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Home My WebLink AboutPermit Plumbing 2011-3-14 S~RI..H..G_FIE.~. 0 ~\'i' "'~ a"., , ".' ~ ~,\., OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00400 IVR Number: 811106485072 www.cl.springfield.or.us 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 03/14/2011 ISSUED: APPLIED: 03/14/2011 03/14/2011 EXPIRES: VALUE: 09/10/2011 $0.00 SITE ADDRESS: 3831 VIRGINIA AVE, Springfield, OR 97478-6469 ASSESOR'S PARCEL NO: 1702314402700 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Approximately 50 feet of sanitary sewer line Phone Number: OWNER: . ADDRESS: DILLON PAUL L & JANE 680 LOCHA VEN SPRINGFIELD OR 97477 Contractor Type CONTRACTOR INFORMATION I Contractor Name Lie Type READY ROOTER DRAIN CLEANING & REPAIR SERVICE I CCB BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o Lie No 92524 Lie Exp 02/18/2013 Phone 541.744.7991 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 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: ~ n law requli"" yu.:l Ie Site Inforr;niition'HION: onl~o the Oregon Utility toliOW I W"" a~~v.ed by rules are set forth Notification Center. Thhose hOAR 952-001- . OilP 952 001-0010 t roug b ~090 "Y~u ~nay obtain copies of the ruhles y .. h enter (Note: the telep one calling tee . Utility NotificatJon number for the Oregon Center is 1_800-332-2344). # of Bedrooms: Sprinkled Building:" Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard'Area: Retaining Wall: Soils Report Required: 1\-1t. \N01'\\\ M01\CE: S\-li'.\..L fi.,\'ll'\t ~~M\1 \S \,\01 11-\\S \'tl'\~~6 I.\\\\Dt.1'\ 1\-1\~60\'\t.D \,01'\ i'.\Jl\101'\1 D 01'\ IS i'.Bh Spriogfie'd B'i1d'og Permit COMMt\'\CDti'.'/ \'t.I'\IOD. 3/14/2011 10:05,15AM i'.\\\'/ ,80 Page 1 of3 S~11.N.~.~. ~~ IE-~ ,='" 1.__, ". "...;o!' .-f~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00400 IVR Number: 811106485072 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 03/14/2011 ISSUED: APPLIED: 03/14/2011 03/14/2011 EXPIRES: VALUE: 09/10/2011 $0.00 SITE ADDRESS: 3831 VIRGINIA AVE, Springfield, OR 97478-6469 ASSESOR'S PARCEL NO: 1702314402700 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Approximately 50 feet of sanitary 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 PROJECT DESCRIPTION: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Note.: Sidewalk Type: Downspout/Drains: Valuation Description I DescriDtion TvDe of Construction Unit Amount Unit Tv De Unit Cost Value FEES PAID I DescriDtion State of Oregon Surcharge (12% of applicable fees) Sanitary sewer Technology fee (5% of permit total) Total Amount Paid Amount Paid $9.12 $76.00 $3.80 $88.92 Date Paid 03/14/2011 03/14/2011 03/14/2011 Reciot # 2011 000466 2011000466 2011000466 Springfield Building Permit 3/14/2011 10:05:15AM Page 2 of3 S~UI..N.. 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'<~:":; to <- -.\ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00400 IVR Number: 811106485072 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield,or,us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 03/14/2011 03/14/2011 Issued 03/14/2011 EXPIRES: VALUE: 09/10/2011 $0.00 SITE ADDRESS: 3831 VIRGINIA AVE, Springfield, OR 97478-6469 ASSESOR'S PARCEL NO: 1702314402700 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Approximately 50 feet of sanitary sewer line Plan Review ~ DeDartment Application Acceptance Received Due Date 03/14/2011 03/14/2011 Result Over the Counter ComDleted 03/14/2011 Reviewer Nancy Machado Nancy Machado ;;'~~~~::,~~';'~~~{;~F;{~i:_~~~.c~:~ac~~~a~;~;~,;,~~,,-:~ :o~:.~.. - - Il?eFmit,ls'suanc~ . ;-c<f?~' ~.,~_Jfit" -.03/1:4/2off,rj'03/14/20f1.ail' 03/j-4/201 r;~<: r~~:~--' :~ -~.~;~.' -::>7 ;}:c; . '~~ ~~:--:.~:< _:;~'.:~i~:,y~t~;~~ .,>;t: ~. ::'~;~;".:'~{~:"- Plumbing Review 03/14/2011 03/14/2011 03/14/2011 Comments: Over the counter permit ';;tiaiRevie;;;~'- - _ .~-":- -- 03/14/2011-:o371412ii11:" 03/14/201i~.--'OverWCounter "Comments:- .?ye'~'t'tie,c9u~~~LPer~i.t~' ~ ':"~>~::~'f-)~:::i,:';~?;' :~,':_~}~;~:~>'~'-"~~> i Not Required f'" Nan,c{Machad~i. - "J<L:t;, ,...i'"'' , ,j 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 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 construction. ()~/J2;g;u Owner or Contractor Signature 3 JI/ ~/ / I Date Springfield Building Permit 3/14/2011 10:05:15AM Page 3 of 3 Plum~ing Permit Application : ~.:., ~_.,~ .~.~ "'~",-~-',,. .;:~_;.~ ;;~..,~~"'J./:J';:'_e'J1.~.~ j\: .'f;",_.,. -'~ .€'IifY<OF:SRIUNGFIELD',OREB0N 'p, ~. .'" ^'" _ -,': J.-....~p:-; ,'j- c ].II" '" t;:.....;". *..!;-,. f~~c "-~j..:;.,,,...,,, ~. ) +'. . -'1. - ""." ~;'f.-""- ~:.., -== '.~ ~;~.-: .~-.: :,7~L"~~." 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726.3689 ", ':.t;:-O"'~". ~._.:.;.;.'" "".' to,. ",~;,_"",,]. ,"1,'" . '.v,',"''';'';;'*",~~~_' >', ""DEPARTMENTUSE"ONlY":"'i''!J \ ", .. ". , .. "." '00 Date: ..:s / /S;/ /f 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~Ili!5t~i)\'i~;:;:ILObAlVGOVERNMEN1}f);PPROVAlYf~~':::4l'i'~B\" Zoning approval verified? 0 Yes 0 No Sanitation approval verified? 0 Yes 0 No CATEGORY' OF. CONSTRUCTION o Residential ' 0 Government 0 Commercial '[Sirt.:J;iJOS;si;tE :.INFORMMION';ANDT;1IiOCATION~i;' {"~'.f:;'; lob site address: 3~3) if')a S+ City: JJ. State: (y/? Reference: ~:~?~t~~i:~_~~" '~.iS\~;~~~~D ESCRIf?;[IPN:YOI:.,~W.(jR'K.~i~*~Y~:;'~~C?~1;;\t~"fi{}1~ -e Jace- ;;;,etoer- J'n-e.- ; PR(jRERTY.:,;OWN-ER~,1~~~i~tM:(~r:~F~tJW Name: Address: City: 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 li~g re~uire e s ~nder OAR 918-695-0020, Signature: I (J..NL(/ . CONTRACTOR" STAlLATION Business name: co..d Address: City: Phone: E-mail: CCB license no,: '{J. Sd. L/ BCD license no,: Plumbing license no,: Print name: Signature: 440.2500-) (11/08/COM) ~im?":';'})~t~:~~~~.:':,:...~~'~~~~;~~.!SI7EEiJS:t_R I;OU L:Ef':';;}t.' :l1::J~~;!/t);!-;;~~~r::' :~R-e~'~ ripti~~~(t~;~\\~.:f.'~ii'::~;~;~;~'ii~;17;: ,Qty.' 1"';'" CO~~t-:,;~: ~: .!-ot~.n;~ 4.< ;~'"' ,.l,;':.(l ,~-f.f1I,1>f"'~l.~j)"J~",..,:,~t,f.";o;,,,It:iJ;,-."ti'~J)'F -""',,,.J- "~i:.L ~a. .Ji:;::;/: ,t,rt_C,Ost., ) ," New residential I bathroomll kitchen (includes: first 100 feet of water/sewer lines, hose $238.00 $ bibs, ice maker, under floor fow.point drains and rain-drain packages) 2 bathrooms/I kitchen $374,00 $ 3 bathrooms!l kitchen $439,00 $ Each additional bathroom (over 3) $95.00 $ Each additional kitchen (over I) $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 $ , square feet ,and greater .. $ 7.201 $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 I $58.00 $ Each fixture I $19,00 $ Miscellaneous fees 100' storm, sewer, water line Y: $76,00 $ Each fixt.ure, appurtenance, and piping $19,00 $ Stonn water retention/detention facility $19,00 $ Irrigation systems $19,00 $ Piping or private storm drainage $19,00 $ systems exceedinp 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: (1) $58,00 $ ~:~e(J1c1irg:$;'pfpi~g~~~~~1i~ili;~f~'i~~ Mjnimum fee $ Enter value of installation and equipment $ Enter fee based on installation and equipment value. I $ ."o,,~~~~~.,.."'..'. "'*TI,"':iI!~~ ~~; ';' .[i~~, I : "'A:R'Pl:lGANTgJlJSE'.,;~+~':>~. "!.~L-' -'''t!~_..~"It~~I~~ (A) Enter subtotal of above fees $ /1 / (Minimum Permit Fee $58.00) /I. (B) Investigative fee (equal to [A]) $ '1. ~ (C) Enter 12% surcharge (,12 x [A+B]) $ <'. (D) Technology Fee (5% of [A]) $ 9 TOTAL fees and surcharges (A through D): $ Yl( ~ -'L s~~:t.. :.'~ ~~ ~OREGON www.ci.springfield.ot.Us TRANSACTION RECEIPT 811-SPR2011-00400 3831 VIRGINIA AVE CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 permitcenter@ci,springfield.or.us RECEIPT NO: 2011000466 tDESCRll'.TION Sanitary sewer State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) RECORD NO: 811-SPR2011-00400 DATE: 03/14/2011 - '~~~'''ACCOUNLCODE~;~~~AMOUNLDUE~~ 224-00000-425603 76.00 821-00000-215004 9:12 100-00000-425605 3.80 TOTAL DUE: 88.92 ;Pi>.Y3:i.~;-:CASHrER: NM~CHA6o:;f",r. :,.;~'C6M!IIjjlJS'-]..;" ',," ,.. 'AMOUNT p,AID c," DillON PAUL l & JANE 88.92 ",,",,' t;PAYMENJ"IY.l:E Credit Card 215596 :,j TOTAL PAID: 88.92