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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, 'I I '1 I I I I I 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 1 1 I I I I I I $19,001 $19,00 I ~ ;:~,'~~~~;:--~. ,,"1 'l",';,:_~.t5;.":,,-~ Water line connections to gas on demand water heater IName: Sh<lron Sinclair I Phone: (541) 343-6059 I[mail: I Fax: 343-6059 I: IPlmb.lic. no.: 20-95PB ICCBlie.no.: 84110 I Business Name: BILL BAILEY PLUMBING INC IContllet: IAddrl'ss: 91909PRRD" ICity/Stale/ZIP: JUNCTION CITY OR 97448 'Phone: {54 I )6079236 I Email: bill@rio.com 11\'lelro lie. no.: not offered online afthis jurisdiction I Fa.\: (54])6079236 I City lie. no.: Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. I - Swimming'pool or spa - w<l1er supply and drain I - Hydronic healing - open loop system 1~~::.~~;~'~~4f.$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