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Home My WebLink AboutPermit Plumbing 2009-9-30 This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. jtt;~:W:~,;~~~~f=t0~Jlr~:C:All';~;G'b~E8NME~.ft:,;~A:~~R~dvA~:r~~~vf${i,~~~:~1 li~1t~E:~~20,~~~~A~~~~~~+~:I7EEr~S:CHi;DUIi"E~~~1#Jil~\tS'N*~i~;~~,~~~1 I Zoning approval verified? I 0 Yes D No I "lflF!~~!~~1fi~2~~t~~f~~~ji~l~l~~1~[2l~~[~~;~~~1~i~~r~~~t~'~%~1 I Sanitation approval verified? I' 0, Yes ,0 No II New residential I - CATEGORy'OF,[ CONSTRUCTION;,' .' . I bathroomll kitchen (includes. first I "" Residential I 0 Government I 0 Commercial I 100 feet of water/sewer lines, hose ~. .' bibs, ice maker, under floor low-point r~~;;;~~~:;:f~J'~~0;~~~1:NOf"I!~~:~N~~~~ji0111 ~r:~:r::~:~:n~~:::paCkages) $374.00 I ;:~~~rJ~~;~~ISt.ate:~1 Ta;!~:Q~~~~.I! Et:::::::~l::~~~~~:%~::~r/) I $~3::~0~ ~';:::~~,t~i\~~;:nfrt~g~?h[)_ESCRI~mIQN?:':Ofi'~~W,ORKr~tt~;tT~*:1\~'?1L~h'~1WR I Residential fire sprinklers (includes plan review) T/v<;'/-AI/i, .//I/C'; A"',AJ"..-L I Oto2,000squarefeet $58.00 i' ''f'~O~ER~WlOWNER'J$~5;Wili(!'!r'~'f{ifi!l~\r4~~l I ~:~~: :: ~:~~~ ::~:: ~::: ~~~::~~ I '0. I 7,201 squarefeet and greater $232.00 'Name: 1-"1"'_" t, I p ""> I Manufactured dwellin~ or pre-Cab (circle one) Address: ) o7_':f IV t'I r./c_v A v €...- _I Connections to building sewer and I I $5800 I $ S 1\ L' / I ~ I ZIPP -" L., ) .., I water supply . City: 'rR-I"'(....~' ,./- :: tate: lJ fL 7"7 7 r +- I Commercial, industrial, and dwellings other than one- or I Phone: -' I I Fax: two-family I E-mail: I Minimum fee I I $58,00 I $ I Each fixture $19.00 $ This installation is being made on residential or farm property ownea by me Or a member afmy immediate family, and is I Miscellaneous fees exempt rrom,Iicensing requirements under OAR2JSr695.;q, 020. I JOO' storm. sewer, water line $76.00 $ Nlll ""... EXPIRE If \, It ,vu'" Signature:rul<:, PFRMI1 SHAll _.,,~ ncoMIT IS N01 I Each fixture, appunenance, and piping $19.00 $ ~. ~~;ines;:J;:~~~~:r~tb;z~E~~i~~~N~;~n~;,,!r~';~r""';i I ~r~~~:i::t:~~::tion/detention facili~ ~~::~~ ~ I ,'" i 0.(1 Dr.y "'trlIUU. 7 I Piping or private storm drainage Address: I J1,17(' rD'AIt.- 1:5A, ' . svstems exceeding the first 100 feet ' $19.00 $ I I I . / I Specialty fixtures I $19.00 $ I City: t::r/...,... ~ p 'State:o~ ZIP:"1';L9'IJ<,L Reinspection (no. of hrs, ~J~~p.e!,NJi'rT' >>rtnf'l \av$5a~o.oii 'E$': Y~~':~;'" I PhoneMI i:.<?q _ .;;: if SI I Fax: I Special requested inspeCtioH~;(ngi~~Wo )te,d )y {$1~ 66r ~Y$Ull '-"~I'"~ ."th IE "I LJ ....1 I/'I hrs. x fee per hr.) fmlfmN '1 u.J...;:)_ .L.. T~ nl".;,P' rU"It:S al d set c -mal:c./2..L;n"lt'-/"fr>lrJ^On,L-nn-o I '''n""p.'lt''HIV"''''I'' " '+('~:1i:l,,~-u,l- I CCB license-no.: Ilo!1 ':2.. I' BCD license no, ,:1" -6 q ? "'t, Each additional inspectio'n:J1koOl,( 010' nrC$58;00' $ ler. by 7 7 I"':::" . n':l_.')P,i..;,t'-'t- ,. . __....,,~Cn 1\lerU ... I Plumb,'ng II'cense no,'. }, -:L.',h 6 D J - IK'M'~arB{I~f'J::!<t.l'R'ill~~~~~fcti'~A~~It..'~c'Mh~1;n'~rnfeeJ tf$ephm13 '-' '7, 7 r D "---'" ",g__"p:p___g~.m.~x,,,,_.....,~'~}fit7<,,,I._~ ......'.... ,,- . I Print name ( p ~ LoS h~?l c:- ) A ...:5 I Enter value of installa~on',~~~eq'diPmenf$,-~,.;~;: U~~\ity N~ttTlC"'"I'" ~I Signature (~1A lmarA//~ l~i~;;;ii;~~~~';~N~iJ~~;~~~~' I (A) Enter subtotal of a~ove fees $ 5'" _ (Minimum Permit Fee $58.00) U I (B) Investigative fee (equal to [AD I (C) Emer 12% surcharge (,12 x [A+BJ) I (D) Technology Fee (5% of[AJ) I TOTAL fees and surcharges (A through 0): 'Plumbing Permit Application IdF(~~~'':-:'''''':!?'~!_~'f",'rrci\ih;lj~<<'2:'}<'/i'':S;'i'''''4'~~Wi(!~)..');~i2J:\1 i~~':')'iDEPARTMEN":,USE{ONlY,>",if:,' '., ;1;;;;,' ',,;!o..!r,,";,'" ",:, ,'C, -,,-,.,' --;::~. ~'.;:. ""i', i-~,' ,"',-",;-,' . ,_~,.t:',!:':'; I I Permit no, (q - \ L\ \ $( Date: q l.?n 'cPi 225 mth Street. Spdngfield, OR 97477. PH(54J)726-3753 . FAX(54J)726-3689 $238.00 ~ .<21 0 ~~ I'ij-';; V \' ~~O^- \.'0 ':V ttJ..<Y ~-Jr $ --= $ \.R,Cj{f $;::)"'10 $l21f'xo 440-2500-J (] J /08/COM) $ $ $ $ $ I I I I I I I I I I I $ $ $ $ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01418 ISSUED: 09/24/2009 APPLIED: 09/23/2009 EXPIRES: 03/30/2010 VALUE: 225 Fifth Street, Springfield; OR 541-726'3753 Phone 541-726,3676 Fax 541-726,:3769 Inspection Liri~ SITE ADDRESS: 1023 NANCY AVE ASSESSOR'S PARCEL NO.: 1703272206700 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: install water heater and gas piping Owner: PEPPLE MARILYN J Address: 1023 NAN9Y AVE SPRINGFIELD OR 97477 Phone Number: 541-746-4265 I CONTRACTOR INFORMATION I Contractor Type Mechanical Plumbing Contractor License MARSHALLS INC 25790 CARLOS GILBERT MACIAS & RAQUEL TOl101l7 , BUILDING INFORMATION I Expiration Date 12123/2009 01/03/2010 Phone 541-747-7445 541-607-8740 '-- # of Units: Primary Occupancy Group, Secondary Occupancy Grorip: Primary Construction Typ~ Second~ry Construction Type: # of Bedroom, s:/pr:, , I'HJ} ",,: Ii-He DcnllnIT"""~,_, # 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: nla Occupant Load: ..,....'""..\1-'- L.1'\i /(lC Ir .-...""."......... "".-."'.......'''. ........'-'::;1....." ,....., .~"1~..~- J--'- ,~UTHORIZED UNDER THIS PGI~~EVEUOPM~j',' mrORMATION Ifollow wles adopted by the Oregon Utility COMMENCED OR IS ABANOONE .-.,..-,' Notification CerREQUIRED~PARMNG forti , .. r" i 0~ :D 0 F0'8 , . in OAR 952-001-n01 Q. through OAR 952-001 Frontyard Setliliiik AY PERIOD Overlay DlSt. !lcgO Y' Total. pl'es of the rule" b' .' U . au may 11lJlC:1l1.1 co ' ~ S.de 1 Setback: # Street Trees Rqd: II' th ceHandlCap.lled:,e telephone . . _ ca mg e IllC'l. \'\l~.C;. u S.de 2 Setback: Paved Dnve Rqd: number for thbC2.W~as.\: Utility Notification Rearyard Setback: % of Lot Coverage: Center is t -800.332-2344). Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special 'Instruction: Sidewalk Type: Downspouts/Drains: Notes: Page 1 of 3 Status Issued 225 Fiflh Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I y al~a~io!1 Oescriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project FW' ~~i1.1 ., " Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Gas Outlets 1-4 + 12% State Surcharge + 5% Technology Fee Fixture Amount Paid Date Paid $10.32 $4.30 $79.00 $7.00 $6.96 $2.90 $58.00 9/24/09 9/24/09 9/24/09 9/24/09 9/30/09 9/30/09 9/30/09 Total Amount Paid $168.48 I Plan Reviews I CITY OF :Sl'KlNGFIELD Building/Combination Permit PERMIT NO: COM2009-01418 ISSUED: 09/24/2009 APPLIED: 09/23/2009 , EXPIRES: 03(30/2010 VALUE: Value Date Calculated Receipt Number 3200900000000000666 3200900000000000666 3200900000000000666 3200900000000000666 2200900000000001119 2200900000000001119 2200900000000001119 To Request an inspectibn 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. ' UeonirerUnsnections I Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Paee2 of 3 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01418 ISSUED: 09/2412009 APPLIED: 09/2312009 EXPIRES: 03/3012010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Lirie ". ' By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne and correct, and I fnrther certify that any and all work performed shall be done in accordance with the Ordinances ofthe 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 thafonly contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are 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. , .~ #I U4Afl 9' -c:1-0 ~ D / Owner "I' Contractors Signature Date " Paee 3 01'3 Z25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone---- Job/Journal Number COM2009-01418 COM2009-01418 COM2009-01418 Payments: Type of Payment CreditCard " cReceint1 RECEIPT #: Description Fixture -+ 5% Technology Fee + 12% State Sm:charge Paid By ROC'S PLUMBING" ,," City of Springfield Official Receipt Development Services Deparrment Public Works Department"" 2200900000000001119 Date: 09/30/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR 274105 In Person Payment Total: Page 1 of 1 1:28:15PM . Amount Due 58.00 2.90 6.96 $67.86 Amount Paid $67,86 : $67.86 9/30/2009