HomeMy WebLinkAboutPermit Plumbing 2011-3-2
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00328
IVR Number: 811179632777
www.cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
03/02/2011
03/02/2011
Issued
03/02/2011
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pe rmitce nter@ci.springfield.or.us
EXPIRES:
VALUE:
08/29/2011
$0.00
SITE ADDRESS: 15712TH ST, SPACE# 1, Springfield, OR 97477-4870
ASSESOR'S PARCEL NO: 1703354100201
SCOPE: Plumbing Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Water meters for ea unit
Phone Number:
OWNER:
ADDRESS:
BRIAN l FITTERER INC
19772 MACARTHUR BLVD STE 200
IRVINE CA 92612
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
SNIDERS PLUMBING & DRAIN CLEANING lLC
Lie Type
CCB
# of Units:
BUilDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
o
# 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:
Site Information
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Lic No
184589
Lie Exp
11/12f2012
Phone
541-461-0166
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:
ATTENTION: Oregon law requires youto
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
. 0 ,?flQR-2c001-001 0 through OAR 952-001-
In em "'J . f -h I - by
0090. You may obtain copies 0 t e ru e,
calling the center. (Note: the telephone
. Oreaon Utility Notification
Center is 1-800-332-2;;4 ).
NOTICE' . ."
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT \S NOT
COMMENCED OR IS ABANDONED FOR
~,NY 180 DAY PERIOD. "'''.I, ..
Springfield Building Permit
3/2/2011 11:57:26AM
Page 1 of 3
S:.~~N. ,~._. FIE~
.~-~
~>,j':\. OREGON
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00328
IVR Number: 811179632777
225 Fifth St
Springfreld,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilce nter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
03/02/2011
ISSUED:
APPLIED:
03/02/2011
03/02/2011
EXPIRES:
VALUE:
08/29/2011
$0.00
SITE ADDRESS: 15712TH ST, SPACE# 1, Springfield, OR 97477-4870
ASSESOR'S PARCEL NO: 1703354100201
SCOPE: Plumbing Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Water meters for ea unit
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
~
Descriotion
Tvpe of Construction
Unit Amount Unit Tvee
Unit Cost
Value
FEES PAID
~
Descriotion
Technology fee (5% of permit total)
Fixture
State of Oregon Surcharge (12% of applicable fees)
Total Amount Paid
Amount Paid
$71.25
$1,42500
---'---.
$171.00
$1,667.25
Date Paid
03/02/2011
03/02/2011
03/02/2011
Reciot#
2011000379
2011000379
2011000379
Springfield Building Permit
3/2/2011 11 :57:26AM
Page 2 of3
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00328
IVR Number: 811179632777
www.ci.springfield.OLUS
PROJECT STATUS:
STATUS DATE:
Issued
0310212011
ISSUED:
APPLIED:
03/02/2011
0310212011
225 Fifth 51
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield.or.us
EXPIRES:
VALUE:
08/29/2011
$0.00
SITE ADDRESS: 15712TH ST. SPACE# 1, Springfield, OR 97477-4870
ASSESOR'S PARCEL NO: 1703354100201
SCOPE: Plumbing Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Water meters for ea unit
Plan Review
~
DeDartment
Initial Review
Received Due Date
03/02/2011 03/0212011
Result
Over the Counter
ComDleted
03/02/2011
Permit Issuance
03/02/2011
Issued
03/02/2011 03/02/2011
Reviewer
Chris Carpenter
Chris Carpenter
IPlumbing'Review <.;,!i\~"'~il03/02/201:f"-'03J02/2~1~03/02/201,1': NotRequifed:~>J'C1' \ChrisCarpenlei' ,'" ,", '-''';~'''' '':"''~
INSPECTIONS REQUIRED ~
Inspections
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 rime, 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
~~ r.?~((
Owner or Contractor Signature Date
Springfield Building Permit
,
3/2/2011 11 :57:26AM
Page 3 of3
Plumhing Permit Application
;;l~;6';":;k''\'_<'''--'-i':\/'~}~~o _O,,'_"''';_''';~'!:'''WIi\~:~''':IVii;'~,,1i~~~i2'X
:' '!9'DEPARTMEN:r;USEONliW'.hf"
,- ,',' ......, ~.,. '. ',. - .", _. 'c" .' ',"'.
225 F;f!h Street. Spdngfield, OR 97477 . PH(541)726,3753 . FAX(541)726,J689
SII-S26
Penn it no.:
Date~ :2- I (
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.
~~~~~~~~BOCAL~~OVERNMENt4A~PRbVA~&~~~w~~
Zoning approval verified? 0 Yes 0 No
Sanitation approval verified? 0 Yes 0 No
CATEGORY, OF.. CONSTRUCTION
D Residential D Government D Commercial
~,~i~~;)bB:,sm1E'INFORMAtIONMND;gIi()CATION;~1!,\:.i1;:l:~
Job site address: ,f- L.- r-
City: ZIP: '1 ?'t-"I 'I
:Xj,{;~~~~~:~:;~f;:t!l1~~fiE&~P.ES_C-R_If?-JJQNs~(l_~;~:W,dRK-:':~~.:~f~~]t~;~~?;~'fiL~'-0~~i:i~
tu~
City: (Iv \ we
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:
. CONTRACTOR.,INSTALLA1;ION".
.,
"'.-::,,:"',,.
\-......1/
E-mail:
CCB license no,:
.z..L
Plumbing license no.:
Print name:
Signature:
440.2500-) (11/08/COM)
~~~~~~!:j:.~W1~~~#'~t?~~'fi$.~~I7EEfiS:CJI E:QULi!Ef;J~j~~~'tS~~A;~~~;t!J~~I~;~
:.:~ 1 :;'}!'" \".:!; ."'~'" ~if \~.';'l:': -'f>:';',\,,~', l'i~.>.H:;;~.;, _"':" ,'l,~.h~:'" ,Y 'l' ,e" -:!':~':.:.),;,;,' C 't"C"',- ~}-T "t 'T~~I'
f~Desc.riptionfiJ~~i1\~}-,,~.tf}';.;:~~:~;j~"fL~iiih\ QtY.~ ~>,,-'~',_,- ~t{~~~ ~/ .0 ~'':~~'
~i:'it,1f~";.~:,:K"",~~,'~~fm~i.[j:,jl~dl;~~~7'J;{~}'t',:b~:,+:t~; ~'o".,."d- "g;;~LeJI.V:)/:i; ~,E';.:.C.lJ~tJ~',J,',
New residential
I bathroomil kitchen (includes:jirst
100 feet of water/sewer lines, hose $238.00 $
bibs, ice maker, under floor /ow.point
drains and rain-drain packages)
2 bathrooms/l 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 $
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-famHy
Minimum fee I I $58.00 I $
Each fixture r/s. $19.00 $
Miscellaneous fees
100' storm, sewer, water line $76.00 $
Each fix~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 exceedinp- the first lOO 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 $
r", ;-1r;!":""::'~F"'/'0;:";-i<:~~"'~1~'"'i'!\~'{:_~:;'\r'~,"~'~;~,I M~nimum fee $
;JMedlcal,:gaslPIPllJg. ~',,( :~~r;f(\r;;;:';1:\~~. A:~~
Enter value of installation and equipment $
Enter fee based on installation and equipment value. I $
-<"C>"'--",",~-:\lili.~------"'---""" --~~_~<'
#"~Jli!ii'!ll!~' A:F1RlEleANiTgil:JSE' :';' l'J\- . ;1l';'-
1'0\;.",:<" .r", ,<',,, ,iG'i "::4:<; "_;",0.""",,,..' "l,"lJ>.. ,,', ''''''''''' _~.,y:%->--;:~'_ ,J:if.,
(A) Ente~ subtotal of above fees $ Hz(' ~
(Minimum Permit Fee $58.00)
(B) Investigative fee (equal to [AD $
(C) Enter 12% surcharge (.12 x [A+B]) $ nl -.~ -
(D) Technology Fee (5% of [A]) $ 7/ :s
TOTAL fees and'surcharges (A through D): $ /h4>'/ ' "-~
<)'
www.ci.springfield:or.us
TRANSACTION RECEIPT
811-SPR2011-00328
157 12TH ST. SPACE 1
CITY OF SPRINGFIELD
225 Fifth SI
Springfield,OR 97477
541-726-3753
permitcenler@ci,springfield.or,us
RECORD NO: 811-SPR2011-00328 DATE: 03/02/2011
;('.,:'F :::'11;<\-.~''''~'''':.'''AC.COI.JNJ~C.obE~''''' ;'<'", "Ar.10I.JNJ2b.uEYf ,ff;' '.C; , 1
224-00000-425603 1,425.00
821-00000-215004 171.00
100-00000-425605 71.25
TOTAL OUE: 1,667.25
"~PAYMEN-fiYPE?~""PAYO'R'3;CASHIER:_C:CARPEN'iER;\:'':,~ii:,'(COMMENtS\\l:<ifhi~,_ ';,'~;," .'-AMOUNT pAID';. .
L_~_..~.....__,_..,..>",".._..'._,...x.""~"",,,~......,._._.~__.--,____."_~~"""_~_~__,~""",,,~_~,,_,C'_,_,,, ,',>.-"" ~",-dH\.~'.,~~",~~,,~,;,,~.:.;:s,._______.._ ".
Credit Card SNIDERS PLUMBING & DRAIN 1.667.25
00162g CLEANING LLC
RECEIPT NO: 2011000379
'O"E'S'C..RI"T'I'O.N,,'.' 1 ~ ';' ';. (,;;"dI'f::F....,;;r,z;.
[ . ., r""',.... . ... _."..%~. ~ .f~
Fixture
State of Oregon Surcharge (12% of applicable fe~~L
~~hnology fee (5% of permit total) ___
",:.')
1
TOTAL PAID:
1,667.25