800000000000027
2200800000000000027
Submitted plans for I ear patIO
structure, substttutmg some steel
members tor wood lU ongmal plans
JLP
Rcvd 5/912007---Waltmg III older
PW rcvd fot rvw JLP WI 5/9/07
For thIS parcel III Mt Gate West, .t
IS the recommendation to the
BUlldmg DIVISIOn, by the CIty
Engmeer "that no connectIOns shall
be made to saUltary or storm H20
systems, unhl the subdivIsIOn IS
accepted by CIty Counc.I" When
connectIOn IS made, storm .',hall be
connected to deSignated later.!1 JLP
APP 5111107
Property IS at maXIUffi coverage no
additIOnal Impel VIOUS will be
allowed
Place orange consh DetlOn fencmg
along ConservatIOn Easement and
keep all constructIOn dctlVlty out of
this dl ea
Choose street tI ees flOIll the hst 01
Native Trees m HIllSIde
Development 011 page 6-4 of the
street tree handout
For solar calculatIOn, north IS the
rear lot hne
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00654
ISSUED' 06/0812007
APPLIED: 05/0712007
EXPIRES 07/09/2008
VALUE' $ 612,700.00
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769InspeclIon Lme
To Request an mspectlOn call the 24 hour recordmg at 726,3769 All inspections requested before 7:00
a m wIll be made the same workmg day, mspechons requested after 7.00 a,m. Will be made the followmg
work day
I Rpnllirprllnli:npl'tln~
Ufer Electncal Ground. Install ground rod at footmg dnd cdll for mspectlOn 10 conjunctIOn WIth footmg and/or
foundatIOn IOspechon
Footmg After trenches are excavated
FoundatIOn After forms are erected hut pI lOr to concrete placemeut
Post and Beam Pnor to noor msulalIon or deckmg
Floor InsulatIOn Pnor to deckmg
Shear Wall NaIlmg Before covermg sheathmg WIth fimsh mdtenals
Frammg InspectIOn Pnor to cover and after all rough 10 mspectlOns have been approved
Wall InsulatIOn Prior to cover
CeIlmg InsulatIOn Pnor to cover
Drywdll Pnor to tapmg
Hold Downs Installed Spec.allnspeclIon performed pnor to pldcement of concrete ProvIde report to CIty
BUIld 109 Inspector
Fma! BuIldmg Alter all reqUIred mspectlOns have been requested and approved and the bUlldmg IS complete
Penmeter FoundalIon Drdms After gravel and filter cloth IS mstalled but pnor to backfill
Undernoor Plumbmg Pnor to msulatlOn or deckmg.
Underfloor Dram Prior to cover or placement of concrete
Rough Plumblllg Pnor to cover and lIlcludmg reqUIred testmg
Shower P.1O PrIor to covering and mcludmg reqUired testlOg
Water Lme PrIOr to filhng trench and mcludmg requIred testmg
SanItary Sewer Lme Pnor to fillmg trench and mcludmg reqUIred testmg
Storm Sewer Lme Pnor to filhng trench
Fmal Plumbmg When all plumbmg work IS complete
Backnow DeVIce Pnor to covermg and prOVIde a copy of the test repOl t on sIte at the lime of mspectlOlI
Ulldernoor MechanlCdl Pnor to msulatlOn 01 deckmg alld mcJudmg requIred testlOg
Undernoor Gas After hne IS mstalled and reqUIred testlOg dnd capped If not attached to an apphallce
Rough GdS After hlle IS mstalled and I equlred teslIng and capped If 1I0t attached tll an apphallce
Gas ServIce After hlle IS IOstalled dlld hlle has been conllected to a mmlmum of one apphallce mcludmg requIred
testmg Presllre test done dt thIS pomt
Page 4 of 5
-iii~
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO, COM2007-00654
ISSUED' 06/08/2007
APPLIED. 05/07/2007
EXPIRES- 07/09/2008
VALUE $ 612,70000
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Rough Mechamcal PrIor to Cover
Fmal Gas When all gas work IS complete
Fmal Mechamcal When all mechamcal work IS complete
TemporJry ElectrIC Approval requlled pllor to UtIhty Company energlzmg pole
Rough ElectrIC PrIor to Cover
ElectrIC ServIce Approval requIred prIor to uhhty company energlzmg servIce
Fmal ElectrIC When all electrIcal WOI k IS complete
Low Voltage PrIOI to cover
EroslOn/Gradmg InspectIOn PrIor to ground dIsturbance and after erosIOn measures ,Ire mstalled
Curbcut - OverWldth After forms are erected but prIor to placement of concrete
Sidewalk - CurbsIde After forms al e erected but prIor to placement of concrete
Low Voltage PrIor to cover
Backtlow DeVIce PrIor to covermg and prOVIde a copy of the test report on site at the tIme of mspectlOn
By signature, I state and agree, that I have carefully exammed tbe completed apphcatlOn and do heleby certlly that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work pel formed shall be done 10 accordance WIth
the Ordmances 01 the CIty of SprIngfield and the Laws of the State of Oregon pertammg to the WOI k desCllbed herem, and
that NO OCCUPANCY WIll be made of any structure WIthout pel mISSIOn of the Commumty ServIces DIVISIOn, BUIld 109 SJfety
I further certIfy that only contractors and employees who are m comphance WIth ORS 701 005 wIll be used on thiS project
I further agree to ensure that JII reqUIred mspectlOns are requested at the proper tIme, that each address IS reJdable Irom the
street, that the permIt card IS located at the front of the property, and the approved set 01 plans Will remam on the sIte at JII
"..,~~'= ~ ___ I / o/bt'
Owner or ContractOl S Slgnature'"'----'" ~ Dat~ (
Paee 5 01 5
225 FIfth Street
Sprmgfield, Oregon 97477
541-126-3759 Phone
~."M""'"
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
Public Works Department
Job/Journal Number
COM2007-00654
COM2007-00654
COM2007-00654
COM2007-00654
COM2007-00654
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #
2200800000000000027
Date 0110912008
DescriptIOn
Backflow Device
MmlmumlAdJustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
t
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
DARREN SCHELSKY
Page 1 of I
dJb
08790 I In Person
Payment Total
12 12 36PM
Amount Due
1400
3600
250
600
500
$63 SO
Amount Paid
$63 50
$63 SO
119/2008