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Home My WebLink AboutPermit Plumbing 2010-7-1 City Of Springfield . 225 Fifth 51 Springfield, OR 9747.7 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us {!/O. 87'1- Residential Plumbing Authorization To Begin Work 69600-BPB-10-00007 Approval Code: 08079D 7/1/2010 3:29 pm E-mailedTo:lindsey@marshallsinc.com , ~,,,""".~.. .... c ~ ~Jt.p.:'_ ......:: D IRI ,. - New Construction Add ition/allerationlreplaceme nl <:: -r,\-:,),,;t:',,)c;A:TE:GOR:{.QE-.;c;0r.jj>IR~c;J:10~{7:;;'1;'{,}~':; ,':: [Z] 1 or 2 family dwelling D Multi-family D Commercial D Accessory t "~'.:cF~,;"'J~';)PElSitEiNj:6RM,6.:T1bN.~N[):LOGATI0N; " Job Address: 358 69TH PL City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldg.laptno.: Project Name: dannen Cross Street/directions to job site: 69th st ,c' . Tax map/parcel no.: 1702353200900 '.r' .,l:;- '''ll1'':i;JE$tFflf1s1:IQr.j1.Qj:;'\lVQR~~';;'::il;JJ:t:~ ;. 0..': ", .,.; :>'Y. '~"'"';J ~ plumbing from meter to the house - 1tr,4 _.".: ~ '. ,',. '-;':':;'" ~ ','P :..." Name: Lindsey Baeth . .', ."\!, .~,;"., ~~" -- '~1 :1 Phone: 541-747-7445 Fax: 541.741.0821 Email: i .c(.'~~:- ',"- ,'cZ';"" '":"';:2-;.CQIi1I~C;rOl~;"l';t.;,.,;, ;'!,..;l'[ , - ,. Plumb lie, no.: 17-69PB CCB lie. no.: 110117 Business Name: ROeS PLUMBING Contact: Address: 1776 OAK DR City/State/ZIP: EUGENE, OR 974042337 .~" . .- " Phone: 541.689.8851 Fax: Email: Metrolic, no.: City lie. no.: Please check all that apply: o Med gaslvaeuum system or health care facility D Vacuum drainage waste and vent system o Commercial booster pump o Addition of a new motor load Installation of multi.purpose fire sprinkler systef1ls o Wastewater pretreatment system o Reclaimed wastewater o Chemical drainage waste and vent systems I o Multi-purpose Fire sprinkler system o Water service with inside diameter or nominal pipe size of 2" or more except 2" systems designed/stamped by licensed Oregon engineer Description ~itELutili~ie~,'" ,';,.,., _'FEESCHEDUtE~,.'"l; '.' ," ;:h..............".. ".' _ Q1y, R.ll!&ibi~g p'~rml(F,eesl~,:" c Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE $76,00 $9.12 $380 $88.92 E--"" ~~ t-~* 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 160 days if a permit is nol obtained. .._......n. ~. The local building department may determine that an Authorization To ~.b{~j:,~o~~~it~il)~1l i a~<! void if it does not meet applicable land use laws al"!d local ordinances. 1 ~ rY"'\.'2o----. \ 0 1--2.-\0 CD 8'7<-{ (\~ " "') f\.~ ~Q)Y 0-. C) ~'\CU 1\. . "v ~ ",C'r)' .#< y \.P n ,I.\) C\' iV ~4( ~ Inspections Phone: 54!. 726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit 1.,1' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00874 ISSUED: 07/0l/2010 APPLIED: 07/0112010 EXPIRES: 011021201 I VALUE: r.'../~.:', ,"1', ,;. .',C"" Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line S]TE ADDRESS: 358 69TH PL ASSESSOR'S PARCEL NO.: 1702353200900 Spririgfiehi TYPE OF WORK: Use Initials :..'.'.,.:.! TYPE OF USE: New Residential PROJECT DESCRIPTION: Install two ground, rods ; Water line I Owner: DANNEN GAIL A TE Address: ]950 LAKEVIEW DR EUGENE OR 97408 Contractor Type Electrical Plumbing I CONTRACT~R INFORMATION ~ ',:~~~~,~ ':';;\;;!' ;.'. Contractor ' .' 'OF License RITE ELECTRIC "'"~';'~". ". 178518 ROCS PLUMBING LLC".r."" .. .. . . 189024 BUILDING INFORMATION ~ Expiration Date 09/25/2011 01/03/2012 Phone 541-895-4466 (541) 607-8740 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Strllcture Type of Heat: Water Type: Range Type: . .. Energy Pat.h:':. Sprinkled B~i1ding: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENTINFORMATION ~ REQUIRED PARKING Front yard Setback: Overlay Dist: Side I Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbaj;~si:ENTION: Oregon law requires youto.' , .. .:, '.. . . ,. "_,,.~ ,. ~ _... I I"".r . ..l".... ""!,', ..~I, .. . ,.1 IV UI;:) uv!"''-'..........., ".- -'-.-,' ......, ...,. .'~' .,.. - Notification Center. Those rules Elrel:lBUl~~MPRO.vEMENTS ~ Street Im~Poge'\n"\,g??:-001-001 0 through OM, ~J,"..~/, . .,.:. 0090. You may obtam copies of the rules by - Storm SewerO\\lYi!cilPli\e: center. (Note:.the telephone Special Instl"l1!ltibl!: for the Oregon Utility Notification Center is 1-800-332-2344). Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Notes: "::,:,:" , NOTICE: IRE IF1\-\E WORK , ,THISPERM\I S\-\fl,LL ~~S PERMIT IS NOT ,t,AW1110P.IZED UNDESP. fl,Bfl,NDONED FOP. , "."'OMMENCED OR \ ," ';'jY 180 DAY PERIOD. Paee '] of 3 , ;,;..~~~ Status Issued ., ,'''''_'4' . ,,,,,.,. . ~~.;~:f~~ '(:~;rt~. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,. ." I Valuation Description ~ Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount " . . ~ :':;..' ..>T.otaIValu~ of Project 7/1110 7/1110' 7/1110 . ; 7/1110 7/2/10 ." 7/2/10 7/2/10 ~ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee Water Line - 1st 100' Amount Paid $6.96 $2.90 $55.00 >\:~ ""I'-,^" $3.00:,,,W c,~'"" $9.12 'c",: ..~"" $3.80;;. .'" $76.00 ;;' Total Amount Paid $156.78 I Plan Reviews I Date Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00874 ISSUED: 07/0112010 APPLIED: 07/0112010 EXPIRES: 01102/2011 VALUE: Value Dale Calculated Receipt Number 3201000000000000361 3201000000000000361 . 3201000000000000361 3201000000000000361 3201000000000000367 3201000000000000367 3201000000000000367 To Request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00 . a.m. will be made the same working day, inspections"r~qu~sted after 7:00 a.m. will be made the following ,~ I' -..~" " work day...."..... ~e()lIire~nsnections , Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. ~" . Water Line: Prior to filling trench and including required testing. ';~f';~:.l :'/of;\'};!,:.' '.,..,. , :~ ~ j, . : ,; ,'. ~'.",1' I; Paee 2 of 3 n' .1 "( I,', , "'..,.,...,,,. ,.:"' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00874 ISSUED: 07/01/2010 APPLIED: 07/01/2010 EXPIRES: 01/02/2011 VALUE: ./\:, , t.." '1,,' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , '.., ,<.. ..~', ;.'"." :U"", By signatnre, I state and agree, that I have carefullY'~xamrned"ihe corhpleted application and do hereby certify that all information bereon is true and correct, and I furthef:~~rtify' that any and all work performed shall be done in accordance with tbe Ordinances of tbe City of Springtield and the La;"~ 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 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 t ", Date .' i', ",,' ,:n; ,.', ~, Page 3 of 3 225 Fifth Street Sprin'gfield, Oregon 97477 541-726-3759 Phone :':i l.,.n;. I.\~ 8~~'~:'"."'.'~;jJ ..~..'. lilt: .. .. .i!Ilil ...~. ~. .. ...... ,...." ....'..,~.."" - -," - City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000367 Date: 07/02/2010 8:II:S7AM Job/Journal Number COM20 I 0-00874. COM2010.00874 C0M20 1 0.00874 Payments: Type of Payment ONLINE CHGS cReceintl Description Water Line - 1 st 100' + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 76.00 9.12 3.80 $88.92 Amount Paid NJM ONLINE $88.92 ROCS Online PLUMB Payment Total: $88.92 , ~,.ti l'>J,t:>~,~" .,_.",( r":e;''l!~ ;"f..o:\.*, i~if\t ., '-:{~:~"IJ . ~~:~:r.:' . ';j: Page 1 of 1 7/2/2010