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Home My WebLink AboutPermit Plumbing 2009-3-24 Plumbing Permit Application 1!~~PEifA~'51MEN~~S'Ei0rm~ttJll ~:~,-'-::;'~!-".~~~'?ti~"'~~;"7""J'<s:..7:=.VE~~#X~ I ftV!,->C.... ,IV I Permitno.:c; 0; -35<{ I Date: 3(2-'-( /07' I 225 Fifth Street. Springfield: OR.97477' PH(541)726-3753 . FAX(54t)726-3689 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. 11i'l'~~1it1[0~fj.,"!i!.G'(:jgER.NI\IIEN;tll~e.FlR(')'1lf!,.lE"it~{J;41!l\I:'(fJ~~~ I Zoning approval verified? 0 Yes 0 No I I'Sanitation approval verified? 0 Yes 0 No I Iti~~14~CA;t;E:!30Ry'~OI;J.C':'0J'I$mBl!J~ti(')N~~i~~1 IIliJ Residential I 0 Government I 0 Commercial I 1~.oei$lmEi!1It'l.KoBM/?mioN"lJi'f!,.t'lD.lii!<:>~C~ffiIONI[~~1 I Job site address: (, ,0, 'I q H A7 tV 51 I I City:6'f'12/JI('Flr;:L-D I State: o/'~ I ZIP: "IN/I? I Iw=:~~~. ~,,~~__' . ", '.'. .'.'_'.....'' _ ... ..1 Lotp~~~_"'_~""_,,,_II ~l+y;i';!i',~~'(lt'lQI:.S.C~IRATlIQ.N,I0_F;,'iW,QR~'"~i~iW:!!iPi.,f"2 I'sn~ .J)i:.-(-h.J J'JS~O""'" I I I 1~'''''''''m_'1!l!l''''''-0'''' - v-l\'0-W'N'ER"ik'21~--"M"'-"-"'-~1 a"~'1.~--!~{t?~'&&.~~~,i;,y~e.R . ,~ER[~lt.,t. ',__ , , _jT~~J~~i~~0,,~ I Name: ,.J~ Liv/,V6S7",J I I Address: 302... 7Z,..ib fL/l-c.E' I I City:<J{J!!...,',J6.':=r'E'LJ) I State: 0 -z.. I ZIP: '77'1 71f I I Phone57'r_5Zt 206-7 I Fax: I I E-mail:cJ~uv.i/(..@ 't~o, uzM I This installation is being rnade on residential or farm property owned by me or a member of my immediate farnily, and is ~~:::r::S~:t:t ryme~/tR 9~-695-0020 IfIJ'i>-"{fllcQNiIi~C;TL(;)R~IJIl$T!f!,.i!iI!!AillIO~~\\\\;~'\lj"i:l:~t~g~ I Business name: I Address: I City: I Phone: I'E-mail: I CCB license no.: I Plumbing license no.: I Print name: I Signature: I State: I Fax: I ZIP: I BCD license no.: 440-2500-) (11/08/COM) Ic~,"';,Hi<f;1,"'tlififoj,,;iJi~"''''E'E,qSCHEI)l:J; [jEit'!i}""'iil"~J5t_"",lli;:lt"1 ,~,il\:,){."",;\'.,t,".';~ft.l,~\t;!1!\lefj: __f? ..,_ _ c ",_n,E!t~h;~~~~~,:;~"ifu~ lii:'''''"''''' ""-".-. ''''.''''.'''''~.'^j\''4-1t:I'''"''"II'''C' -t"""II~' "(liltl ~Des-crintion~~lf ,'~~~~. ~!!tii.;:~tiQty;': tS,~'~QS,t~l& ,'~ ~.l!9Ja,..~ ,,'5;t;;.~:~ia~:~~t~~'tJl>~{;~~g;;iil)&1 ;;'Jriil ': 'ii$'~~~~ t, ~SQ~t~ I New residential I 1 bathroom/l kitchen (includes: first 100 feet of water/sewer lines, hose bibs, ice maker, under floor low-point . drains and rain-drain packages) I 2 bathrooms/I kitchen $374.00 I 3 bathrooms/l kitchen $439.00 I Each additional bathroom (over 3) $95.00 I Each additional kitchen (over 1) I I $95.00 I Residential fire sprinklers (includes plan review) I. 0 to 2.000 squnre feet $58.00 I 2,001 to 3,600 square feet $116.00 I 3,601 to 7,200 square feet $174.00 I 7,201 square feet and greater $232.00 _ Manufactured dwelling or pre-fab (circle one) Connections to building sewer and I I $58.00 I $ water supply I Commercial, industrial, and dwellings other than one- or tvvo-family I Minimum fee I I $58.00 I $ I Each fixture $19.00 $ I Miscellaneous fees I 100' storm, sewer; water I ine I I Each fixture, f!.ppurtenance, and piping I Storm water retention/detention facility Irrigation systems' Piping or private storm drainage svstems exceedine: the first 100 feet I Specialty fixtures I Reinspection (no. ofhrs. x fee per hr.) I Special requested inspections (no. of hrs. x fee per hr.) Each additional inspection: (I) $238.00 $76.00 $ $19.00 $ $19.00 $ $19.00 $ $19.00 I $ $19.00 $ $58.00 $ $ $58.00 $58.00 $ ,.._."'.....""'..,-""..,.~__4i"'~'~"1 ~I~te~dJ~aJrga~;p.iplijg-"k'k~..}f~~~~ Minimum fee $ Enter value of installation and equipment $ _' Enter fee based on installation and value. I (A) Enter subtotal of above fees $ (Minimum Permit Fee $58.00) I (B) Investigative fee (equal to [A]) $ I (C) Enter 12% surcharge (.12 x [MB]) $ I (D) Technology Fee (5% of[A]) $ I TOTAL fees and surcharges (A through D): $ $ $ $ $ $ $ $ $ $ $ I I I I I I I I Status Issued 225 Fiflh Street, Spring/ield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .CITY OF ~rt(I!~GFIELD Building/Combination Fermit PERMIT NO: COM2009-00354 ISSUED: 03/23/2009 APPLIED: 03/17/2009 EXPIRES: 09/23/2009 VALUE: $ 30,779.52 Springfield TYPE OF WORK: Garage SITE ADDRESS: 6849 MAIN ST ASSESSOR'S PARCEL NO.: 1702344400601 PROJECT DESCRIPTION: Garage TYPE OF USE: Residential Phone Number: 541-521-2067 Owner: JERRY LIVINGSTON Address: 302 72ND PL SPRINGFIELD OR 97478 Contractor Type General Plumbing ATTENTION: Oreoon taw; !'S<1I,lffe& V~I WJ fl>i€0N~RA6~0RflNE0RMArnI0Nl; Ilti,lit.y{ Ncr!HI(';"llQ{1 "emSl: l nQ"a rtll\l$ are, $,~t f.~rt!i1J in OAR 952.-0QHlO1Q lhrQ\I(!oLicens"'el2oQ0Kxpiration Date Phone 0090. You may obt\\ln ~op!as Qt tM tt!t\l~ ~W ca!ling ths CenlGf. (NQ1€l: the t"l~tJhQ[\\l ....,__~.l, k"' .1__ ...~. _ _._____.~ I hH'-'.. 1o.'_.1.:-~'~__"'~__ d_".___ ._. .,.__ _.. _.._ . _....'" """"~~...,,,,,,., . BUIJl!llNG'JN RORMATlO\"'li), Contractor OWNER OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: U Height of Structure Type of Heat: VB Water Type: Range Type: Energy Path: NOTICE: Sprinkled Building: n/a ~.,,~ ~~-"I~ ~"r I -"fl"'F~ ,..- ~t If \'\'''''1' " ".... ' , '''~''.' !!l'C~\ If... \1 --1LT.,. .lot "., \ AUTrlrDE-V~Ol'i~'f!Il)'F~"f~T COMMENCED OR IS ABANDONED FOR ANY 180 DA)qvi!flW}~ist: 7.00 # Street Trees Rqd: Paved Drive Rqd: 17.00 % of Lot Coverage: 0.00 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 816 Sq Ft Other: Occupant Load: Yes 17.20 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Yes Sidewalk Type: Downspouts/Drains: To Storm Sewer Notes: STORM RUNOFF TO EXISTING Page 1 of 3 CITY OF ~nuNGFIELD Building/Combination Fermit Status Issued PERMIT NO: COM2009-00354 ISSUED: 03/23/2009 APPLIED: 03/17/2009 EXPIRES: 09123/2009 VALUE: $ 30,779.52 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I V~I.uatio~, D~,~crintion I Garaee/Misc U VB Utilitv $ Per Sq Ft or multiplier $37.72 Square Footage or Bid Amount 816.00 Value Date Calculated DescriPtion Type of Construction Total Value of Project $30,779.52 $30,779.52 03/20/2009 L-F~r' Pli/U Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $120.09 3/17/09 2200900000000000271 + 12% State Surcharge $48.26 3/23/09 2200900000000000287 + 5% Technology Fee $26.06 3123/09 2200900000000000287 Fire SF Fee - Residential $40.80 3123/09 2200900000000000287 Garage/Carport $326.17 3/23/09 2200900000000000287 Plan Review Minor - Planning $119.00 3/23/09 2200900000000000287 Plan Review Residential $126.43 3/23/09 2200900000000000287 Sanitary Sewer - 1st 100 Feet $76.00 3/23/09 2200900000000000287 SDC Sanitary/Storm Admin $21.83 3/23/09 2200900000000000287 Storm Drainage Impervious Area $436.66 3/23/09 2200900000000000287 + 12"/', State Surcharge $6.96 3/24/09 2200900000000000291 + 5% Technology Fee $2.90 3/24/09 2200900000000000291 Storm Sewer - 1st lOW $58.00 3/24/09 2200900000000000291 Total Amount Paid $1,409.16 Plan Reviews , Structural Review 03/19/2009 REC Plumbing permit to upgrade sanitary sewer line that 'YilI be under the new garage slab Plannine Review 03/18/2009 03/18/2009 APP DDK Public Works Review 03/18/2009 03/18/2009 DON BJG Structural Review 03/18/2009 03/20/2009 APP CJC As noted on plans and in revieew letter 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. Paee 2 of 3 ._~Ii'~I~QE'ttil:Lt:?/ 41 ," \ ~'I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired InsnectionsJ CITY OF ~.l'KINGFIELD . Building/Combination Fermit PERMIT NO: COM2009-00354 ISSUED: 03/23/2009 APPLIED: 03/17/2009 EXPIRES: 09/23/2009 VALUE: $ 30,779,52 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected hut prior to concrete placement. Shear Wall Nailing: Before covering sheathing with linish materials. Framing Inspection: Prior to cover and after all ro~gh in inspections have been approved. Final Building: After all required inspections have been requested and approved and the huilding is complete. Sanitary Sewer Line: Prior to filling trench and including required testing. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place hut prior to concrete. Underslah Plumbing: Prior to filling the trench and including required testing. By signature, I state and agree, that 1 have carefully examiued 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 Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005wifl be used on t/,is project. 1 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 '9:'9"";Ci Owner Of Contractors Signature Pa2e 3 of3 .5 / '2Lf- /260 7 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00354 COM2009-00354 COM2009-00354 Payments: Type of Payment Check cReceiml RECEIPT #: Descr!ption Stonn Sewer - I sl 100' + 5% Technology Fee + 12% State Surcharge Paid By JERRY LIVINGSTON 6.,.:;P..!'INGFIEJ.O~.' loll. (--'II - -. City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000291 Date: 03/24/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 5702 In Person Payment Total: ... Page I of I 1 :51 :22PM Amount Due 58.00 2.90 6.96 $67.H6 Amount Paid $67.86 . $67.H6 3/24/2009