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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