HomeMy WebLinkAboutPermit Plumbing 2010-9-17
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00312
IVR Number: 811199504006
225 Fifth St
Springfield,OR 97477
Phone: 541.726.3753
Inspection Phone: 541.726.3769
Fax: 541.726.3676
permitcenter@ci,springfield.or.us
PROJECT STATUS: Issued
ISSUED: 9/17/10
APPLIED: 9/16/10
EXPIRES: 3/16/2011
VALUE: $1,750.00
SITE ADDRESS: 3756 CHEROKEE Springfield
ASSESOR'S PARCEL NO: 1802061200400
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Cap Septic and new sanitary sewer line.
OWNER:
ADDRESS:
L1VERING HERMAN G & KAREN A
3756 CHEROKEE DR
SPRINGFIELD OR 97478
Phone Number: .
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
ROYAL FLUSH PLUMBING CO
ROYAL FLUSH PLUMBING CO
Lie Type
ceB
eeB
Lie No
181482
181482
Lie Exp
04/30/2012
04/30/2012
Phone
503-657-3919
503-657-3919
Plumbing Contractor
BUILDING INFORMATION ~
# of Units:
Occupancy Type
Construction Type
R<3
Type VB
# of Stories:
Height of Structure:
Type of Heat:
. Water Type:
Range Type:
Hazmat:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Energy Path:
Site Information
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
NOTICE: HE WORK
THIS PERMIT SHALL EXPIRE IF T
AIlTHORIZED UNDER THIS PERMIT IS NOT
~OlvllV1ENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
ATTE~ITION: Oregon law r0c;uires you to
follow rules adopted by the Oregon Utility
Notification Center. TliOse rules are set forth
in OAR 952-001-0010 through OAR 952<00.1-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification.
Center is 1-800-332<2344).
Springfield Building Permit
9/17/2010 8:06:S4AM
Page 1 of3
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www.ci.springfield.OLUS
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00312
IVR Number: 811199504006
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
5PRINGFIE~
a
.rltJ
':\, OREGON
permitcenler@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 9/17/10
APPLIED: 9/16/10
EXPIRES: 3/16/2011
VALUE: $1,750.00
SITE ADDRESS: 3756 CHEROKEE Springfield
ASSESOR'S PARCEL NO: 1802061200400
SCOPE: Plumbing Onli
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Cap Septic and new sanitary sewer line.
DEVELOPMENT INFORMA TION ~
REQUIRED PARKING
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure to
north property line:
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Tvoe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
~ . /~~,#i~~--:;/,,~:';'J'\~~,.r';~{?;;"~'~i~~~ ~~.;,:t~~~ ~.;~-',':;-.~:',:~~~~~IDj;;:~<:;~;~~~;-~,;:,;g;~~~::~~~~:;~:'~5X:l~~:~?,:~:~{.,.~~~~,r:;7-;::-~;~:3ici
Description Amount Paid Date Paid Receipt #
,Sewer cap/septic tank demolition $58.00 09/16/2010 374321
Sanitary sewer $76.00 09/16/2010 374321
Technology fee (5% of permit total) $6.70 0911612010 374321
State of Oregon Surcharge (12% of applicable fees) $16.08 09/16/2010 374321
Total Amount Paid $156.78
Springfield Building Permit
9f17f2010 8:06:54AM
Page 2 of 3
- ,
www.ci.springfield.or.us
PROJECT STATUS: Issued
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00312
IVR Number: 811199504006
permitcenter@ci,springfield.or.us
ISSUED: 9/17/10
APPLIED: 9/16/10
EXPIRES: 3/16/2011
VALUE: $1.750.00
SITE ADDRESS: 3756 CHEROKEE Springfield
ASSESOR'S PARCEL NO: 1802061200400
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Cap Septic and new sanitary sewer line.
~_,._ . v:,r ,-,' -" :- ,,' .-:,;"\",~I:C:;~:;i;~c;.:.~pia~-R~~i'ei-'-~_~w;7: _,~;;", -\:A'.:;;;~;-)2:<{'; ,1:':,_~'~~'Y'~:::~, ~ :';_'~~: ,c" . II
Department
Permit Issuance
Application Acceptance
Initial Review
Electrical Review
Mechanical Review
Plumbing Review
Planning Review
Fire Review
Publ'lc Works Review
Energy Code Review
Traffic Review
Structural Review
Received
09/1712010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
Due Date
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
Comolete
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
09/16/2010
Result
Issued
Over the Counter
Over the Counter
Not Required
Not Required
Not Required
Not Required
Not Required
Not Required
Not Required
Not Required
Not Required
Reviewer
Nancy Machado
Kip Kaufman
Kip Kaufman
Kip Kaufman
Kip Kaufman
Kip Kaufman
Kip Kaufman
Kip Kaufman
Kip Kaufman
. Kip Kaufman
Kip Kaufman
Kip Kaufman
Comments
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Inspections
3200 Sanitary Sewer
3810 Fixture Cap
INSPECTIONS REQUIRED I
By signature, I state and agree, that I have carefully 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 Law~ of the State or 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. '
Springfield Building Permit
9' -I ? ~ ;;(L;J/ ()
Date
9/17/2010' 8:06:54AM
Page 3 of 3
....~.~
.. .
APPLlCA nON TO PAY SYSTEM DEVELOPMENT CHARGES (SDC)
IN INSTALLMENTS AND CONSENT TO ASSESS LIEN
The owners of the property shown below hereby apply to the City of Springfield to pay the system development charges of
$ 7, ,4-.3&'; 76 due on C(-j&,- AO I 0 ,in twenty (20) semi-annual installments, plus interest and late
feesvifapplicable. The owners hereby apply for and consent to the voluntary imposition ofa lien for the full amount of the
system development charges, plus a one-time administrative fee of$50, plus interest accrued upon the followlng described
land in the City of Springfield, Lane County, Oregon:
MAP AND TAX LOT
I <t 0:2. 00' J.:H:o 100
SITE ADDRESS
375(;
C he('ok ee
BILLING NAME l/eR.~~ ~ .;, Ko R;~
BILLING ADDRESS 0b C-h.uc9 p
CITY SiJ12'nrf:.IP./d
STATE (,)Rf
. L L ~ef~l1f
DR.I lYe
ZIP q7t/} "6
SDC CHARGE $
ADMINISTRATIVE FEE
TOTAL PRINCIPAL $
~,t3)f,7b
J
50.00
J) 4- gg. 7(;
INTEREST RATE
--..2'L~~ %
We are all of the legal owners of the described land or all of the contract purchasers of record of the described land to which
these system development charges are applicable. We waive any and all irregularities or defects, jurisdictional, or otherwise,
in any proceedings to impose, calculate and collect these system development charges, and in the imposition and collection of
the lien consented to in this application. We promise to pay these system development charges, plus a one-time
administrative fee of $50, in twenty (20) equal semi-annual installments commencing on ,
. In addition to each of those principal installments, we promise to pay interest on the unpaid principal balance
accrued to the date of payment at the designated interest rate. The interest rate at the time of signing the contract shall be
calculated at the rate of the previous month;s average interest earned on the City of Springfield's investments, plus 2.0%. If,
at some future time, the City finances the balance of the receivable by selling bonds, then the interest rate will change to the
rate paid on that bond, plus 1.5%. If the principal and interest billed semi-annually has not been paid in full by the subsequent
billing, then a 10% late fee based on the delinquent installment amount will be imposed. The charges may be paid in full at
any time without penalty. We understand that if there is a subsequent failure to pay any installment, plus interest and late
fees, the City shall have the right to enforce payment of the amount due in any manner provided by the general law of the
State of Oregon or by the Springfield Municipal Code. In the event of any proceeding to enforce collection or to foreclose,
the entire unpaid balance, accrued interest, and any fees shall be considered delinquent and due. We also agree to pay the
city's cost of collection or foreclosure and any attorney fees necessary for such collection or foreclosure
j-ler~..IYtAN (?,., LIINI2.f/1f
printJ'lame ofownerL... .
I(Q-f?PN A. l vel:?IY
Print Name of Owner
? - /&r2CJ/t7
Date
9'-/6 -J,uo
Date
ELf/ - 7ij6 - '6'6 <r z..
Phone # .
611/ -7t/~r'i53 S'")..
Phone #
Print Name of Owner
Signature of Owner
Date
Phone #
Print Name of Owner
Signature of Owner
Date
Phone #
STATE OF OREGON)
) ss.
County of Lane )
-'
The foregoing instrument was executed before me this \ \ P
My commission expires: ct.-I \'111.-01"
,c:na n V1 on /n!.A. r-1 ~ /2e tl ()
Notary Public of Oregon
day of Se{) km \7el!-
, W1D
v:\common\accnting\assessmt\SDCcontract.doc
OFFICIAL SEAL
.::r"NON MARIE DeAlt
Mf( PUBlIC. OREGON
COMMISSlOH NO. 43878r
N EXPIR S fl 2lIfS
seRI.N.G.FIEL.~... .
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- . OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00312
3756 CHEROKEE DR
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 974n
541-726-3753
pennitcenter@ci.springfield.or.us '
RECEIPT NO: 2010000333
RECORD NO: 811-SPRZOIO-00312
DATE: 09/1612010
224-00000-425603 $58.00
224-00000-425603 $76.00
100-00000-425605 $6.70
821-00000-215004 $16.08
TOTAlI3UE: $156.78
~!i"!iji'A-'''''.Eiijt,;tyPE~c!EiiA-V''Rili/!'ilf!ifcASHiER'!'KKAUEMAN1''"ilfSiCC-.MiiM-....E.fN--T-Sli/!ilfdy9l4;ft~~:J1Cmmi}!#!!it,CC;..":'"A.M. "u' N"T;ii'A"I,,,:v~.t!;:Vt"'md2,it'"1'"
Ii,,!\. *. -.T.-I1ft ~~.:-., '_~.~J~r; ...;J;~.._ ~e>'r "... ......... ...__._. ~_*""___^'_^"'~~.~ "V16. _ _ .,+"""_m",_J\~~~~,,,J&~iill>**-;;g;, U. . "r: 1J~"~"'''';;-;0j"";~,-,,,~,'~~o;l~'',"~
Sewer cap/septic tank demolition
Sanitary sewer
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
Cash
Uvenng
SDC's deferred payment
$156.78
$156.78