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Home My WebLink AboutPermit Plumbing 2009-3-10 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00325 ISSUED: 03/10/2009 APPLIED: 03/10/2009 EXPIRES: 09/1 0/2009 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ' SITE ADDRESS: 1742 DELROSE AVE ASSESSOR'S PARCEL NO.: 1703243101300 Springlield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Sanitary Sewer Line & Cap (pump & Iill) . Owner: MCKEE JAMES S & KATHLEEN C Address: 1742 DELROSE AVE' . SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Plumbing Contractor OREGON WATER SERVICES License 133505 Expiration Date 03/10/2011 Phone 541-342-1718 BUILDING INFORMATION I # of Units: Primary Occnpancy Group: Secondary Occnpancy Group: Primary Construction Type Secondary Construction 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 Baseinent: Sq Ft Garage/Carport Sq Ft Other: " Occupant Load: n/a I DEVELOPMENT INFORMATION' Front yard Setback: Side I Setback: Side 2 Setback: Rcaryard Setback: Solar Setbacks: Overlay.Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: . _.,t..... I PUBLIC IMPROVEMENTSl ore0a~ ~;W':';0"~' '" ~. ,(,itV t\' ,_. dOr.'Cof, ,/1,,, .,\'\\0\\\1 Street Improvements: \allow rules a. ~id~~~Jk Type:," ~ r ';".CQI ~ .\. ation centel'~ n \hr,..,\_r,~l Ur\r\ ..~~f"', \."\1 Storm Sewer Available: NOtllC -2 oot-CDownspoilts/DrainS:'I)\\l$ IJI Speciallnstrnction: \n OAR 9::> ~aj obtain co::""",,';; t~\8pMne NOTtCt:. 0090,. 'IO~he center. (Notue;\it'l NotiiicatlOll N r.;; .' ca\llng oregon ,I 4) otes: THIS PER' . number \Of t"e. 1_300-33'2-234 ' " Iv1/T ell" r,P.nter IS "u li1URIZED . ,~L c,IWIHE .. COMMENCED glRvDER THIS PE'I~.Y.~~WainkDescriDtion I ANY 180 D IS ABANDO 'r" lu IUU I , . AYPfRlnn, N'$!p[iRl! Ft Square Footage DeSCriptIOn Type 01 Ciirlstl'tlctlOn I ' I' B'd A Value Date Calculated , or mu tip ler or I mount Pa~e I of 2 Status Issued 225 Fifth Street, Springlield, OR 541~726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee Sanitary or Storm Sewer Cap Sanitary Sewer - 1st 100 Feet Total Amount Paid Amount Paid $16.08 $6.70 $58.00 $76.00 $156.78 Total Value of Project Fee,S ~aid , Date Paid 3/1 0/09 3/10/09 3/10/09 3/10/09 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00325 ISSUED: 03/10/2009 APPLIED: 03/10/2009 EXPIRES: 09/10/2009 VALUE: Receipt Nnmber 2200900000000000246 2200900000000000246 2200900000000000246 2200900000000000246 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 Insnections, Sanitary Sewer Line: Prior to tilling trench and including required testing. Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with' an approved material as required by the code. By signature, I state and agree, that I have carefully examined the completed application and do hereby cCl'tify 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 Ordinilllces of the City of Springlield 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 in compliance with ORS 701.005 will be used on this project. I further agree to ensure. 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. ~/~_. .. ~ O,:ner o~ Co;tr:Ctors sig~~ Pa~e 2 on ~/IPJ/) 9 , Date Plumbing Permit Application r!i#. ~~~DERA.RTME."'N;t'7@sEl0.'N~~1 !~~'."tdfu,jJ~tWG.<t.b'ru'~;,~~;:;a."'~k~ I Permit no.: I IDU~ I This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . . ~ltirl.!'(::tC~L![G}5.'iE~NI'JIENrr"A~~~~V.4:[~~t.f~I\lll;\?!1i;1 I Zoning approval verified? DYes D No I I Sanitation approval verilied? DYes D No I '!~;~~~mEGi({~~~~::~m~~1~0~~t=Wi ~~~:;~':T:E;;N:i~j)~a~L!0~8m,.0.N.~t' I City~. I State: rOtf2...;-1 ZIP q7 Y77I I Subdivisi~n: I Lot ria.: I ~::~:;~T~~~~~~l&~~~ll ~~~:r-.:%~'.).'~....~.":?i:A,~~~""11 IILro!l",..",,,_,,.,,P'Rl:)RER'r;Y!".!l:)W.~ERw.4'il~jll!0!P\.Bvt."_,," I Name:{ V./nM..LS M~ SL- I I Address: . I I City: I State: I ZIP: I I Phone: I Fax: I I E-mail: I This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 918-695-0020. Signature: 1~~,g€.oNi1\@:C;JtOR~I~SjTr.4:~IL'AT:ION~[~~~~ I Business name: ()~-r'::. ~ ~m ~ I Address: 1:iJf) /j'b ---::::;~~4.~.+L I p,..A..-"\- I City: CLl'] r Stue:AYL I ZIP:97vt1 z,... I Phone: fWl "hl./ z...171? I Fax: .f)W ?,Vt. -IJ<a.1 I E"mail: o..-...~lI...f:_SIfil-a.f)t.-.C!4 1'0/\. . I I CCB Iicens~ no.: I !,.,9,~ I BCD iicense no.: . I I Plumbing license no.:' I IPrintname:~~ 4". (~~ I I Signatur~..e€f' C G7JL ~ I , ~ 225 Fifth Street. Springfield. OR 97477 . PH(541)726-3753 . FAX(541)726-3689 440-2500-) (ll/08/COM) ~?~~~k~~0~~~~~~EE~SCRED8liE~~~~~~~~~~~fr. _;,'l\.':.,.....d'.Y!:::1!::1'!iijj;;d',,~;!:Wl({mJ""_______"'~. ",,_ _,' _._______ll~_~:r;-"'~.1i:~~~"tl 'r"D""'_"'.'~:'!1!F"t-._!Ii!lt., ",..,..:Ji '"-.il'1'.10.'~~.'I-'c~IJ'i0- #,;1.oll.I"DJ.~0'Co~.s tllL""I~""''''<Fo-i.al~... ".. es.crIl1IQn' ., : "'\ji'lWl' ~ Qt~, ,-""lliii!.. '-t"" .':'f4A"~iiliki~ -.2U '/;$, :N.: ~~;1"'~ .),o;;\~~ _ h.ea.~ ~ C9~_:'!P.i'. I New residential I "I bathroomll kitchen (includes: first 100 feet oj water/sewer lines, hose bibs, ice maker, uriderfloor low-point drains and rain-drain packages) I 2 bathrooms/1 kitchen $374.00 I 3 bathrooms!\, kitchen $439.00 I Each additional bathroom (over 3) $95.00 I Each additional kitchen (over I) $95.00 I Residential fire sprinklers (includes plan review) IOta 2.000 square feet $58.00 I 2,001 to 3,600 square feet $115.00 I 3,601 to 7,200 square feet $174.00 I 7.201 square feet and greater $232.00 Manufactured dwellin2 or pre-Cab (circle one) Connections to building sewer and I I $58 00 I $ water supply . I Commercial,industrial, and dwellings other than one- or two-family I Minimum fee I I $58.00 I $ Each fixture $19.00 $ I Miscellaneous fees 1100' stann, sewer, water line I Each fixture, appurtenance, and piping. I Storm water retentionlde.tention facility Irrigation systems . Piping or private storm drainage svstems exceedinll the first 100 feet I Specialty fixtures I Reinspection (no. ofhrs. x fee per hr.) I Spec~al requested inspections (no. of hrs. x fee per hr.) $238.00 / $76.00 $19.00 $19.00 $19.00 $19.00 $19.00 $58.00 $58.00 Each additional inspection: (I) I $58.00 .~~'''-<''-'''''''l-Fm~''*0nk'?0C"~Bi~"''-=E;l;"!i:~fl.''1:'-'''''''''';))ml'l ~1M_~~()i~Alig~~,iP.~pil!jf~J:~fillif;o%~~~~~.wlk~ Minimum fee Enter value of installation and equipment $ _" Enter fee based on installation and equipment value: I (A) Enter subtotal of ~bove fees (Minimum Permit Fee $58.00) I (B) Investigative fee (equal to [A]) I (e) Enter 12o/~ surcharge (.12 x [A+B]) I (D)Technology Fee (5% of[A]) I TOTAL fees and surcharges (A through D): $ I I I I I I I I I I I I I I I $ /(/1 $ 'I $ I $ I $ I $ I $ I $ I $ CAt' $ I I $ $ $ $ $ $ $ $ $ $ /3 tf I_ t:r' $ I $ /0. po' $ (p - "V ~/ $ / J(d-I .1" 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .Job/Journal Number COM2009-00325 , COM2009-00325 COM2009-00325 COM2009-00325 Payments: Type of Payment Check cReccinll RECEIPT #: Descriptio~ Sanitary Sewer - 1st] 00 Feet Sanitary or Storm Sewer Cap + 5% Technology Fee + 12% State Surcharge Paid By OREGON WATER SERVICES "~A'NClFt....EL. ill. .. ~~_.. 2200900000000000246 City of Springfield Official Receipt Development Services Department Public Works Department Date: 03/10/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received njm Pa.ge 1 of I 7833 In Person Payment Total: ]2:22:34PM Amount Due 76.00 .58.00 6.70 16.08 $156.78 Amount Paid $156.78 $]56.78 3/1 0/2009