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Home My WebLink AboutPermit Plumbing 2009-4-23 City of Springfield 'j Plnmbing Authorization To Begin Work E-mailedTo:joe@hightech-plumbing.com Receipt # RC55041ll 4/23/20099:20:40 AM &\ /<-) rv~ ~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us ..,,',',L' ,1:,.~; :'._' . .)'~~~sC;:H$6~LE". . I Description I Qty. I 1.~itc..~I-i1jtJ~,s:fcp~j(OR}'ep~~Cclllcn:~p;,\LY ;".0_: '. _. ..:- - '=_!~';~ I Sanil:UY Sewer - first 100 feel I . each additional 100 feet I Storm Sewer - tiTSl 100 feel . I - each additional 100 feet I .~II Water Service- first ]00 feet I II - cach addition;;!] 100 feet I : 1;()th€rS'tS!!\iliii'i:_ H._. _ ;._~." '-I I II - Rain drain collector system ) - Drywe]] I -I -Catch basin urureadrain I I' - Pressure reducing valve I I - Grease interceptor I' 1~~~i~.i~:~~~~_~tPpE-~~!f~~~~:~~ 7;~~~'~: ~O~~!~.~~~:~1:~ ~~~~~,:'::;I I Barkl10w prcvcnter 1 $19.001 $19.00 I I Backwater valve I Clothes washer I Dishwusher I Drinking fountain I Ejectors/sump j Expunsion tank I Fixture/sewer c~p I Floor drainltloor sinklhub I Garbage disposal I Hose bib lice maker ___ _.. C" _ _ _ J 1.r:fJ r3qJ ,;rac ynll in I Prunl!r'up~olni\;t 'Y~~nllr" v"'~'I'lli;1 ~lr"""'I'Ii"U "!.-IIl's';'"I''''''''" OvllTlll"", rules adoDted uy 1 ,"'U "'8ulI ""'''y. I Pri'1Jf~li~'~Ia~~~\tjot%nter. TI/OO&Jll1/d/iEMiIj;\~\l,\if.V\j!~\I"o" I Si1f(>€ifi\~,f;lfo&-001-001lJ rnrougn 'Jt\n ~"~: :u,~.-. ITuOOW@er/~WefTP4W ODyan l;U~It:::;, l f~l~:: I~::~..."" I U' ~alllng Irle ""'''''''. tju,~. It-.., .-.or.. - " nma... -'1 ~n I Hili+\-hlnti-fil"':::.1 inn I Watcflblbl~tlt:::1 IVI l ll... ~ - ..,- "'-rtof' - - 44\. I Wat~'rhcater 0....,... . 1;.\lisccIJi~~U:u;r~t.,.,:..~ "-:,:j:~'m"~ " I-Swimming pool or spa - water SUDoly and drain I - I Iydronic 'heating - open loop system I~i'" Ell. Total I ",' " ~ "" '~,'" . Tip~-.OF}NO~kiJ;J;~'r" ~ Addition/alteration/replacement ~:r . i .. J D New constnrction '"-; .?" " ".C!,TE()OR,,"OF~ONSjRuctl()~ o Multj-family D Accessory Building [K] I or 2 family d\vel1ing D Commercial/Industrial JOE!,S.iTE I~FORMArt6i(~ND,~O:<:}\Tio.fl .. IJob no.: jJob nddress: 145 ALLEN AVE 1 City/Stlltl'f.lll': SPRINGFIELD, OR 97477-141 I I Suit~'/bldg.lapt.nu.: I Project nllme: Cruss .~IIl;'t'l/dirt.ctiuns Iu job site: ISubdivision: ITax map/parcel no.: 1703233300216 I>: -.' . ,- '. 4 j~~ ~ ~~:;;,~~~_:.. D~sc]!PTI6N.;;6! ;~c;L~_K"t~::?i:~;~~,~:'~,~:'=~~:,-~': install backflow device I Lot no.: I I '. ""1 ~,:r..f~:, .,",; jNlIllll': JOe Barnes jPhont': IF-mail: 1-." ....;'.:,Nti:tIf'.:.;Pt: ::,i-~6NIAAc.fpR'?#f;;\:/'"}:~'j;. Ip'mh,'ir.nO':~PIJ!:~MITSH ,\if 1t~;n", . IUusinessNlIme ~ h T:: I~ I I vvOR~ len",",\: Joe Ijo Mr, I:; 1~JT I _m~~MENCED :In IS ';:JAr~mmEu FJfi Addrl'ss: 2787,OI;-NJvI-f~'A2n 1\\1 rr I .'.:'Jl .f.r. _.\1 ..:nIOD City/SlatelZlI': SPRINGFIELD OR 9/411 . I Phom': (541 )7269854 I Fax: (541 )7440583 I Emllil: joe@highlech-plurnbing.com IMetro lie. no.: IF.., . L?:_. ,~':.~~~~ I I I I . ':;,:;1:~~''.1 I I 1:<:, .-':.~._..~),y" ,l'f":;k.:t ': ,-F-c::.~t ....~~(TEC.d~l~ct,.-;t~'t: . ICily lie. no.: I I I I I I I I I ,il I I . ':"'''1 --,,' '."'."':~" $19,00 I $58.00 $6,96 $2,90 $67,86 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 a permit is not obtained. :' ,;,:,t;: P~QMB.lNG PE.RMiT FEES', Subtotal Minimum fee used instead of Subtotal StateSurcharge (12% of permit fee) City Of Springlicld fees * I TOTAL PERMIT FEE * City Of Springfield fe(.'s: 5% Tcchnology Fee tc\ - 5L.\- \ vo~ ~ 123lcA 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. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. Status Issued CITY OF SPRINGl'lELD. Building/Combination Permit PERMIT NO: COM2009-00541 ISSUED: 04/23/2009 APPLIED: 04/23/2009 EXPIRES: 10/23/2009 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726.3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 145 ALLEN AVE ASSESSOR'S PARCEL NO.: 1703233300216 Springtield TYPE OF WORK: Baektlow Device TYPE OF USE: New Residential PROJECT DESCRIPTION: Install Baektlow device Owner: KNESS JA YNE L Address: 145 ALLEN AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Plnmbing Contractor BARNES HIGH TECH PLUMBING INC License 83311 Expiration Date 02117/2010 Phone 541-726-9854 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Overlay Dist: Side I Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard s:IIll!~r.:E: % of Lot Coverage: Solar Setbaijl!~iS ~ER~I! SHA~~ ~XP~R~ _I~ .TH_E~~~K ATTENTION: Oregon law reg,ui!::Y~~';i~" f"'Ivtt"lunlLCU UI"ULn IllIv rL"!"t..l ,,'!H'i.J io'llowrUlesauu~ll::;U"'" .I.... -'~oJ . COMMENCED OR IS ABANDO!.I.':"'IUcls IMPROVEMENTS otification Center. Those ru~e~t~e ~;~_fg~;~ Street ImJlr!i,Y~'~~I!)S: DAY PERIOD. in OASia(iw,uIl1r9.~~P. throu.g f the rules by 0090 You may ootam copies 0 Storm Sewer Available: calif?t'?J"tIl'iJ'e~lWdlra!lIsJte:.the tele~hone Special Instruction:. number for the Oregon Utility Notlflcatton Center is 1-800-332-2344). Total: Handicapped: Compact: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Squa,'e Footage or Bid Amount Value Date Calculated Paee I 01'2 -........."iii WiL~'. n Ii ................~.. ., , . ,:: _,~~~' 1], Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00541 ISSUED: 04/2312009 APPLIED: 04/23/2009 EXPIRES: 10/23/2009 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 I Fee Description + 12% State Surcharge + 5% Technology Fee Backllow Device Amount Paid Date Paid Receipt Number $6.96 $2.90 $58.00 4/23/09 4/23/09 4/23/09 3200900000000000264 3200900000000000264 3200900000000000264 Total Amount Paid 567.86 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. I Reouired Insnedinns I Backflaw Device: Prior to covering and provide a copy of the test report all site at the time of inspection. 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 Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described berein, 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 wbo are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are reqnested at the proper time, that each address is readable from the street, tbat the permit card is located at the front of the property, and tbe approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of 2 225 Filth Street Spri!)gfield, Oregon 97477 541-126-3759 Phone Job/Journal Number COM2009-0054I COM2009-0054\ COM2009-0054\ Payments: Type of Payment ONLINE CHGS cReceinll RECEIPT #: Dcscril>tion Backflow Device + 5% Technology Fee + \2% State Surcharge Paid By ONLINE PERMIT CHGS ~~. .. .~ - . City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000264 Date: 04/23/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE Barnes High Online Tech Plumbing Payment Total: Page I of 1 9:44:44AM Amount Due 58.00 2.90 6,96 $67.86 Amount Paid $67,86 $67.86 4/23/2009