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Home My WebLink AboutPermit Plumbing 2009-3-26 l"l~DElMR*M'ENTWgSEYON~~~ liW:'f";;'::~'Y+""k9~hTt:i~"fti;~~~B:~Ja.m,; I Pennitno.: CoIM2.<loOS-- oO~07 I Date: -f~y6 ') 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. 1"""""'''''i\fi\ii'j'"'~0'''-A''!il!G'O' VERNMENiI!~~A~"R.O' \fAl!ii~!~O:""1''i111)''1!':;1 1.:''''.7....'V.''''.''''~!!~..-;.....E.E .','''S'', "',E,DU:.",E"~"i. ~l;:l:A4"__lE!!l.- ." ~~,-"fff\KL::"~ .'1;)];.____ ..c, ___ '_,__ _______IMm~_~r;;, ',_ _','" ,,~~~,~~.''J'',..", ~~~'}j\t-,ii'b::rti?~)t;~J:i1}fril_1] _ ffS. _Y,n _ _ ',_ . L:: _!i!'lt,;~~ii!;.\~.:x.z";.~,t~~ I Zoning approval verified? DYes D No. I 'Ir{D~~gfimi~~~~~!~I'Qt~IIl.€.Q~J:JilI"1iilla!~ frt:;t~r;;r~ftlh~~~~'\1k~~r',;; }-7.;~ ~1~J!!i~ ~~~s.t~ f~;~~~~v:~;~~~~F.iC_iN~J~RUCJf(~~~j I ~:::r~~~~t~~:chen (includes. first i~;J~~~~mEiIN~.~R~~m;~;~NP~~~~~~;~~j fr{{~~~~~~t~?~:~rf2;~f~jnt $238.00 $ I Job site address: \ '"-l O.~ "" M-k"tt ~~ I 2 bathrooms/1 kitchen $374.00 I I I I 3 bathroomsll kitchen $439.00 City:S,'flrl\rc4 \.., \.J State: ~ ZIP: 9141? I Each additional bathroom (over 3) $95.00 I Subdivision:, ~ 703 Z 5".3.:5 I Lot no.:/OOoV I Each additional kitchen (over I) $95.00 1~1\~r~t5.!:~:QRJ~.;t:IQtII"0)ii~W0RKs~~1I:~~~~1lI:1f~~~il I Residential fire sprinklers (includes plan review) I ~ U?' ~^G..J..~ ~\.. ~~- I 1.0t02,000squarefeet I $58.00 I~~~~\'c~u-\",~ ~..,~~~~ : ~:~~;:: ~:~~~:~~::;::: I :;;::~~ ":. t';ft,m\iL'4-~~1J!IP.RO.~ERiT;Y",!:tVVtllER,ti"~Y~~b<i;ii.".ii I Name: ~ ""^ "R I 7.201 square feet and greater I I $232.00 Yv\ ,~, ^ I Manufactured dwelling or pre-fab (circle one) I Address: I Connections to huilding sewer and I I $58 00 I $ I City: I State: I ZIP: water supply . I Commerc,ial, industrial, and dwellings other than one- or I Phone:s.I/-~_I~r\f~ I Fax: two-family I E-mail: I Minimum fee I I $58.00 I $ I Each fixture I $19.00 $ This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is j MisceJJaneous fees exempt from licensing requirements under OAR 918-695-0020. 1100' storm, sewer, water line Signature: I Each fixture, appurtenance, and piping Ir/llU"~~J1ie0NmRAC.:1i:<:>RjlINS'I'~Il!ItAi1110N~1i;~!lIf~m I Storm water retention/detention facility I B 'l'\ " !ll \. _, ';\ I ~. I Irrigation sy~tems usiness name: K,...I..-I-. WAf.. r '^"'^~1. ...... ......n."...'" J I -, - I I Piping or pnvate stonn dramage Address:. ~~ \<1><.. ,\d'i>1..111 1=-'AA-.M '140 I svstems exceedin.the first 100 feet I City:" t,,,,,,^, I State: 6.0. I ZIP: Q'4d I I I Specialty fixtures I Phone:!>'-ll-~"i_ ~"lI( ') I fax: I Reinspection (no, ofhrs. x fee per hr,) Special requested inspections (no. of I E-mail: hrs. x fee per hr.) I CCB license no.: J.(<'Istol I BCD license no.: I Each additional iuspection: (1) I Plumbing license no.: 'i.o -letS l> il. _' , I Print name: l\ Wo/' 1- Ah\d'\.l li.i s7 :rD \ I Signalure:~ ~ ~ I I , I I Enter fee based on installation and equipment value. I $ I 1~~~..6:~~i!jcJl::]\j!Til(DSE~.~~1 I (A) Enter suhtotal of ahovcfees $ , If I (Minimum Permit Fcc $58.00) II, I (B) Investigative fee (equal to [AD $ ~ <?:l I (C) Enter 12% surcharge (.12 x [MB]) $ 1'3 ...j (D) Technology Fee (5% of[AD $ ") 11 ~ I TOTAL fees and surcharges (A through D): $ I '3- ;. r,.- Plumbing Permit Application 225 Fifth Str,et' Springfield, OR 97477 . PH(54J)726-3753 . FAX(54J)726-3689 I $76.00 $19.00 $19.00 $19.00 $19.00 $19.00 $58.00 z $58.00 $58.00 $ Minimum fee $ I Enter value of installation and equipment $ _" 440-2500-) (11/08/COM) $ $ $ $ I I I I I I I I I I I I I $ 7bl $ I $ I $ $ $ $ $ $ $ $ $ >l CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009c00407 ISSUED: 03/26/2009 APPLIED: 03/26/2009 EXPIRES: 09/26/2009 VALUE: Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1401 Market St ASSESSOR'S PARCEL NO.: 1703253310004 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Alteration PROJECT DESCRIPTION: Install new water lines for SUB relocating meters Commercial Sidewalk Type: NOTICE: Downspouts/Drains: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT r,OMMENCED OR IS ABANDONED FOR MI~t i oJ DAY PCf1IUl:\. I Valuation Descriotion I Owner: JAMES M BROWN REVOCABLE TRUST Address: PO BOX 165 SPRINGFIELD OR 97477 I CONT~ACTOR INFORMATION I Contractor Type Plumbing Contractor RIGHT WAY PLUMBING License 49561 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: AIlE" t-,.BU~LIlIN~lJ'I.ji;ORMA",{o.1ohIl to follow :~ies"ado~ied by the'''dfegJ~iatility Notification dl3P,(~!()~\e~:;e rules are set forth in OAR 952-0tlfiggt ofrStrucJoreAf! 952-001. 0090. You mrFyp.e;ofiHeat"ies of the rules by cnl!inq the WatimTjp'e:te: the telepho~e nLlr"b;,r tor Range';rype: Utility NotifIcation Cb:,Energy-Path ;332.2344). Sprinkled Building: n/a I DEVELOPMENT INFORMATION I Fronlyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 1"\' Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I ..,j '~.' " Street Improvements: Storm Sewer Available: Special Instruction : " Notes: Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Am,ount Paee I 01"2 Expiration Date 12/16/20 I 0 Phone 541-484-3787 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00407 ISSUED: 03/26/2009 APPLIED: 03/26/2009 EXPIRES: 09/26/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees PlIi~ I Fcc Description + 12% State Surcharge + 5% Technology Fee Water Line - 1st 100' Water Line - Each AddU I 00' Amount Paid . Date Paid Receipt Number $13.68 $5.70 $76.00 $38.00 3/26/09 3/26/09 3/26/09 3/26/09 2200900000000000302 2200900000000000302 2200900000000000302 2200900000000000302 Total Amount Paid $133.38 I Plan Reviews I 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. 1~1'(1ui -ed h srlections I ...1Iiiiilllllllllll fll Water Line: Prior to filling trench and inclnding reqnired testing. By signature, 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 arc in compliance with ORS 701.005 will be used on this project. J 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. ~/ ~ 2/A~/r) 9 Owner or Contractors Signature Date Page 2 of 2 225 Fifth Street . .. Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00407 COM2009-00407 COM2009-00407 COM2009-00407 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Water Line - I sl 100' Water Line - Each Addtl 100' + 5% Technology Fee + 12% State Surcharge Paid By RIGHT WAY PLUMBING ~rRlNQ. Fl..~"jj.'. ,.j.A'II. ' IlL.... .. . . r ( "~"-' -- ....." .,-^_. ',,'.. " City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000302 Date: 03/26/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 051483 In Person Payment Total: Page 1 of I 2:20:IIPM Amount Due 76.00 38.00 5.70 13.68 $133.38 Amount Paid $133.38 $133.38 3/26/2009