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Home My WebLink AboutPermit Plumbing 2011-2-14 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00232 IVR Number: 811110753929 wwW.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 02/14/2011 02/14/2011 Issued 02/14/2011 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 08/13/2011 $0.00 SITE ADDRESS: 172 20TH ST, Springfield, OR 97477-5015 ASSESOR'S PARCEL NO: 1703364202000 SCOPE: Plumbin9 Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Approximately 102 feet of sewer line. Phone Number: OWNER: ADDRESS: ZURFLUH PAUL J & KLEA 172 N 20TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION I Contractor Type Contractor Name EMERALD EXCAVATING INC Lie Type CCB BUILDING INFORMATION I # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: 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: Lic No 14173 Lic Exp 07/14f2012 Phone 541-345-1505 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952,001-0010 through OAR 952-001- 0090. YDU 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). NOTICE: . .. THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 2/14/2011 12:28:15PM Page 1 of 3 i. I CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00232 IVR Number: 811110753929 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 . ~SP,~INGFIELD i~:T~ dt:h · ',;:;:IS", OREGON www.cLspringfield.or.us permltcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 02/14/2011 ISSUED: APPLIED: 02/14/2011 02/14/2011 EXPIRES: VALUE: 08/13/2011 $0.00 SITE ADDRESS: 172 20TH ST, Springfield, OR 97477-5015 ASSESOR'S PARCEL NO: 1703364202000 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Approximately 102 feet of sewer line. DEVELOPMENT INFORMATION I 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 I DescriDtion TVDe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ DescriDtion State of Ore2.on Surcharge (12% of applicable fees) Technology fee (5% o! permit total) Sanitary sewer Sanit~ry~~wer~"~-;~~~JiionaI106fe~t~~ of Total Amount Paid Amount Paid $11.40 $4.75 $76.00 $19.00 $1t1.15 Date Paid ReciDt # 02/14/2011 2011000279 02/14/2011 2011000279 -_.~.,--..._--,.,_.,.~_.._..._"-- 02/14/2011 2011000279 _.,,_.._-~------ 02/14/2011 2011000279 Springfield Building Permit 2/14/2011 12:28:15PM Page 2 of3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00232 IVR Number: 811110753929 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 02/14/2011 02/14/2011 02/14/2011 225 FifthSt Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfieJd_or.us EXPIRES: VALUE: 08/13/2011 $0.00 SITE ADDRESS: 172 20TH ST, Springfield, OR 97477-5015 ASSESOR'S PARCEL NO: 1703364202000 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Approximately 102 feet of sewer line. Plan Review , Plumbing Review 02/14/2011 02/14/2011 02/14/2011 Not Required Nancy Machado Comments: Over-the counter permit InitjahRev[e\v~:<~,'~; _~4fhL';;r- -jiV;[:I0;02if4l2011, f(02JJ4/201;1WOU1:4/2011i>,,;:yOverJthe:doiInfel-';"'Z:3tf. Na:n'~V-Ma_,ctl~~ciq; ~:__o",f,~_ g, C6~'~~e':nt;;"'" .~- 6~~Mrit~~:~nt~~~~r~~lt r . ), ~-~' ~~ ~,'::;~i~:i'""<~~;:"o;:-!~~,' t. -4'~;r~i~!~~>>;'~~~~~ i, ,r.:'.f ~;.'. '.. .",_..~_:~..~.,+J.~,J.':~;":~~" , ~ ~w ''\'?'~''5,"~,'-J'''~ ".""'~>""'l ,A~ J....~'~'" "'-....'~.~.t..".."....J .. . __,~~ .' Deoartment Application Acceptance Received 02/14/2011 Comoleted 02/14/2011 Due Date 02/14/2011 Result Over the Counter Reviewer Nancy Machado cJe ~J ;' ~1 ;."..... ".-- ~""0--'.",..,,...,.,. "..-, ;'~"~J"~'>,:Y;..r:-}'. .,;,..,.,y....:.,:"......,. .' \L ,,~ INSPECTIONS REQUIRED I ""': Inspections By signature, I state and agree, that I have carefully exami~ed 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 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 cons#io~ a.t--. ~ 4 tv 2-/4-20// . Owner or Contractor Signature Date Springfield Building Permit 2/14/2011 12:28:15PM .' /" ! Page 3 of 3 Plum~i~g Permit Application . :<:\,j'6EPARTMENT'aSE""6NtV~~; ,'of,," ,','-- _~'.." ',-,-. . : . ~ "'~'''f.;'''; Permit no.: 2'SL 225 Fifth Street. Springfield. OR 97477 . PH(541)726-3753 . FAX(541)726-3689 Date: 2-\0~ll This permit is issued uuder OAR 918-780-0060. Permits are issued only to the persou 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. ~~1~)1'lWS2;;I!:QCAL;:GOYERNNlENT4APPROVAIYt#'f~~"ii)i((;;{ Zoning approval verified? D Ves DNa Sanitation approval verified? DYes DNa CATEGOR'COF CONSTRUCTION Residential ~\re;;i0?'fJOEl{SI;rE . Job site address: City: D Government D Commercial INF.ORMAtION~JXND;~lfOCA1110NiJiD,~i';;:!i N aOIh State: or Reference: [(:~~~~tt;:;;~:~~h~\~b~;'D_ESCRll?mION~-~'Oft;},WdRK<'i+'~~t~~~3Ei~h'&l~~f~i";" ~f' ~ \", ., I . P~OP;ERTY~'f:OW_N El~/~:1~'~;f:?);~lz~~:~~{:~~f~~\,t(0],{\ . Name: Address: City: Phone: 5 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: , --1 4'.,j".i'f.~:i,b::., h'. Business name: Address: City: 6" Phone:511-3 -/50'; E-mail: ZIP: q 7 0'). CCB license no.: 1'-1' 7 Plumbing license no.: Print name: BCD license no.: Signature: 440-2500-J (11/08/COM) '-- ,,'},:c, F,"E'Ei,&,S:OH ED_O~-Er;j!:f"?;Jf:~~~~J',~;~:lti~;~!B!i~~~ii;~j~ r;\:,':i~ <'~_;.'t;:!i,'-"';.\'.' 8~~ 1i~&~~~~V1i~~J:@~~1~{ ipes'criptio J,l,rt:!li:\~j\\.~I'~"';'" New residential I bathroomll kitchen (includes: first lOO/eel afwater/sewer lines, hose $238.00 $ bibs. ice maker, under floor low-point drains and rainvdrain packages) 2 bathrooms/! 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 $ 2,001 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-fab (circle one) Connections to building sewer and $58.00 $ water supply Commercial, industrial, and dwellings other than one- or two-family Minimum fee $58.00 I $ Each fixture I I $19.00 I $ Miscellaneous fees 100' storm, sewer, water line I $76.00 $-"'71", Each fixt.ure, appurtenance, and piping $19.00 $ Stann water retention/detention facility $19.00 $ Irrigation systems $19.00 $ Piping or private storm drainage $19.00 $ systems exceedine: 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 insp,ection: (1) $58.00 $ r^,' ''''l'~.~'':;:.~~;.:!~l\: .-,,,!,~,,;:;"C_-i~'i,'w,,~i>{',,,,T'["~~ni",i Minimum fee $ !}Me(hcal:gas;plpll1g1i,./:!.y,~~(;~:t~~-X\~~\'-'2{;i Enter value of instalJation and equipment $ Enter fee based on installation and equipment value. I $ ""l\:1"I\lf~""S::"""~""'!..'.Q'.......,-),,~~~ ~?:l!€"'~, '1l..RPuL:lCA:N:J;1K.U.SE~,,~. ,,. _' 'Ull (A) Enter subtotal of above fees e}s. (Minimum Permit Fee $58.00) $ (B) Investigative fee (equal to [A]) $ '2f (C) Enter 12% surcharge (.12 x [A+B]) $ \ ~~ (D) Technology Fee (5% of [A]) $~ TOTAL fees and surcharges (A through D): $ I. IS. _ -- t'> ;:;D tJO . . . . SP~I~::El~ .;~ .r/~ OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfleld,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00232 172 20TH ST perm itcenler@ci.springfield.or_us RECEIPT NO: 2011000279 RECORD NO: 811-SPR2011-00232 lDESCRi~TloN~0l:~'fi,{i'ld%1'f\; " ,-- -,-- '~Y' ';~~~~1;;r?;'c;<'?TV~C:C-OUNJlCODE ,'."Nf5 sewer 224-00000-425603 Sanitary sewer - each additional 1 00 feet or portion..0...._.~24-00000.:.435603 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 __T~chnol~~y"~ee (5% of permit total) ..~.:00000-425605 TOTAL DUE: DATE: 02/14/2011 ."\'AMQUNtBUt'?-Ff?''0\ "oj 76.00 1900 11.40 4.75 111.15 t::'~~YME;~:r.:.1lYeE;' ':'~".\OR ";cAsHl~iNi,[~g!AQ.o:t Check EMERALD EXCAVATING INC 20803 ~'~ :'~:'i:'G9MM~Nct.s.L^2i:~~:~~- .',C!. _ -: :':J!~- - ,- .::" J'};-t19,Q~,!'f_~!"L:i:l'-~~~.:~j 111.15 TOTAL PAID: 111.15 I .I