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Home My WebLink AboutPermit Plumbing 2010-11-4 . Plumbing Permit Application " '. . . ~".""';, "',. . ~ . 1,,'" ~ .. ..., ;~;},- ~I,TY Of ~PRI~G_~iEL~~ p~GO~, ,... ;;."{":,-.r.' :'l~,,>,Ll>,:.:.~~,~.c:u<}\t;:'~.~~\_1;,;:: ~~.t"", ~~..~t;..-:; 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 SPRINGFIELD ",,;::a,z,1<,~lO;:. ~ j~~~~!&fr1~tr4Il~k~ .A!.. {";:)(1,' . 'WJ' ''':''~~J ;o,~; ", ""'. .', ,- ,-' .,__,::.,. '.>C,.' ,..;,~ ,\,_ ,- ',' ,. '."", ':' 'r ..,,..... \,;,,,,;',;:,,,,,-," c~,.~,., '-,c' ~ 'DEPARTMENT.USE ONLV>.;'<. ._ _ . '_.' .' ." 1 . Pennitno.: no -G'I7 Date: II Lj I 0 This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . '''~'i':;;i\'',EQcAL'GOVERNMENT<AI?PRoVAli!:i.,<:;i'i''i;;;i;Y: Zoning approval verified? DYes D No Sanitation approval verified? DYes D No CATEGORY OF CONSTRUCTION' o Residential -' -EI Government 0 Commercial ;('2;'.JOaSITE "INFORMAJIQN';ANP!,:liOCATIONt{.i>;N,{ Job site address: 3"1 ')7 . rT r)E;/V j;)/2 City: 517 State: Cr'L ZIP: C, 7t-l 'l Taxlot.: ~ ON"OF.';VVORK'/ ,,-,.;; -,'''::-.. ,....,; ~;.; (2t t :,. ;';'.X:,: ,:f'\\f:>::~~::;t;,^. "Name: Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 918-695-0020. Signature: CONTRACTORINSTALLAT..I0N. . ~ Yt-..b City: Phone: E-mail: Plumbing license no.: Print name: 0 c.~ d<<r Signa! ~ 440.2500.) (11/08/COM) ~;}'S'.:;::'':':';:W'::;:::;':.~';:FEE{SCH E.OU IlE:,t~.... .".Y".:":'+:'(i;t:C': ~"....,..",., ~ '.<"""':'..C',: .....'....... :..'..:....c.....o.-s..t....-.:.:...... Total 'i"".'!'J;;' Qty ~ . ~ .....:.'....c...o.s.t...,...;.:.t.. :........ :.,;"~ ea.>,.. ~. New residential . I bathroornll kitchen (includes: first J 00 feet of water/sewer lines, hose bibs, ice maker, under floor low-point drains and rain-drain packages) 2 bathrooms!! kitchen $374.00 3 bathroomsl1 kitchen $439.00 Each additional bathroom (over 3) $95.00 Each additional kitchen (over 1) $95.00 Residential fire sprinklers (includes plan review) o to 2,000 square feet. $58.00 2,001 to 3,600 square feet $116.00 3,601 to 7,200 square feet $174.00 7,201 square feet and greater $232.00 Manufactured dwelling or pre-Cab (circle one) Connections to building sewer and water supply Commercial, industrial, and dwellings other than one- or two-family Minimum fee $238.00 $ $ $ $ $ $ $ $ $ $58.00 $ Each fixture I $58.00 $ $19.00 I $ Miscellaneous fees 100' storm, sewer, water line Each fixture, appurtenance, and piping Storm water retention/detention facility Irrigation systems Piping or private storm drainage svstems exceedinp the first 100 feet Specialty fixtures Reinspection (no. ofhrs. x fee per hr.) Special requested inspections (no. of hrs. x fee per hr.) Each additional inspection: (1) J> $76.00 $ $19.00 $ $19.00 $ $19.00 $ $19.00 $ $19.00 $ $56.00 $ $56.00 $ $58.00 $ $ ,:'M~Ili~~itg~'s.~prp'i(lg:;~/?:;~':i:;}:~c~:-{yf:i'j0_;3M~,:; Minimum fee Enter value of installation and equipment $ ~allationandeqUiPment~ (A) Entersubtotal ofabovefees (Minimum Permit Fee SS8.00) (B) Investigative fee (equal to [A]) (C) Enter 12% surcharge (.12 x [A+B]) (D) Technology Fee (5% of [A]) TOTAL fees and surcharges (A through D): $ I I,/,:- $ $ Isi(Jl $t{'JJ2 _ $ 1'33~ - ;. S"P~IN GFIE;:ii] .~ ~t;, ,~ '1' '"" OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit P,ERMIT NO: 811-SPR2010-00647 IVR Number: 811120089274 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/04/2010 ISSUED: APPLIED: 11/04/2010 11/04/2010 EXPIRES: VALUE: 05/03/2011 $0.00 SITE ADDRESS: 3957 HAYDEN BRIDGE RD, Springfield, OR 97477.1860 ASSESOR'S PARCEL NO: 1702190003300 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Plumbing Only Alteration Public PROJECT DESCRIPTION: Replacing appx 300 feet of galv water piping with copper OWNER: ADDRESS:' CITY OF EUGENE CITY HAll EUGENE'OR 97401 Phone Number: , # of Units: o CONTRACTOR INFORMATION I Contractor Name , , , "J.,....!-'1 by t1:l.i~~tY'pes you "jc No Lic Exp Phone TWIN RIVERS PLU~~ING _IN~ ;;",:..2-00 1_;"'~:; I :0$8 rS~~c;> ~~_UJ I UtiliH'95 03/1.1/2011 541-688.1444 cal/in~BllltjjjIllGIIN!f,9RMA.TfONOAR 9. ~~~~th numt!!'>,. f ~o"''''r. (N . .~ '/lIe rut 1. # of Stofleshe Oreg ate: the teleph es by lot Size: (;An"", On Utility None Heighlof StruCtu,e~OO_332'2 oti/icatioTl Sq Ft 1st Floor: Type of Heat: 344). Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage: Hazmat: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Contractor Type Plumbing Contractor # of Bedrooms: Sprinkled Building: Fire Ala rms: Energy Path: EleUrrc~i!sp'ecialty Code Edition: ,..,.......~-- Springfield~Fi_fe,Code Edition: " . " I ';T!H/{,U(r81.,/1l'lh " __ dO " 0 Mechanical'Speclalty Code. ealflon::r- ",.. . " :'-It"Wl lUHlffi"{;-0, T:~':',.' '''1;4.;: IJi 71'1Hl',tJ,'f1't>'lW1'/ MUniCIpal f De~~,I,opmentCod~~'&, 0 !flf""'Mrrr- >WJ1lt'l1'J;\\ " "!f?lI'I, ".f'.' r Jirml'/OI.IJ<1:'""""" Plumbi ~g SP~cial~o~C~~~E(J~toi~il;).(lfj!fJr/1lJ fl2'O?8\!.\UJ1I Residential Specialty,Code' Edition: ~ Structural Specialty Code Edition: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 11/4(2010 9:53:28AM Page 1 of 3 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00647 IVR Number: 811120089274 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 11/04/2010 11/04/2010 EXPIRES: VALUE: 05/03/2011 $0.00 11/04/2010 SITE ADDRESS: 3957 HAYDEN BRIDGE RD, Springfield, OR 97477-1860 ASSESOR',S PARCEL NO: 1702190003300 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Plumbing Only Alteration Public Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replacing appx 300 feet of galv water piping with copper DEVELOPMENT INFORMATION ~ Overlay Cist: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PROJECT DESCRIPTION: 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 Type Unit Cost Value FEES PAID ~ DescriDtion Water Line Water Line- Each additional 100 feet or portion of State of Oregon Surcharge (12% of applicable fees) Technology ree (5% of permit total) Total Amount Paid Amount Paid $76,00 $38,00 $13,68 $5,70 $133,38 Date Paid 11/04/2010 11/04/2010 11/04/2010 11/04/2010 ReceiDt # 374795 374795 374795 374795 Springfield Building Permit 11f4/2010 9:53:28AM Page 2 of3 . S..~..~N.G Fl. E.L~ ~.'1.._ '0'; ..... ':.- . OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00647 IVR Number: 811120089274 www.cLspringfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 11/04/2010 11/04/2010 Issued 11/04/2010 EXPIRES: VALUE: 05/03/2011 $0.00 SITE ADDRESS: 3957 HAYDEN BRIDGE RD, Springfield, OR 97477.1860 ASSESOR'S PARCEL NO: 1702190003300 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Plumbing Only Alteration Public PROJECT DESCRIPTION: Replacing appx 300 feet of galv water pipi~g with copper Plan Review DeDartment Application Acceptance Due Date 11/04/2010 . Received 11/04/2010 ComDleted 11/04/2010 Result Over the Counter .~ Reviewe r Chris Carpenter Plumbing Review 11/04/2010 11/04/2010 Comments: Over the counter permit fhitial'Review ,~,~~",,,,,\'_';,~ '~'?;0~1;1/0:412010y , ' "~"~ir:;~,',%i\, ~'\'L;;h4~ ,.' ,"<' ~-_-<~""'- :Comments: ::Over.the~counte(p'errriitj~ C",""'.""'.""";" " ....:.:'...i~.'...."_... "0 INSPECTIONS REQUIRED Inspections 3315 Water Line -Chris Carpenter,~ "-':\' ',-".- ;.-:,:~ c'~; ~ 1 :;~:~-~ :';~r": ~ ,";,~-f~",,~l~&0~~;0t::;"I~~:-'~,~;;_ _~Z~~{~!#/- 3999 Final Plumbing Final Plumbing: When all plumbing work is complete. 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 Springfjeld and the Laws 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 construe' /~/20/0 Date Springfield Building Permit 11/4/2010 9:53:2BAM Page 3 of 3 . www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00647 3957 HAYDEN BRIDGE RD CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 petTllitcenter@ci.springfield.or.us RECEIPT NO: 2010000750 RECORD NO: 81 I-SPR20 I 0-00647 DATE: 11/04/2010 I DESCRIPTION "'''. -", '. ~j)--:::: ;.':f"~ :::J,l-\.~-;;-:;+- ;;;:-;;-';;;-"A<::-,t0JJ:f.J.:fj;;:'0~'';;--:'' :J" "_C; -KM6,UNt:J;)J!E;~":' '. Water Line 224-00000-425603 $76.00 Water Line- Each additional 100 feet or portion of 224-00000-425603 $38.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $13.68 . Technology fee (5% of permit total) 100-00000-425605 $5.70 TOTAL DUE: $133.38 LRI',YMr;:NTTYPEG;}!;ii;'I?AYOR.>t,cAsHrER:GC~~f(f{TER',jG.CiMMEN.t$;-S:~-:;-4.:-;;',' "-'. ' AMC>UNT)R~IP' ,J', 'q Check 31238 TWIN RIVERS PLUMBING INC $133,38 $133.38 '\