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Home My WebLink AboutPermit Plumbing 2009-5-27 _SIi'~ql,'lI9~!'i!1,;,9",v .'1' .' "' . 3, Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00737 ISSUED: OS/27/2009 APPLIED: OS/26/2009 EXPIRES: 1I/27/2009 VALUE: 225 Fifth Street, Sprhigfield, OR 54]-726-3753 Pho'ne 541-726-3676 F,ax 541-726-3769 Inspection Line SITE ADDRESS: 2720 GAME FARM RD ASSESSOR'S PARCEL NO.: 1703224406100 Springtield TYPE OF WORK: Plumbing' Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace 90 ft of water service Owner: WHITMER RONALD L & CINDY L Address: 2720 GAME FARM RD SPRINGFIELD OR 97477 I CONTRACTOR INFORM A TION I Contractor Type Plumbing Contractor KEVIN COHEN PLUMBING INC License 1763 II Expiration Date 05/30/2009 Phone (541) 607-9208 BUILDING INFORMATION I # of Units: Primary Occupancy Gronp: 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 Garage/Carport Sq Ft Other: . Occupant Load: n/a REQUIRED PARKING Front yard Setba~l<: Overlay Dist: ' Total: Side I Setback: NOTICE: # Street Trees Rqd: ATTENTION: Oregon 'a~aoll,i.<i>ppe,d.lu to Side 2 Setback: THIS PERMIT SHALL EXPIRE IF f!it'Wff~' Rqd: follow rules adopted by (lUJrljiac!jon Utility Rearyard Setba'i!ftJTHORIZED UNDER THIS PERMlflS'~1 verage: Notification Center, Those rules are set forth Solar Setbacks: COMMENCED OR IS ABAMnnW:n JOn!:! 0 ~,,~~R\;:52:.?9t3~.~?~t~~o~~~ S~~~9.~~~~O~: AIH l1iU DAY PERIOD,' I PUBLIC IMPROVEMENTS .alling the'center, (Noie: the telephone' ..!Jmber for the Oregon Utility Notification Street Improvements: ~JilY~l~sr~PJ00-332-2344). ' Storm Sewer Available: Downspouts/Drains: Speciallnstructiou: I DEVELOPMENT INFORMATION I Notes: I Valuation Descdntion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00737 ISSUED: OS/27/2009 APPLIED: OS/26/2009 EXPIRES: 11/27/2009 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid ,I Fee Description + 12% State Surcharge + 5% Technology Fee Water Line - 1st ]00' Amount Paid Date Paid , Receipt Number $9,12 $3,80 $76,00 5/27/09 5/27/09 5/27/09 1200900000000000540 ]200900000000000540 ]200900000000000540 Total Amount Paid $88,92 I Plan Reviews ,I To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:QO a.m. will be made thesame working day, inspections requested after 7:00 a,m. will be made the following work day. I ReolJired Inspecti?ns I Water Line: Prior to filling trench and including required 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 shaIl'be done in accordance with the Ordinances of tlie 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 permiss,;on 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 tbat all required inspections are requested at tbe proper time, that each address is readable from tbe street, tbat 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. Owner or Contractors Signature Date Paee 2 of 2 " City of Springfield Plumbing Authorization To Begin Work E-mailedTo:info@.kevincohenplumbing.com Check on status of-permit By Phone: (541)726-3753 or Email: permitcenter@ci,springfield,or,ns l' ': Receipt # EC552359 5/26/20093:54:24 PM I 0 New construction [XJ Addition/alteration/replacement Description J Jt ~ty, I;Sjie.'{tiiIiiifS'trcp'air~OR"rtplacemcnf:6NLY-h' "'''=%''0''--=;''''''%0,.',.,'' '~'''':'~''--'.'J.i'''~,~. '",,,,,,,;,,,""'1, "'W',"''''' . I Sanitary Sewer - firSI 100 feet I . each additional 100 feel I Storm Sewer - first 100 feel - each <lddilional 100 feet I Water Service- first.l00feel I - each additional 100 feet I I I II - Rain drain collector system -Drywell I - Catch basin or area drain I - Pressure reducing valve I .,Grease interceptor ~ I or 2 family dwelling D Commercial/Industrial o Multi-family o Accessory Building I,Job no.: I Job address: 2720 GAME FARM RD I City/State/ZIP: 'SPRINGFIELD, OR 97477-7515 I Suite/bldg./apt.no,: I Project name: whitmer Cross street/dirl'ctions to job sitl': r I', " I I $76001 $76,00 l' I: II l' I Subdivision: map/parcel n~,: 1703224406100 I Lot no.: Backllo\\' preventer I Backwater valve I Clothes washer I Dishwasher I Drinking fountain I Ejectors/sump I Expansion tank I Fixture/sewer cap I Floor drain/lloor.sinklhub I Gnrbage disposal 11'losebib Ice,maker Primer~up to first 5 (Enter not offered online at this jurisdiction Qvt=l) Ji I PriAip'fiflIcln:qfhf~ah~o hot olTered Q)llitie allhis jurisdiction , . ' " O':'~;'::X' r2~t;.~.:.:. yvu t SF1J<f~s.jfll!~412!3' adnntpr! ~ 51 tho n.. ~""'-""'1 L't-:J'~. NfifSifo\velishqW€Iwjlter. Th! I~A rlll~~ ~~;"eo~~'~~:h lJ};h,,!I\H 952-001-0010 t~ Fouoh Q"R (l.~?_n-(,;'~ I Vi:lie'~~.o'Wu may Obtain (ppies of he rules ,)V I w,,\'e'f.BlhiM l!'~ ,~en~r, (N~te: the t ,Iephone ' I)S'l(~c.el(a"U~~u~v~~~~~?z~":~J:!t?l.!~P!"tfflt\tgnr~tW9~lidn;'~~J~ '~"~,_..."'" ,,,", ,.f',' """'t-c-'-::><- '1' (,jQ"'I~~,r~-"-"~~'",""'*""''''''-'''' (''''-'''-''''''- "'! I - Swimmingp66rol'std - v'"I-'vv.c.-.c.v"'t iJ. ' water supplv and drain \ . I - Hydronic heating - open loop svstcm replace 90 ft of water service I Name: ron whitmer l.'hone: IF,,, I Plmb, lie, 110.: PB363 I CCll lie. 110.: 176311 IOusilless NlIme: KEVIN COI.IEN PLUMBING INC I Contact: garclI connell jAddress: 4736 ROYN~ !Cily/S,,"/ZIPI Eu6'HMcl~~'02 Iphoo" (54')607920! HI" I-'t1ilV11I <:iHA~xl:iWI;l&t1711iJJ HE WORK IEm,(I1 ;o'o@kev;oJ<lfuJn\>t;1In\J;j,!{-&;~ UNUl:R I HIS PERMIT IS NOT I Met,o '(0, 00,' L.UIVIJVIl:I~\;l:U UR 1~;/1.iWIlIJONED FOR , ,AIH 1 tjll UAY iJl:1'l nn , , Upon review and approvaloy yourlocM urtS(hctlon, your permit will be e-mailed or faxed within one business day, with instructio:ns,on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. i: i Ii I: I:, , I Subtotal I State Surcharge (12% ofpcrrnit fee) I City Of Springfield fees" I TOTAL PERMIT FEE .. City or Springfield fees: 5% Techn-ology Fee L Cj - 131 t:.Q. 51 ~ll 0:1 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 locaf ordinances. $7600 I $9,12 I $J,80 I $88,92 I This Authorization To Begin Work must be posted at the job site until rePlaJed by a Permit. , , I 225 F)fth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00737 COM2009-00737 COM2009-00737 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description Water Line - I st 100' + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS ::.~ 1200900000000000540 Received By Check NUfT!ber Batch Number I City of Spri~gfield Official Receipt I, Development Services Department Pnblic Works Department 11 " I, Date: OS/27/2009 " Item Total: Authorization Number I) i' , How ~eceived ONLINE Kevin Cohen Online Plmbg i' Payment Total: Ii' fl I, I' i' KR Page 1 of 1 , I, " I' i: 8:45:44AM Amount Due 76,00' 3,80 9,12 $88,92 Amount Paid $88,92 $88,92 5/27/2009