HomeMy WebLinkAboutPermit Plumbing 2010-6-16 (2)
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00775
ISSUED: 06/16/2010
APPLIED: 06/16/2010
EXPIRES: 12/22/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 710 McKenzie Crest Dr
ASSESSOR'S PARCEL NO.: 1703234200700
Springfield TYPE OF WORK: Plumbing Only
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TYPE OF USE: New
Residential
PROJECT DESCRIPTION: 2 fixtures to include:."french" drain
Owner: CHASE KATHRYN S
Address: 710 MCKENZIE CREST DR
SPRINGFIELD OR 97477
Contractor Type
Plumbing
I CONTRACTOR INFORMATION ~
Contractor License
RIGHT WAY PLUMBING 49561
'BuiLDING INFORMATION ~
Expiration Date
12116/2010
Phone
541-484-3787
VB
# of Stories:
Height of Structure
Type of Heat:
..w.arer 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:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Typ~: ~".
# of Bedrooms:
R-3
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..moM: ()fegon Ie: INFORMATION
"TfE :~..ted bY are se
j~\I()'fI rul9B lIU"t" 'those rules ~?:~01.
Frontyard Setba~otl1lcatlon 0en\el"1othrOugh O~~~:
Side 1 Setback: In OAR Q52.Q01-OObteln COllies of 'll'~~fi'i:tnerees Rqd:
Side 2 Setback: 0090. vou may ~er, {Note: .t!'e 1tl ~I\O Rqd:
Rearyard Setback: calling tM ~ oregon Utility tf. Lot Coverage:
Solar Setbacks: number fof~e~i8 1_800-332-2S . ,
I PUBLIC IMPROVEMENTS'
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
Tvpe of Construction
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Downspouts_lDrains:..:"':.?...~ . ~'l'JO?\t
C~:' ~?''''t ,f ~\1 \s ~01
~O,.\ E~~\1 S\\t>.\.\ 1\\'S ?t?lJ'\Q fO?. ;."~':
1\\\'2> ? E\l U~\lE t$i)O~t: ;' "
O\lll\lllE~CE ({ ?E",'O\l.
{>,~'1 ~ BO \It>:
$ Per Sq'Ft . Square Footage
or multiplier:d,'I'I<;of Bid Amount'
Sidewalk Type:
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Notes:
Addition of garage sink - SDCs applied
Value
Date Calculated
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Page I of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Total Value of Project
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Sanitary Sewer - 1st 100 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimhursement
SDC Sanitary/Storm Admin
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Amount Paid'j_"fi'
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$13.6~,.r.'~
$5.70;':'\';"
- -
$38.00
$76.00
$96.00
$161.52
$12.91
$4.56
$1.90
$38.00 '
$132.15
$220.96
$17.66~"'.
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Total Amount Paid
$819.04
I Plan Reviews ~
Public Works Review
06/16/2010
06/16/2010
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, I Date Paid
6/16/10
6/16/10
6/16/10
6/16/10
6/16/10
6/16/10
6/16/10
7/9/10
7/9/10
'7/9/10
7/9/10
7/9/10
7/9/10
APP
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00775
ISSUED: 06/16/2010
APPLIED: 06/1612010
EXPIRES: 12/22/2010
VALUE:
Receipt Number
2201000000000000704
2201000000000000704
2201000000000000704
2201000000000000704
2201000000000000704
2201000000000000704
2201000000000000704
1201000000000000807
1201000000000000807
1201000000000000807
1201000000000000807
1201000000000000807
1201000000000000807
TSS
Over the counter review for the
addition of a utility sink in garage.
SDC applied. Provided additional
SDC estimate for the addition of two
more fixtures.
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.
~eoHireCUnsnections I
Sanitary Sewer Line: Prior to filling trench and including requii'~d testing.
Rough Plumbing: Prior to cover and including required testing:
Final Plumbing: When all plumbing work',!S 'c~':I1plete. "
Storm Sewer Line: Prior to filling trench.
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CITY OF SPRINGFIELD
Building/Combination Permit
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Status
Iss u ed
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PERMIT NO: COM2010-00775
ISSUED: 06/16/2010
APPLIED: 06/16/2010
EXPIRES: 12/22/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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By signatnre, 1 state and agree, that I have carefnlly 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 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.
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I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
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I further agree to ensure that all required inspect!i>ii~,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.' ~
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Owner or Contractors Signature Date
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Spri~gfi~ld', Oregon 97477
541-726-3759 Phone
RECEIPT #:
1201000000000000807
lO:47:46AM
Date: 07/09/2010
Job/Journal Number
COM20 I 0-00775
COM20 10-00775
COM2010-00775
COM201O-00775
COM2010-00775
COM20 I 0-00775
Payments:
Type of Payment
Check
cRcccintl
Description
Fixture
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Amount Due
38.00
4.56
1.90
220.96
132.15
17.66
$415,23
Paid ,By
RIGHT WAY PLUMBING
Item Total:
Check Number Authorization
R;c~i~ed By Batch Number Number How Received
djb 6689 In Person
Payment Total:
$415.23
$415.23
Amount Paid
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