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Home My WebLink AboutPermit Plumbing 2009-6-8 I Description I Qty, J 1:.~j~.:F.fiWics,7f~p.~ir;O.~i~p}:1C&..w~~tq~~r~::i ",~~hr];j~5:~:;';~~~1 I Sanitary Sewer * first 1 00 feet I - each additional 100 feet I Storm Sewer - first 100 feet I - each additional 100 feet I Water Service" tirst 100 feet I I - each additional 100 feet I I I .,Rain drain collector system II -Dcywell I * Catch basin or <lrea drain' I - Pressure reducing valve I -Grease interceptor ~ Swimming pool or spa- water SUDO]V and drain - Hydronic heating - open loop system 1:_~~'.~F_:~~.-i~~~b'Qtv1~I~GJp(RMiJrFEES_":'~ I S"blotall 1 Minimum fee used instead of Subtotal I State Surcharge (12% of penn it fee) I City Of Springfield fees *1 I TOTAL PERMIT FEE I * City Of Springfield fees: 5% Tech!lology Fee City of Springfield Plumbing Anthorization To Begin Work E-mailedTo:haxbyplumbing@yahoo.com Check on status of permit. By Phone: (541)726-3753 or Emaii: permitcenIer@ci.springfieid.or.us 10 New construction [X] Addition/alteration/replacement ?*" 'i~.'m:. .~=.i\'l.C.""_A_ T. 'EG..O.RY..,;OFTC'o.N-ST,.. RtidTI.Ot:r'~!~Z? """ ,~.qq;""'--'__""=_'~_"__'_m""m"'"""""" """"M"~____ ,~...A '""" [X] I or 2 family dwelling 0 Multi-family o Commercial/ Industrial o Accessory Building l.Job no.: I Jub address: 1819 HAYDEN BRIDGE RD I City/State/ZIP: SPRINGFIELD, OR 97477;1680 I Suitc/bldg./apt.nu.: Project name: Carney Cruss streetfdirections to job site: I Subdivision: ITax map/parcel no.: 1703252112700 ILut nu.: Remove exisitingtank type watt:r heater and install tan~les~. Backllow prcventt:r Backwater valve Clutl1eswasher Dishw<lsher Drinking fountain Ejectors/sump Expansion tank Fixture/sewer cap Floor drainlfloor sink/hub Garbage disposal Hose bib ~I I I I Name: Travis Carney I Phune: (360) 739~9418 Em;lil: travis.camey@msn,com II-'ax: 739-9418 I Plmb. lic. nu.: PBll4 I eCB lie. nu.: 140768 I Business Name: DOUG HAXBY PLUMBING CO I Cuntact: Doug Haxby I Address: 33496 MT TOM DR ICily/State/ZIP: HARRISBURG OR 97446 Iphune: (541)9954725 I Fa.": (541)9956144 I Email: haxbyplumbing@yahoQ.com '~\'Ielro lie. 110..: I City lie. nu.: Ice maker Primer-up 10 first 5 (Enter Qvt=l) Primer -each additional Sinklbusin/l<lvatory I Tub/shower/shower pan I Urinal I Water closet !Waterhcater 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. ' 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. t:CYhhJ1J 9 ~ t;-,r-09 t}tJ7d/ ,/In^- Receipt # EC553212, 6/8/2009 12:02:03 PM '\ ty'\ ~/ C; <~.,~I Total' I Ea. I .,1 '.. I I I I I I I I I I I' I I I I I I I I I not offered online at this jurisdiction I ~ot offered,online at this jurisdiction I I I I I I I 119.001 ."", " $1900 $58,00 $696 $2.90 I $67.86 I This Authorization To Begin Work must be posted at the job site until replaced by a Permit. _Sli1iIil~~'llfl""'9i ~~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00727 ISSUED: OS/26/2009 APPLIED: OS/26/2009 EXPIRES: 1l/27/2009 VALUE: SITE ADDRESS: 1819 HAYDEN BRiDGE RD ASSESSOR'S PARCEL NO.: 1703252112700 Springfield TYPE OF WORK: Mechanical Only PROJECT DESCRIPTION: Install gas fireplace and gas piping Owner: Address: CARNEY CARRIE M & TRAVIS D 1819 HA YDEN BRiDGE RD SPRINGFiELD OR 97477 TYPE OF USE: New Residential Phone Number: 360-739-9148 I CONTRACTOR INFORMATION I Contractor Type Mechanical Plumbing Contractor MARSHALLS INC DOUG HAXBY PLUMBING COMPANY License 25790 140768 Expiration Date 12/23/2009 03/01/2010 Phone 541-747-7445 541-995-4725 BUI~DING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construetion Type: # of Bedrooms: . # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occuparit Load: I DEVELOPMENT l~FORMATlON I ATTENTION: Oregon law requires you to follow rlllp.~ Arlrmtprl II" thp ()rpn()n lli-ilihf , I PUBLIC IMPROVEMENTS'I' ,1Ification Center. Those rules are mt forth , . OAR 952-001-0010 through OAR 8,2-001- 0090. Si<!ew.~!J<iIiY!!~.:1 copies of the rules by callinO" Ih" r."n't"I'D (~!nlp,: the lelepl.,;ne . b owns!!ou s ram~:, 'r. N " . num er TOr ."le uregon utllty otlflc".lon. Center is 1-800-332-2344). Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Ufo of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK /l,UTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR i,;'-!y 180 DAY PERIOD. Nutes: Pa2e 1 of3 . REQUIRED PARKING Total: . Handicapped: , Compact: &f'!RIN,QIiISI.Di,' -~i . . Status Issued 225 Fifth Streel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Deserinti~n I Description Tvpe of Construetion $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Fpp, pqirll Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Gas Outlets 1-4 Wood Stovellnsert + 12% State Surcharge + 5% Technology Fee Miscellaneous Plumbing Amount Paid Date Paid $14.88 $6.20 $79.00 $7.00 $38.00 $6.96 $2.90 $58.00 5/26/09 5/26/09 5/26/09 5/26/09 5/26/09 6/8109 . 6/8/09 6/8/09 . Total Amount Paid $212.94 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00727 ISSUED: OS/26/2009 APPLIED: OS/26/2009 EXPIRES: 11/27/2009 VALUE: . Value Date Calculated Receipt Number 3200900000000000391 3200900000000000391 3200900000000000391 3200900000000000391 3200900000000000391 3200900000000000429 3200900000000000429 3200900000000000429 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. ~irp.rl Tn~,nprJaI Rough Mechanical: Prior to Cover Final Mechanical: .When all mechanical work is complete. Final Gas: When all gas work is complete. Rough Plumbing: Prior to cover and ineluding required testing. Final Plumbing: When all plumbing work is complete. Pa2e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00727 ISSUED: OS/26/2009 APPLIED: OS/26/2009 EXPIRES: 11/27/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application anddo hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall he 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 he 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 arc 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. Owner or Contractors Signature Date Page 3 01'-3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00727 COM2009-00727 COM2009-00727 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description Miscellaneous Plumbing + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt. Development Services Department Public Works Department 3200900000090000429 Date: 06/08/2009 Item Total: Check Number Authorization Received By Batch Number Number How' Received NJM DOUG Online HAXBY Payment Total: ONLINE Page I of I ]:48:3]PM Amount Due 58.00 2.90 6.96 $67.86 Amount Paid $67.86 $67.86 6/8/2009