HomeMy WebLinkAboutPermit Plumbing 2007-6-22
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225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
City Job Number CoAA 'Z 0 0 6-0 ~ L{]J
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Job Location
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Tax Lot
o 5s06
Assessors Ma~
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City 2)p-f Ie! , Stat'" Gt(, Zip r 71L'?J>
B~m,l9i* P1m~fF1MI~i~~~ PERMIT FEE:
ru esadopted by the 0
Notification Cente~ Th regon Utility
in OAR 952- . ose rules are set forth
Contractor b~ror1f!J~ldfjnyo 001-001 ~ through OAR 952-001-
____ caljins ~hmay obtain copies of the rules by
~bEif ~celnter. (Nt;e: tgp~I~~ e
Contractor Fif ~~rp{;0, 5!:h~Y' I ~uliii~n
/) C79ter IS 1-800-33~344).
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$55.35
71 c.;-7Cs5
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City
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,Expires 2~ ?/aP-
Construction Contractors Regi,stration #
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By signing this pennit/application, I agree to call for an inspection once the backflow prevention device
has been installed and is visible for inspection (726-3769), I also state that all infonnation on this
pennit/applicationis correct.
Signature
co
~
Date of Application
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Checked for Delinquencif'<1
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Shared Drive (T:)/Building Fomls/Backflow Prevenlion8-06,doc
CITY OF SPRINGFIELD
, Building/Combinat~on Permit
PERMIT NO: COM2006-00433
ISSUED: 06/23/2006
APPLIED: 04/12/2006
EXPIRES: 12/22/2007
VALUE: $ 331,331.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6188 FERNHILL LOOP
ASSESSOR'S PARCEL NO.: 1702343405500
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Mt Gate subd lot 47
Residential
Owner:
Address:
Phone Number: 541-935-8825
REGAL CUSTOM HOMES INC
PO BOX 489
ELMIRA OR 97437
Contractor Type
General
Electrical
Landscape
Low Voltage Electrical
Mechanical
Plumbing
quires you to
_ . I 'j_MH',n \::lW re >0"
ATll::N I IUI~' :--' ~:::rI h\1 the Oregorl VllllLY
I CONTt~J;J\r(Wre1NFbRMAJ].Qj~"les are set forth
Notification \..Iv, "~"1 0 through OAR 952-001-
Contractor in OAR 952-001-00 r:;^Cc~~res of JV~pir.~lliBn Date
REGAL CUSTOM HOMESJt~~, You may obtl\09\~'6~e', the te\ep)lJ:{~F/2011
MAG ELECTRIC INC calling the cente'i'4~M~Uti\ity Notitil~2'/q.~i2009
SCHELSKYS LANDSCAPE +,t!I~I\lRIRlmjf~Ol~j0g_332.2344). 08/31/2008
DEVLOGIC TECHNOLOGIES INC Center IS 16H58 09/16/2008
COMFORT FLOW 460 06/27/2007
DONALDC LEWIS 33076 06/10/2007
BUILDING INFORMA nON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 2
Height of Structure: 29.00
Type of Heat: Heat Pump
Water Type: Gas
Range Type: lJ.. Gas
Ene.rgy Path:, '. We. \NQ\\\'Path 1
spnn~\~ijjtdlJg::\ \S ~Q\n/a
""U-:~'\'::'(:' .... '- ....~~\. t- ,,,,,::S')'I\\ -n:.~
\'\\ '0 \'t.'I\\0E\VEL,O:e~EN'M~~Q~A,"riON I
\\\\ \\CJ\\\ltV ~. \'0 f'.\1I-\\'t
r4~Jo ~t.~c,t.\) ~~ert~ist:
3tiJOb~ IQ\) \) ~"{ I?~Neet Trees Rqd:
8~l\f)'{ "\ Paved Drive Rqd:
55.00 % of Lot Coverage:
32.50
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1
R-3
U
VN
3
Phone
541-935-8825
541-461-0387
541-744-7135
541-913-4487
541-726-0100
541-688-1931
11,710
1,935
1,094
744
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Hillside
3
Yes
32.60
REQUIRED PARKING
Tobl: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Sidewalk Type:
DownspoutslDrains:
Notes: Storm drainage piped to stub provided rear of lot 4/18/2006 CAS
Paee 1 of5
Curbside 5'
To Storm Sewer
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
AC - Residential
V Wood Frame
Garaee
A.C. - Residen
DweIlinl!:s
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Gas Outlets 4+
Mountaingate Impervious Area
Plan Review Major - Planning
PW Disc - 2nd Permit (Street)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtll00'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Sewer Each AddtllOO'
Temp Power 200 amps or less
I Valuation Description'
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26.00
Square Footage
or Bid Amount
3,029.00
3,029.00
744.00
Total Value of Project
~
Amount Paid
$857.77
$10.00
$222.73
$163.09
$306.00
$31.00
$12.00
$1,319.65
$80.00
$6.00
$9.00
$188.65
$12.00
$30.00
$4.00
$4.00
$1,204.14
$150.00
$-30.00
$106.00
$114.00
$553.03
$727.03
$14.00
$10.00
$865.31
$82.03
$158.46
$63.04
$805.70
$182.69
$80.00
$14.00
$50.00
Date Paid
4/12/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
Paee 2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00433
ISSUED: 06/23/2006
APPLIED: 04/12/2006
EXPIRES: 12/22/2007
VALUE: $ 331,331.00
Value
Date Calculated
$12,116.00
$299,871.00
$19,344.00
$331,331.00
04/12/2006
04/12/2006
04/12/2006
Receipt Number
2200600000000000449
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Vent Fan
Water Line - Each AddtI 100'
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Backflow Device
Minimum/Adjustment Plumbing
Total Amount Paid
Initial Review
LDAP Review
04/17/2006
04/27/2006
Plannine: Review
04/17/2006
Public Works Review
04/17/2006
Structural Review
04/17/2006
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00433
ISSUED: 06/23/2006
APPLIED: 04/12/2006
EXPIRES: 12/22/2007
VALUE: $ 331,331.00
$24.00
$14.00
$1,000.00
$4.50
$2.25
$3.60
$25.00
$20.00
$4.50
$2.25
$3.60
$14.00
$31.00
6/23/06
6/23/06
6/23/06
2/6/07
2/6/07
2/6/07
2/6/07
2/6/07
6/22/07
6/22/07
6/22/07
6/22/07
6/22/07
1200600000000000939
1200600000000000939
1200600000000000939
1200700000000000121
1200700000000000121
1200700000000000121
1200700000000000121
1200700000000000121
2200700000000001011
2200700000000001011
2200700000000001011
2200700000000001011
2200700000000001011
$9,554.02
I Plan Reviews I
04/17/2006
04/27/2006
APP SKG
APP VRJ
LDAP is at the front counter and
ready to issue.
Fence Conservation Easement with
orange construction fencing and
keep all construction activity out of
this area.
The 8" oak in the front may be
counted as one of the 3 required
street trees. Place orange
construction fencing to the dripline
and follow the other tree
preservation guidelines attached to
the street tree handout.
Storm drainage piped to stub
provided 4/18/2006 CAS
05/12/2006
APP TAJ
04/18/2006
APP CAS
OS/23/2006
OK
RWC
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.
~eolliredJnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Pae:e 3 of 5
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-00433
ISSUED: 06/23/2006
APPLIED: 04/12/2006
EXPIRES: 12/22/2007
VALUE: $ 331,331.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Underground Electric: Prior to cover
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
Low Voltage: Prior to cover.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underground Plumbing: Prior to filling the trench and including required testing.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Paee 4 of5
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-00433
ISSUED: 06/23/2006
APPLIED: 04/12/2006
EXPIRES: 12/22/2007
VALUE: $ 331,331.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
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 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 requested at the proper time, that each address is readable from the
street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all
umy con'teucuok /' _ fa (2 Z/o 7
'~
Owner or Contractors Signature
Date
Paee 5 of 5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
C!......, of Springfield Official Receipt
elopment Services Department
Public Works Department
Job/Journal Number
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000001011
Date: 06/22/2007
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Backflow Device
Minimum/Adjustment Plumbing
Paid By
DARREN SCHELSKY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
087746 In Person
Payment Total:
Page 1 of I
2:20:38PM
Amount Due
2.25
3,60
4,50
14.00
31.00
$55.35
Amount Paid
$55,35
$55.35
6/22/2007