HomeMy WebLinkAboutPermit Plumbing 2009-5-7
City of Springfield
Plumbing Authorization To Begin Work
E-mailedTo:hill@rio.com
Receipt# EC551291 ,q
5/7/2009 6:44:29 AM rA. / \9'
C
Check on status of permit
By Phone: (541)726"3753 or Email: permitcenter@ci.springfield.or.us
I Description
Qly,
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10 New constmction
[K] Addition/alteration/replacement
I SunilarySewer - first 100 feel
[Xl I or 2 family dwelling 0 Multi.family . each'additlOnal 100 feet
O 0 I Storm Sewer -!irst 100 feet
Commercial/Industrial ,Accessory Building
I"', 't ""w,.~",~,~H~'_""'-___""""'~"O"".=~'~'___~","~-'--- --~' -'-,,- --~"''''l'''eIT-'' I -each additional 100 feet
,;,lLiJ0;;,:":"-'.;'~OB.SITE'INFORMATION'ANDiL:OCATION"i~" ,</;+:,,\.,. "nt,i;>', I ' ,
, ""}" - ,,~ " -" &,,',_~'_-d"":'_' ,-,_ h" _"",,~'_'~.A,,-,,,~, _~,-^_..:r-. " .' .'-, "'""- Water ServIce - first 1 00 feet
IJob no.: IJob lIddress: 304 23RD ST II
- each additional 100 feet
ICity/State/ZIP: SPRINGFIELD, OR 97477.5109 I
ISuite/bidg.lapt.no.: I I - Rain drain collector system
Project nllme: I I - Drywdl
Cross'sln'et/direcliolls to job site: I - Catch basin or area drain
I -I'ressurereducing valve
I - Grease interceptor
,;~
I Subdivision:
I Tax map/parcel no.:
I Lot no,:
1703361405800
"'"
1 Backnow preventer
I, Backwater valve
I Clothes washer
I Dishwasher
I Drinking fountain
I Ejectors/sump
I Expansion tank
I Fi,Xture/sewercap
I Floor drainlnoor sink/hub
I Garbage disposal
I Hose bib
I I Ice maker
I Primer-up to I1rst 5 (Enter
Qyt=l)
I Primer -each additional
I I Sink/basin/lavatory
I' I Tub/sho\verlshower pan
I 1 Uc;ool
II Water closet
I I Water heater
not offered online at this jurisdiction
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$19,001 $19,00 I
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Water line connections to gas on demand water heater
IName: Sh<lron Sinclair
I Phone: (541) 343-6059
I[mail:
I Fax: 343-6059
I:
IPlmb.lic. no.: 20-95PB ICCBlie.no.: 84110
I Business Name: BILL BAILEY PLUMBING INC
IContllet:
IAddrl'ss: 91909PRRD"
ICity/Stale/ZIP: JUNCTION CITY OR 97448
'Phone: {54 I )6079236
I Email: bill@rio.com
11\'lelro lie. no.:
not offered online afthis jurisdiction
I Fa.\: (54])6079236
I City lie. no.:
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
I - Swimming'pool or spa -
w<l1er supply and drain
I - Hydronic healing - open loop
system
1~~::.~~;~'~~4f.$J~t!uM~If{9.[p~~M1t~FE~s:",
I Subtotal I
I Minimum fee used instead of Subtotal
I State Sllrcharge (12% of permit fee) I
I City Of Springfield fees *1
I TOTAL PERMIT FEE
* City Of Springfield fees: 5% Technology Fee
&rn 2JJv7' - (}(j(;/9
.' /7/Y) 5-7~o9.
This Authorization To Begin Work must be posted at the "job site untilreplaced by a Permit
., '.",-~,
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.
$19.00
$58.00
$6,96 I
$2,90 I
$67,861
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00619
ISSUED: 05/07/2009
APPLIED: 05/07/2009
EXPIRES: 11/07/2009
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 304 23RD ST
ASSESSOR'S PARCEL NO.: 1703361405800
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
PROJECT DESCRIPTION: Water line connections to gas on demand water heater
Residential
Owner:
Address:
SINCLAIR SHARON L
304 23RD ST
SPRINGFIELD OR 97477
Phone Numher: 541-343-6059
'. CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
BILL BAILEY PLUMBING INC
License
84110
Expiration Date
06/24/2009
Phone
541-998-1141
. 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
'.DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Sethack:
Sidc 2 Sctback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Total:
Handic!'pped:
Compact:
"'.......~
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
DQ.lYDSPOu\sill5ains:v requires you to
ATTEN Ilur,: u 8\J " '~.the Oregon Utility
101l0w rules adopted ~e rules are set forth
~otificatlOn cen:e~1 ~~hrOugh OAR 952-001-
I~_?~R,:_~~~~\; ~btain copies 01 the r~\::_bY
NUll' ~ --II' '....'r- .0._. t 'NOH' B'O ,~.-,_. .
u.... EXPIRE tr I ,-"" I II. g the cen er. \. .. I"
THIS PERMIT SHAll THIS pr.n~~Iu,tft.il:liJbescriDtion ncuaml~er for the. Oregon Uti1~ty ;:;~~~flca Ion
AUTHORIZED UNDER DO~Il::n EnR Center IS 1-800-3322
. . _' 'r.;-n nQ ,,,- ~BAN ~'I''''r sq.Ft Square Footage
DeSCrIptIOn r:nMl(1:;.pe of_(JOilstriI'c on I . I. B.d Value Date Calculated
.J._ . 0 D ^v PERIO or mu lip 'er or I Amount
!\NY 13 1'\1 .
Storm Sewer Availahle:
SpeciallnstrucJion:
Notes:
Page 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00619
ISSUED: 05/07/2009
APPLIED: 05/07/2009
EXPIRES: 11107/2009
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 J
, ,
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
, Minimum/Adjustment Plumbing
Amount Paid
Date Paid
$6.96
$2.90
$17.00
$41.00
5/7/09
5/7/09
5/7/09
5/7/09
Receipt Number
3200900000000000325
3200900000000000325
3200900000000000325
3200900000000000325
Total Amount Paid
$67.86
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. wiUbe made the following
work day. .
I Re'luired Insoections .
Ii ;",.",
Final Plumbing: When all plumbing work is complete.
By signatnre, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is trne and correct, and 1 fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of th'e 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 in compliance with ORS 701.005 will be used on this project.
] further agree to ensure that all required inspections are requested at the proper time, th-at 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 cons~ructjon.
Owner or Contractors Signature
Date
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.:~a,f.:'LD~
Iii:_
City of Springfield Official Receipt
Dcvelopment Services Department
Public Works Department
Job/Journal Number
COM2009-00619
COM2009-00619
COM2009-00619
COM2009-00619
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
3200900000000000325
Date: 05/07/2009
Description
Fixture
Minimum! Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ONLINE
BILL Online
BAILEY
Payment Total:
NJM
Page I of I
8:13:09AM
Amount Due
17.00
41.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
51712009