HomeMy WebLinkAboutPermit Plumbing 2009-1-28
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00132
IS'SUED: 01/28/2009
APPLIED: 01/28/2009
EXPIRES: 07/28/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676,Fax
541-726-3769 Inspection Line
SITE ADDRESS: 867 DARLENE AVE
ASSESSOR'S PARCEL NO.: '1703272102100
Springfield TYPE OF WORK: Plnmbing Only
TYPE OF USE: New
PROJECT DESCRIPTION: Replace and reronte water service to bothe sides of duplex
Residen tiaJ
Owner: DOVE RONALD E & NAN B
Address: 972 S 7lST ST
SPRINGFIELD OR 97478
I, CONTRACTOR INFORMATION 1
Contractor Type
Plnmbing
Contractor
BARNES HIGH TECH PLUMBING INC
License
83311
Expiration Date
02/17/2010
Phone
541-726_9854
BUILDING INFORMATION I
# of Units:
Primary Occnpancy Group:
Secondary Occnpancy Group:
Primary Constmction Type
Secondary Constmction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I, DEVELOPMENT INFORMATION 1
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Sethack:
Reary3rd Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive RqiJ:
% of Lot Coverage:
Total:
Handicapped:
Compact: '
NOTICE: I PUBLIC IMPROVEMENTS I
Street 1m rovltil~fsFRMIT SHALL EXPIRi: " I nc "vrn,
p AD'tHbRIZED UNDER THIS PERMIT IS NOT
Storm Sewer Cv~t\~v~l~~CED OR IS ABANDONED FOR
Special Instrufi,IWY"180 DAY PERIOD,
/-1::11-1-, \ - ,
.. .::::. ..~ " .....''-'~'-'Il IUVV ICYUIlt>::J yuu tV
follow rules adopted by the Oregon Utility
N\l\aicat~rr.,Q,enler. Those rules are set forth
In~A'W~o2-tfJ''':001 0 through OAR 952-001-
O~6W~()litsipclih1in copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utilily Notification
Center is 1-800-332-2344).
Notes:
I Valuation DescriDtion I
Description
Tvpe of Constl'llction
$ Per Sq Ft
or mnltiplier
Sqnare Footage
, or Bid Amonnt
Valne
Date Calculated
Pa2e 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Ph~ne
541'726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 100'
Amount Paid
$9.12
$3.80
$76.00
Total Ainonnt Paid
$88.92
Total Valne of Project
Fee~ P~id 1
Date Paid
I Plan Reviews I
1128/09
1128/09
1128/09
CITY OF SPKll'llJI'IELD
Building/Combination Permit
PERMIT NO: COM2009-00132
ISSUED: 0l/28/2009
APPLIED: 01128/2009
EXPIRES: 07/28/2009
VALUE:
Receipt Number
1200900000000000057
1200900000000000057
1200900000000000057
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.
I, Rem~.i,~ed Ins'lections ,I
Water Line: Prior to filling trench and inclnding reqni~ed 'testing.
By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 Ord'inances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strnctnre without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.0()5 will be nsed on this project.
I fnrtber agree to ensnre 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 set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Pa2e 2 of 2
,Date,
City of Springfield
Plumbing Authorization To Begin Work
E-mailedTo:joe@hightech-plnmbing.com
I
C~eck on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
Receipt # RC545lWl
1/27120094:03:50 PM
[XI 1 or 2 family dwelling
D Commercial/Industrial
D Multi-family
D Accessory Building
Description J Qty. J Ea. J Total
rr~meiUtiJmeSfrCpa;;t6iilrcPlaccmC'nt 6NLYP~c7?:~fj1:~':~,,},1
'~""'i,~,~~""""':'i.1f""i'~'''"_'''''''_'''~'''''''''''''~7'-,,,,,1:ffi~~ji'.--...",,+""',.
Sanitary Sewer - first 100 feet 1
D New construction
[iI Addition/alteration/replacement
- each additional '100 feet
I Storm Sewer - first 100 feet
I ~ ea~h additional 100 feet
I Water Service - first 100 feet
,I 1 - eac-h additional 100 feet
-I
,II - Ra)n'drain collector system
I[ -Drywell
I - Catch basin or area drain,
I - Pressure reducing valve
I - Grease interceptor
I
$76001
I
I
$7600 I
IJobno.: IJobaddress: 867 DARLENE AVE
ICity/StaterL;IP: SPRINGFIELD, OR 97477-1912
I Suitelbldg./aptno.:
J Project name:
cross street/directions to job sife:
I Subdivision:
ITax.map/parcel no.: 1703272102100
I Lot no.:
I Name: Westo Hamlin
IPhone: (541) 521-8271
I Email:
I Fax:
I Backflow preventer
I Backwater valve
I Clothes washer
I Dishwasher
1 Drinking fountain
I Ejectors/sump
I Expansion tank
I Fixture/sewer cap
I Floor drainlfloor sink/hub
I Garbage disposal
I Hose bib.
I I Ice maker
I I Primer-up 10 first 5 (Enler Inot olTered online allhis jurisdiction
Qvt=l)
I I Pdmer -each ad,ditional 11101 offered online at thiS jwisdiction
I I Sinklb_a~~I~vat~)J)'
I I Tub/AW~liSh'/,!v~\-~~~ ';Ire,gor. law re: Ulles y~\ ),rJ
. I Uri ~tl:'::_~;!t;r~~~~~lv~ h~~~l ~~.l~ ~~~~!!_~ !~~t-
1.':".'fl._uO....v:l-_O".-'. "'0_0 '''''0 ...0 00. "'",
W3fff~JpA* ,Q??J\n1~()n1 n thl.,....,gh "'\110' O~.?_ 5~t-
~<tffl1~erY0.I)m8\1f2btA.i}~ rnl'1ipC\,I!ft./:1p_rrIJ~.~:q\l I
1~i!!iL~!iiWijtiJelO'e'IlWr~~~.6in;'liil
I - S'fil!ll'libGf><j1:J>f im Ore~ on Uiiiii\ NoiHi,c-,I_'LQ1l I
water,SUDDlyanl!!4r~lI;-_:_ .. r(lr'\ ,.,,.,,.., ,.,.,....~
Hydronic-healf~~'t>.:p!:n.tbop "::...t.. ~'t.."".-:"'':'iJ.' I
Replace and reroute water sevice to bot~sides
IPlmb.lic. no.: 20-314PB ICCBlic. no.: 83311
I Business Name: BARNES HIGH TECH PLUMBING INC
I Contact:
IAddress'~~!fH'~~ #2, , , "
I ~~~~::a(t;~~1~;t~~re~~r~7 [)(~tn~;~U~a~Wefm
IEmad' joelilJ~g!JI~, _ LJ VrM,,-Tt:lv Frf.!I.~&'r
IMetmlk,'y'~"I"',~,rBL't' ~~AE;1~MJ~mP HjF\
';:;Y 100 EAY ~;:RI3E;.
Upon review and approval by' your local jurisdiction, your
permit will be e'-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if ~ permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
I Subtotal I $76,00 I
1 State Surcharge (12% of perm it fee) $9.12 ,
1 City Of Springfield fees ..1 $3.801
I TOTAL PERMIT FEE 1 $88,921
'C~S~ri\32:5%~~Fee \ \ 28109
12009 -'5'
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00 132
COM2009-00132
COM2009-00132
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Water Line - 1st 100'
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
1200900000000000057
City of Springfield Official Receipt
Dl!velopment Services Department'
Public Works Department
Date: 01/28/2009
Item Total:
Check Number Authorization
Rec.e~ved By Batch Number Number How Received
kr
Page 1 of 1
ONLINE barnes high Online
tech
plumbing
Payment Total:
8:30:04AM
Amount Due
76,00
3,80
9,12
$88.92
Amount Paid
$88,92
$88.92
1/28/2009