The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2009-2-17 Status Iss u ed 225 FifthStreet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line, SITE ADDRESS: 1780 I ST ASSESSOR'S PARCEL NO.: 1703362102100 U 1 l' OF SPRIN&nELD , Building/Combination Permit PERMIT NO: COM2009-00225 ISSUED: 02/17/2009 APPLIED: 02/17/2009 EXPIRES: 08/17/2009 VALUE: Springfield TYPE OF WORK: Plumbing Only PROJECT DESCRIPTION: Replace sanitary sewer line' TYPE OF USE: Repair Residential Owner: MARK BRADLEY Address:' 1780 I ST SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor OWNER # of Units: Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type VB Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction Phone Number: 541-510-8311 I CONTRACTOR INFORMATION. AnENT/ON: Oregon law License ,Expiration Date Phone ,:oil?w rules adopted hv th~e~~~:~!?~,to ' .._.."".~""",. n,...,.~_ --.-. .....-. __.....y. ill iBUlI;DING,INEORM:4.TI0N:I,re set forth OU8U y: " '.. -"><" V/",R 952-001- calii;#-~~,m~lie~?taln copies of the rules b'~ot Size: ~ ,,,<. v~",8r. (Note'th t r numbH.ei~ttof,Str.{uc ureUt"I' e elephone Sq Ft 1st Floor: , "" VI"YUII Ilty N tT . T~1Q!illc\sal'-800-332_23 0 Ilcation Sq Ft 2nd Floor: Water Type: ' 44). Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: I DEVELOPMENT INFORMATION 1 REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: , Paved Drive Rqd:, % of Lot Coverage: !lonCE: I PTTR-Lfr~l'tP::' ~lKl\rn~ COMM~NC~~ ~~DER TH~2~~i~~~eK ANY 180 DAY PER IS ABANDmv~l'Jsp~wfYBl.ins: , 100. ' , ' I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 00 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00225 ISSUED: 02/17/2009 APPLIED: 02/1712009 EXPIRES: 08/17/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid 1 ' Fee Description + 12% State Surcharge + 5% Technology Fee Sanitary Sewer - 1st 100 Feet Amount Paid Date Paid $9.12 $3,80 $76~00 2/17/09 2/17109 2/17/09 Receipt Number 2200900000000000179 2200900000000000179 2200900000000000179 Total Amount Paid $88.92 I Plan Reviews 1 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. Reouired Insnection,s, Sanitary Sewer Line: Prior to filling trench and including required testing. By signatnre, 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 of 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 ill compliance with ORS 701.005 will be used on this project. ' I further agree to ensure that aU 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 ofthe property, and the approved set of plans will remain on the site at all timesd~~',~ 2-/7-09 '';'"0""''''"ro~~ D... Paee 2 of2 . <, - < , '~"; .~~-".,,; ","" <'. ~"~ < l' \- . CITY 0F SP'RINGFIELD~ OREG0N.." "'" ~ ~ ' '~'.' " ',.... k~"'~"~' -""'", '. 'It,'" ~.." .: 7-"", .", 1[~t~t'1'DEPARTMENT:usjfoNhY'::\;;il ~iii 1~~~~:O~'oOZ'ZS-' . " ' I Date: Z/-VO '7 , Plumbing Permit Application 225 Fjfl:h Street + Springfield. OR 97477. PH(541)726-3753 . FAX(54I)726-3689 Tbis permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing tbe work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. I LOCAL GOVERNMENT APPROVAL I 1 Zoning approval vcrified? 0 Yes 0 No I Description 1 Sanitation approval verified? 0 Yes 0 No I New residential I CATEGORY OF CONSTRUCTION I bathroomll kitchen (includes:first I I I /00 feet of water/sewer lines, hose o Residential _ 0 Government 0 CUIUIu>Jn..ial bibs, ice maker, underfloor low-point I JOB SITE INFORMATION AND, lOCATION drainsandrain--drainpackages) -I Job site address: /7'8.0 "f" 5ire-ef 12hathroomsllkitchen $374,00 $ I C' J \ n 1 ' I 71 I 3 bathroomsl! kitchen $439,00 $ City: ';1f7.;'vtt;J,-ela State: oR ZIT':c(7'17 I Each additional hathroom (over 3) $95.00 $ I Subdivision: "7031 bZ--C I Lotno,:C>21I.:)ol I Each additional kitchen (over 1) I $95,00 $ I DESCRIPTION. OF WORK " I I Residential fire sprinklers (inclndes plan review) ~ s;4Ni1'nlL"'"n,.I.$C 1 1 0. to 2,000 square feet $58.00 ~ol/ '-.. T ,U/~: Oregon la t 2,001 to 3,600 square feet $116,00 OW r"'...... _ , N r::;;;..> "~o.r.-.. . I, ' PROPERTY OWNER3tin'; ~;:-',u/J'ea by th : ~;?Q2 ~~o~e feet $174.00 IN' AA k B~ IIll1l.1trR952,O-~'''c,. Inos/'pl",r~QIls~fOllt'1'"dgrealer 1$232-00 arne, ,/V(ar ,qO\li"'~' 01.nn'A,,_ I u.u'''Xqf' ........ , I ,,- Ir r' ...t....._......:J. df'U . - .",. v In "J~.~J1.f~ClU i41l-\f'J'l'llin2 or pre-Cab (clI'cle one) Address: \7 <;?O l- :;>' 11'ftj,€'" :1 ,~ay obtain 'CAr 'e~r-P"l)iiectlfuiS,tiXJ>Pilding sewer and I I $58.00 I $ I Ci ' <' P ,,. j D 1 StatelU~ PI '1 :2Jf;nm9.u~';;;'i ~ \#ite'r~I~o ,,-- ty, .:> r,"':e;Hopro{ UJCIeKf~, :,,:;; 2,,, "(;'11" tl (';tl~!llh9'anstrial,anddweUingsolherlbanon...or I PhoneSZ!rSIQ 1$311 I Fax: Center;o {.JlA^n~~ 11/1~ihfam.!l)',' ' I ' , -~v'u" "<!:Miqjmum, ~~~IJ I I $58.00 I $ E-maIl. ,. ' 10" II' 'b' d 'd 'ai' ' I Each fixture $19,00 $ IS msta anon IS elOg ma e on reSI entl or larm l'~VY'-Hj I owned by me or a member of my immediate family, and is . I Miscellaneous fees ! exempt frO~,' ' II r~~~~AR 918--695'{)020. 1100.' stonn, sewer, water line " $76.00 $ Signature: A' -. ~~ I Each fixture, appurtenance, and plpmg $19,00 $ I /CONTRAt'fOR"'lRSTALLATION I I Slonnwalerretentionldetentionfucility $19,00 $ Business name: I. Irrigation systems $19.00 I $ I . Piping or private stonn drainage $19.00 I Address: systems exceedine the first 100 feet $ 1 City: "'~~ - I ZIP: I I Specialty fixtures $19,00 I $ I Phone: . I \I /I , 1 1 Reinspection (no, ofhrs, x fee per br,) I $58,00 I $ J 1"" /' I Fax. - - . I Special-requested inspections (no. of I $58.00 I $ IE-mail: v'"/ NnT'f'~.1 hrs,xfeeperhr,) 1 CCB lIcense no,: ~ / I BCD lIcense D<lHIS p~~ ~acb additional inspectinn: (I) 1 $58.00 I $ I ..,1fT J~)h,.....y"jD" I Plumbing license n~:: AUTHORI7f::n 'IN ,~ea'~.s-roPlligTI-l'" '^'9mf Mmimum fee I $ 1 Prinlnarne: COMMENr.f'n') -lliMr~IrfUSof'Wl:llfflti"?S"~'tTt'pmenl$_, I ANY 180 D I1lllitAIM/>JM~l'Pnanhequipmentvalue, Signature: AY! EilfTUD.-- Ay>j::lLlCANT USE I (A) Enter subtotal of above fees I (Mi,nimum Permit Fee 558.00) I (8) Investigative fee (equal 10 [A]) I I (C) Enter 12% surcharge (.12 x [MB]) I I (D) Technology Fee (5% of [A]) I 1 TOTAL fees and snrcbarges (A throngb D):' I FEE SCHEDULE !Qty.1 Cost ea. $238,00 44O-2500-J (It/OS/COM! I Total cost $ $ $ $ $ I, I I I I I I I I ~" I I, I I I i I 'I $ 7bl $ 1 ' $ 'tEL J $ J ePl $ AB ,.~ - - $ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00225 COM2009-00225 COM2009-00225 Payments: Type of Payment Check cReceiotl RECEIPT #: City of Springfiel,d Official Receipt Development Services Department Public Works Department 2200900000000000179 Date: 02/17/2009 Description Sanitary Sewer - I st I 00 Feet + 5% Technology Fee + 12% State Surcharge Paid By" BARBARA BRADLEY i Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2975 In Person Payment Total: Page I of 1 11:12:46AM Amount Due 76,00 3,80 9,12 $88.92 Amount Paid $88,92 $88,92 2/1 7/2009