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Home My WebLink AboutPermit Building 2010-3-15 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00321 ISSUED: 03/15/2010 APPLIED: 03/15/2010 EXPIRES: 09/1512010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2859 MANOR DR ASSESSOR'S PARCEL NO.: 1703233201500 Springfield TYPE OF WORK: Bathroom TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace two fixtures Owner: MEDLIN SUSAN C Address: 2859 MANOR DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Plnmbing Contractor DOUGS PLUMBING INC License 110163 Expiration Date 11/24/2011 Phone 541-688-3385 # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Constrnction Type Seconda.")' Construction Type: # of Bedrooms: BUILDING INFORMATION I # of Stories: Height of Strnctnre Ty'pe of Heat: Water Type: "Rarige 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: Occnpant Load: n/a Frontyard Setback: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION ~ , refl'="iVOU to ATTEN110N: Oregon er'bf' II UtIlity . folloW rules adoPte~:i\tlih f!l'l!dJtprtb Notiflcation Center. j:{ )\J/in ~~. ijlO01- In OAR 952-001.0010 t ~,g ~U.m fR~~ 0090. You may obtain c~: the telephone . r... number for th Center REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: SpeciaJlnstruction: .. " Sidewalk Type: '/VORl{ NO'T~~~"\\t,\!~I'''''t '~~{ \S NOi ~~:i~2EO UN~~: ::~~6~NEO fOR . ~OMMH\CEO 0 '. - [,'J DI:\\\OO. .",-\00\11-\1' Notes: I V aIU,a:t;on 'D~scriPtion ~ ",'.' Description Type of Construction $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amonnt Valne Date Calcnlated Paee J of2 ;r_ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54i-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee Fixture Minimum/Adjustment Plumhing Amount Paid Total Value of Project Fees Paid _ Date Paid $6.96"",." ' ," ',l', $2.90 ","', " $38.00,' $20.00 ' Total Amount Paid 3/15110 , 3/15110 3/15/10 3115/10 $67.86 I Plan Reviews ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00321 ISSUED: 03/15/2010 APPLIED: 03/15/2010 EXPIRES: 09/15/2010 VALUE: Receipt Number 1201000000000000230 1201000000000000230 1201000000000000230 1201000000000000230 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. I Reouired InsDections I Rough Plumbing: Prior to cover and including required testing. Final Plnmbing: When all plumbing work is complete. By signatnre, I state and agree, tbat I have carefullY examined the completed application and do hereby certify that all information hereon is true and correct, and I further ~'~rtify that any and all work performed shall be 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 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. I further agree to ensure that all required inspections are ~~quested at the proper time, that each address is readable from the street, that the permit card is located at ~Jront'onProperty, and the approved set of plans will remain on the site at all times during constructio~----====------ ./ .-/ ~~--;::::.~- // ~..;//- Owner or Contractors Signature Paee 2 on Date Phimtii'ng Permit Application 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(541)726-3689 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. iri~:~~;1ti~'Z;;~i~lwrt1:W~~;~~_~EE~S:CH E;ptJ lI:t:~ii~~"'~:S'i%~fi;~~_b~~;,T~}Jf:;( '~i~',:,'J')'''i ?l"~";'~-.:\i"(ii,ii:\f::~;I~::~.~:;,~';':j~:-'{<:';!;:.\ "'j~" ) ;":~':"i~ ";"C' -st1-":~ - -"'i'T-'t"I~/' "DescriptiorUi-~'-'R~~".c'!;!:":i;i?7i~~,,,,,~,"I:~P'~'O"!>1:" "ty~''''', ", . ~ ,"tr''J ~'1;' 0 3..;:::;: \i!i i~i' '\G;1<<","~'~';i,'~~iffiil?~~;~,&~~}\:~;~~.'i~;;~l~ ~~~_~t ~;'4~~a;:~~~i ~,?fC.~~~r&'2 :~\li'l~,\%~"';;~l!:oCAL~':C3 O~ERN M EN:r;f;A:PRR0VAIli$MiijiCif;f,;i~7tll Zoning approval verified? DYes D No Sanitation approval verified? DYes D No '" CATEG,0R'C0F CONSTRUCTlON-' .:' Wsidential I 0 Government I 0 Commercial Hl1t#A'iJOs2SIJ'E ','1 iii F_0RM'AtIONi2~N 1)]1jl!OCATlON:,Y~I,p~kf~ Job siteAddr~: r 0-. ~q lln f\ ()(L./ City: "l U"\O State J ([;.. ZIP: ~. N I Reference: , f'\ l"'1~ r-tf t.- I Taxlof.'l\ ..... I 11~'1~1'~'BW(;..;;~t~~r~'~~M:;D EscRIP;rlc;jN~\'dF;o~t.W.()ttK,:;~1fj~:t1ff,~)H~~~itt~; \ (l Il$) 1'0 ~ I '"){) (.A" U U n ~ 0 ) '-' '\ - \. ~ \ ~r ' - ,:,,;; ;k, :PR0~ERTYi';OVV ~ Name: _I) \1\" r"'\ \l\Qr1 A -- AddressQ..../ .J q lJ( Ir\ n ~ ' D V City: Phone: E-mail: State: I Fax: ZIP: This installation is being made on residential or farm property ,owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 9 I 8-695-0020, Signature: ,.,C0NTRAC-';0ILINSTALLATlON" '.,,:,: :'.,h:. Business name: fi("\.''-A'ro. r_ \ t Address: l..1 Ll (l.\ '\ L ' -r<!- City: E",-"",<:... State: Or- Phone: S,L\ \ - ~l']-!7CL I Fax: -- - E-mail: ....~~~(1..vA.C~. ",.r--- CCB license no,: '1'i10776 I BCD license no,: Plumbing license no,: \\O\~, \\/'-'1/1' , tU ~ ZIP: '-'\. 7Ub~\ Print name: , c, Signature: ,\$1.,CbV 440-2500-J (11/08/COM) New residential I bathroom/I kitchen (includes:first J 00 feet 0/ water/sewer lines, hose bibs, ice maker, under floor low-point drains and rain-drain packages) 2 bathroomslI kitchen $374.00 3 bathroomslI kitchen $439,00 Each additional bathroom (over 3) $95,00 Each additional kitchen (over I) $95,00 Residential fire sprinklers (includes plan review) o to 2,000 square feet $58,00 2,001 to 3,600 square feel $116,00 3,601 to 7,200 square feet $174,00 7,201 square feet and greater $232,00 Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply Commercial, industrial, and dwellings other than one- or two-family Minimum fee Each fixture '",.~. '.., Miscellaneous fees 100' storm, sewer, water line Each fixt.ure, appurtenance, and piping Storm water retention/detention facility Irrigation systems Piping or private storm drainage systems exceedino the first 100 feet Specialty fixtures Reinspection (no. ofhrs. x fee per hr.) Special requested inspections (no. of hrs, X fee per hr,) Each additional inspection: (I) f< .. '\".>l-':;>~~":4 <~~"".<,./",""'-c"'-rr,"~,?''"'1:t''::V;';''1:!':{i;'''-'''<lf!<' ;l\1edlcal'gas;pIPHlg-~{?:;~i1,1:?,1(z.'J~~~'~~ 1 1 171 $238,00 $ $ $ $ $ $ $ $ $ $58,00 $ $58,00 I $ $19,00 I $:\S;- $76,00 $ $19,00 it $19,00 $ $19,00 $ $19,00 $ $19,00 $ $56,00 $ $58,00 $ $58,00 $ Mi.nimum fee $ Enter value of installation and equipment $ Enter fee based on installation and equipment value. I $ "~-,'""~',"'N.l::R41~'!;1J'..',...""'--'T.'--'" ' ,---"",l!:\i!i!Mi€.IT! ';Ili."i!l\1ii~ ~ ~,\Sm<l~~""'~;;ll}l;RP[:I,CANiI:",l:JSE!it~>'('l\i~"<I;;' (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Investigative fee (equal to [A]) (C) Enter 12% surcharge (.12 x [A+B]) (D) Technology Fee (50/~ of [AD TOTAL fees and surcharges (A through Dj: $ Sf; 0(.) $ IZ2 $ L .,-\,~\. 1$ .;;;l~ b?' .~I ) 225 Fifth St~~et . " Spring.field; Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000230 Date: 03/15/2010 10:54:17AM Job/Journal Number COM20 I 0-00321 COM2010-00321 COM20 1 0-00321 COM20 I 0-00321 Description Fixture Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee , '. Amount Due 38.00 20.00 6.96 2.90 $67.86 Payments: Type of Payment CreditCard Paid By AKASHA BLUE Item Total: Check Number Authorization Received By Batch Number Number How Received 070282 In Person Payment Total: Amount Paid $6786 $67.86 .-1- !" cReceintl Page I of I 31I5/2010