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HomeMy WebLinkAboutPermit Plumbing 2010-9-17 < , .i~~ . , t~, >",;'-'OREGON 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 ^ , 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.~... . - ".'iU. ^\Gt'-:-~. - . 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