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Home My WebLink AboutPermit Plumbing 2010-12-15 , Plumbing Permit Application ;'., ,,;,,',*,'y, ~',"~"."c: "-",,,;, '""._~<.,'i' -j', ~. .~L";-::,",,~ -'- ..l:--4;-,>....'*'".-J,'.,t"1~r:0)j':.', "";.fOFPARTMENT.USE'ONL y~~lfj . ' . .r:.' ',' '_. .' ., '. _ .}~. . 225 Fifth Street. Springfield, OR 97477 . PH(541)726.3753 . FAX(541)726.36S9 Permit no.: 2- Date: 1:2 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. '~0~~%~~RLObA~;G0VERNMENfiAPPR0VA~~~~'~~~~~ Zoning approval verified? DYes D No Sanitation approval verified? DYes D No CATEGOR'COF CONSTRUCTION' [l!i Residential 0 Government 0 Commercial ~~m:,g.-g:;'j0I3;<SIj;E'1 N FCl RMATION~fAN[)JllibC;ATION~~jC.i'~f:ii Job site address: I;). ~ c Sf', city:S,flC/N& rite,> 01.. ZIP: Reference: ;~tt~~'~s~:;~:;:~;':f:~~&{{~~:,\;_P_ES,CRIP,J:.ION'~'Q_F.,~WcC)RK;~;;~Ei~~';;,~if~%j;1'~W\~{~i~1;~~ eWe;:' <? ~P:Rd~ERT'(~roWN ER~tw?t~it;~;{~.:.~~;{';fiji~r~~~t~~l Phone: - 'J- 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: .. ..CONTRACTcOR,INSTALLA1;10N.. j~'. Business name: n tJpLJGL~ /JIN 4-c Address: i1. City:' Pr( ZIP: qj lf250 Phone$VJ E-mail: BCD license no.: CCB license no.: Plumbing license no.: Print name: 3D Signature: 440-2500-1 (IIIOS/COM) Ij:iSt~:;:l':K~j1~'lf'4f.~~jti;~%t~::I7EErtS:CH E.DUJZE}~t:~~~';~~:S{ii~?J;~~:~{~*~~ ~t~.~~5~tjei~,~i~i;!~[~~j~?lt~Jf~~1~t g~ [1~~~~!j1\? ~I~1~~~.~t~; New residential I bathroomll kitchen (includes: first JOO lee' of water/sewer lines, hose $238.00 $ bibs, ice maker, under floor low-point drains and rain-drain packages) 2 bathrooms!l kitchen $374.00 $ 3 bathrooms!} 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 $ 2,00] 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-fab (circle one) Connections to building sewer and $58.00 $ water supply Commercial, industrial, and dwellings other than one- or two~family Minimum ree $58.00 $ Each fixture $19.00 $ Miscellaneous fees 100' storm, sewer, water line I $76.00 $ '){O Each fixt.ure, appurtenance, and piping $19.00 $ Storm water retention/detention facility $19.00 $ Irrigation systems $19.00 $ Piping or private storm drainage $19.00 $ svstems exceedina the first 100 feet Specialty fixtures $19.00 $ Reinspection (no. ofhrs. x fee per hr.) $58.00 $ Special requested inspections (no. of $58.00 $ hrs. x fee per hr.) Each additional inspection: (]) $58.00 $ ~M'_;(ii~iir~i~rprprrfg~1r~m~~~~,f&fj~~i Minimum fee $ Enter value of installation and equipment $ Enter fee based on installation and equipment value. $ '"'<~""e!r~""*' ......-''''I'.R''''If~ f41(". .~'f" l' ,:l\~gL:Je~NJ:~t:!SE~~; . ",l.(t iI'.", . ; (A) Enter subtotal of above fees ?~ (Minimum Permit Fee $58.00) $ (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ q~ (D) Technology Fee (5% of [A]) $ 1!5! TOTAL fees and surcharges (A through D): $ 'if)( .,.. . - .; CITY OF SPRINGFIELD SP~ING.FIE~. 0- iii; .^~ "'."" OREGON Building I Residential Permit PERMIT NO: 811-SPR2010-00902 IVR Number: 811173195378 www.ci.springfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permitcenter@cLspringfield,or,us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 12/15/2010 12/15/2010 12/15/2010 SITE ADDRESS: 1229 EST, Sprin9field, OR 97477-4865 ASSESOR'S PARCEL NO: 1703351405400 EXPIRES: VALUE: 06/13/2011 $0.00 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New sewer line Phone Number: OWNER: ADDRESS: STRAUB JAMES M PO BOX 51179 EUGENE OR 97405 Contractor Type Plumbing Contractor CONTRACTOR INFORMATION I Lie Type CCB BUILDING INFORMATION I # of Stories: Height of Structure: ATTENTICNp:;lofHeat:1aw requires you to follow rule" ad09ted by the Oregon Utility Notification 'e'g\~[erYPreirose rules are set forth in OAR 952-~~~g5c]'ye~;lrough OAR 952-001- 0090. You r.I:I.!!~"!'!.t;ain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344L Electrical Specialty Code 'Edition: Springfield Fire Code"Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: NnTlr.~. Structural Specialty Code Eqition: THIS PER ,fll SHAll S!te:rn~(!nllliq~~E WORK AUTHORIZED UNDER THIS PERM . N COMMENCED OR IS ABANDONED FOR . ANY 180 DAY PERIOD. Contractor Name JOHN PHilLIP DECKER # of Units: 0 # of Bedrooms: Sprinkled Buildifl9: Fire Alanns: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 12/15/201 1:31:53PM Lie No 163938 Lic Exp 03/29/2011 Phone 541-726-6124 Lot Size: Sq Ft 1st Floor: Sq Fl2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Fl Carport: Sq Fl Other: 0 Occupancy Load: 2008 Page 1 of 3 . www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00902 IVR Number: 811173195378 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: STATUS DATE: Issued 12/15/2010 ISSUED: APPLIED: 12/15/2010 12/15/2010 EXPIRES: VALUE: 06/13/2011 $0.00 SITE ADDRESS: 1229 EST, Springfield, OR 97477-4865 AssEsOR's PARCEL NO: 1703351405400 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential . PROJECT DESCRIPTION: New sewer line Fronlyard Setback: Interior Setback: sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descrietion Tvee of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion Sanitary sewer Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $76.00 $3.80' $9.12 $88.92 Date Paid 12/15/2010 12/15/2010 12/15/2010 Receipt # 375139 375139 375139 Springfield Buifding Permit. ~2)~5)2Dl 1:31:53PM Page 2 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 Residential Permit PERMIT NO: 811-SPR2010-00902 IVR Number: 811173195378 permitcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 12/15/2010 ISSUED: APPLIED: 12/15/2010 12/15/2010 EXPIRES: VALUE: 06/13/2011 $0.00 SITE ADDRESS: 1229 EST, Springfield, OR 97477-4865 ASSES OR'S PARCEL NO: 1703351405400 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New sewer line Plan Review I Deoartment Application Acceptance Received Due Date 12/15/2010 12/15/2010 Comoleted 12/15/2010 Result Over the Counter Reviewer Chris Carpenter Plumbin9 Review 12/15/2010 12/15/2010 12/15/2010 Comments: Over the counter permit l~1ial R~"VC; ;fJ++:!;;'i~--~+,:t12C15/?010 2,12D~20,10)'':1?/1?/201I{s + +0v~r,tl]e Counter,' Chris Ca~penter' . ' :~c;;Mffi~llrsr.r~9xef t~~~o,~:nl~r;;p.:~rmtt}:, -.:~,;:':':::-:1'!7fl-~;;;,:;~:~rJ}(~?jttt~\tji,~;:~t~"";_':~:~:it::2~c:->~_";-':;_!\i~s:Li-'~~,,~"- Not Required Chris Carpenter ,., , -1 .''.";:"( INSPECTIONS REQUIRED I Inspections 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench 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 J 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 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 o{ plans will remain on the site at all times during construction. I;) -/"';- / b Date Springfield Building Permit 12/15/201 1:31:53PM Page 3 of 3 , www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00902 1229 EST CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541-726-3753 permitcenler@ci.springfield_or.us RECEIPT NO, 2010001053 RECORD NO: 81 I-SPR20 1 0-00902 !lATE: 12/15/2010 ;#Tii;"Yf;!#lgg_C:Qi!J~IrC~O:E . -'.- . ::~;;"A.J",QiJ.!JJiDlJ.E:- ",' ~-~.Ll 224-00000-425603 $76.00 100-00000-425605 $3.80 821-00000-215004 $9.12 TOTAL DUE: $88.92 k.. PA VMENT'TVe.E-:': ';RAVOR'lf$ 'cAs8TER-cCARPEN]ER';,c_dMIVII~:~:tSt~-;-/t.-'''- ~:;_;__;" 'tAMQ.UN1.[A.IO',.;;'" . - .~ ~DESCRIPTI0N,~~-~---:,"_.~ j::,wr::: -:*:~';;r:4;0'~~7<, ',,:k.!~~2:!t~':i!t~~ Sanitary sewer Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Check 7138 JOHN PHILLIP DECKER / Flowers Drain and excavating $88.92 $88.92