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Home My WebLink AboutPermit Plumbing 2011-3-4 . , S~,R ING FI.E..~~ k ::: ItJb : , . ~ry., OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00341 IVR Number: 811111904951 www.d.springfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 03/04/2011 03/04/2011 03/04/2011 SITE ADDRESS: 2087 2ND ST, Springfield, OR 97477-2125 ASSESOR'S PARCEL NO: 1703262400102 EXPIRES: VALUE: 08/31/2011 $0.00 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Sewer line and septic cap- fill tank with sand Phone Number: OWNER: ADDRESS: CLARK JERRY L & TERRI J 2087 N 2ND ST SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lie Type OWNER BUILDING INFORMA TION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o Occupancy Type Construction Type R-3 Type VB -., lie No 0000000 lie Exp 08/12/2025 Phone Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: . SqH Carport: Sq Ft Other: 0 . Occupancy load: Electrical Specialty Code Edition: TT Springfield Fire Code Edition: f~lowENT,'ON: Oregon law requires yo t ru es adopted b u 0 Mechanical Specialty Code Editioii:ication Ce t T Y the Oregon Utility ; 0 ' n er. hose rules Municipal I Development Code9 AR 952-001-0010 th hare setforth Plumbing Specialty Code Edit\(,Ori~O" You fT20P8Jbtain c~op~~s oOfAthR 952-001_ caffmg'the t e rules by Residential Specialty Code Edition: b f cen er. (Note: the telepho IIUllj er or the 0 .. ne Structural Specialty Code Edition: Cent . regon Utility Notification er IS 1-Rnn_q~0 ~:J ~4j I Site Information I . # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: 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 3/4/2011 11 :25:36AM Page 1 of 3 ... " SP~:~~=~ L~fi ~OREGOH www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00341 IVR Number: 811111904951 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 03/04/2011 ISSUED: APPLIED: 03/04/2011 03/04/2011 EXPIRES: VALUE: 08/31/2011 $0.00 SITE ADDRESS: 2087 2ND ST, Springfield, OR 97477-2125 ASSES OR'S PARCEL NO: 1703262400102 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Sewer line and septic cap. fill tank with sand DEVELOPMENT INFORMATION ~ 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 ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutJDniins: Valuation Description ~ Oescriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ DescriDtion Sanitary sewer Sewer c~p/~!?tic tank ,~.::.r:nolition State of Oregon Surcharge (12% of applicable fees) ~ogy~ (5% of permit.!..,:~al) Total Amount Paid Amount Paid $76.00 $58.00 $16.08 $6.70 $156.78 Date Paid 03/04/2011 03/04/2011 * .,.~_.~ 03/04/2011 03/04/2011 ReciDt # 2011000401 2011000401 2011000401 2011000401 Springfield Building Permit 3/4/2011 11:25:36AM Page 2 of 3 .I.. SP~IN..GFIE~D . .r?" . ~re; tit .' "~':,,, 'OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00341 IVR Number: 811111904951 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: Issued 03/04/2011 03/04/2011 03/04/2011 EXPIRES: VALUE: 08/31/2011 $0.00 SITE ADDRESS: 2087 2ND ST, Springfield, OR 97477-2125 ASSESOR'S PARCEL NO: 1703262400102 SCOPE: Plumbing Dnly WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Sewer line and septic cap- fill tank with sand Plan Review ~ Deoartment Application Acceptance Comoleted 03/04/2011 Result Over the Counter Received Due Date 03/04/2011 03/04/2011 Plumbin9 Review 03/04/2011 03/04/2011 03/04/2011 Comme.nts: Over the counter permit l_hi~i~L ~eVi~W,4~ r. '. ,} ,,~;-T'~~J;:: :>_. 03104120 1 '1 ~~3"~-03194/2 0 ,1'1 ;;'s~~~iI~~~q~;~;it~~~~?~f;'t~~~:~f:tr::~~"~~~~~~;~ Not Required INSPECTIONS REQUIRED Inspections 3200 Sanitary Sewer Reviewer Nancy Machado Nancy Machado Sanitary Sewer Line: Prior to filling trench and including required testing. 7160 Sewer/Septic Cap. 3999 F,inal Plumbing Final Plumbing: When all plumbing work is complete. 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 [ 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 pro y, a d the approved set of plans will remain on the site at all times during construc~ . '/ U~ - 3/1/// Owner or Contractor Signature Date . Springfield Building Permit 3/4J2011 11:25:36AM Page3of3 Plumbing Permit Application ''':>';'~'',h",,!i!(''::i.'+''''''''''''W'''''''--::i'''':''_''''-'' '*'....;\'i"/;:~!I..~'>i"_' :'::!" DEPAR:tMEiirrlfsEbNLy~)pi ,~ ,. '<, . '. '" . "," "'.' '" " c' ; " , . ',' "?~,~ "" . . -... .. .._", 225 Fifth Street. Spdngfield, OR 97477 . PH(54l)726-3753 . FAX(541)726-3689 Date: 3 Permil no.: 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. )~~~~tr0~GQCAEWGQVERNMENr.vAppRbVA~~~tl~~~~ Zoning approval verified? 0 Yes 0 No Sanitation approval verified? 0 Yes 0 No CATEGOR'COF, CONSTRUCTION' ZIP: Cf7Lf77 ;:~k~1;~t~X:;-::;~:1;;g0:;I+~;DES.CR_If?J.I(j,N~:t>'J~ffi.~Yv,ORK;;;N~~~~;~~t~~i\tif~~~!11i vL Lllve ~ :'\:',1" '~.,. . Name: City: Phone: E-mail: Phone: E-mail: CCB license no.: Plumbing license no.: Print name: BCD license no,: Signature: 440-2500-J (I 1/08/COM) i~:t~!1~:,~~~t~1t~~~;~t~f~~~i~-EEflS'CH I;_OVLlES~G:,~"t:~'~,{{f*J%}f2~'K-:t~i~,~~~ i;i?~~:~ri1jtl~biiii~1~~~~~1},~\:il~~ff%.t~~1~. Qtf:! {t.,!'f~~Jk{~ ~:;~!_ot~,_!~~Z1; ('1 'v' "",,'~I,.--~,P',<. /li td',4,lj".",.~0,,!h""'~"".,>,cii:--'&:'r, 'V'.' ..,.'t- ".~,J: ea..;;fJ."" :,_'_'elCOSt.'li.~, "'-'n_."_'_ .~...._...""",'.~,<.~_...,.".,'..., ._.,--, ,..,'-..........",,'"_...... .,.._~ ~'n'....__.. .....,.. New residential I bathroom! I kitchen (includes: first 1001ee/ of water/sewer lines, hose $238.00 $ bibs, ice maker, under floor Jow-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 1) $95.00 $ Residential fire sDrinklers (includes plan review) o (0 2,000 square feet $58.00 $ 2,001 to 3,600 square feet $116.00 $ 3,601 (07,200 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 $ Each fixture $19,00 $ Miscellaneous fees 100' storm, sewer, water line ( $76.00 $ '1~ Each fixture, appurtenance, and piping $19.00 $ Storm water retention!detention facility $19.00 $ Irrigation systems $19.00 $ Piping or private storm drainage $19.00 $ systems exceedino 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: (I) (I;k(l. ) $58,00 $ ~ '''''.: '--'::;"-;'<'i.':::',';,-:yt1:,eF;'n"~""."":.ifii!';''''''';''\:;;~;i!;~''"~t'!;;):.'Gi'!;!l0--, Mi.nimum fee $ ~M_e(l..c~l~gttS!'Plpl~g:Si1;~~1:~~,~~~I~,j~}k51~i Enter ~alue of installation and equipment $ Enter fee based on installation and equipment value. I $ ~'\'I~~"1l!(."-"..""."""""$"'" ....[i'J.~IIi\t_- . .'.'~" .. . A:P.PL;ICANi11 USE - . " dl'" f4!~",Mi!.~,., ,;--' ,;, . . ....$" ."'.,' " _' j. ,! 11;.. 'm . '} '':::~l4;\~L;''~ .~. ~"'. m' .~~ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ (Si (B) Investigative fee (equal to [A]) $ - (C) Enter 12% surcharge (.12 x [MB]) $ /(.0 ~ (D) Technology Fee (5% of [A]) $ ~7}:!: TOTAL fees and surcharges (A through Dj: $ 1'5fA.7a .. S..~.,~IN G~IE L;ij.. ~"1" + .' Illl!f.. .+,~ ^ .... "'OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.cLspringfield.or.us 811-SPR2011-00341 2087 2ND ST perm itcenter@ci.springfield.or.us RECEIPT NO: 2011000401 RECORD NO: 811-SPR2011-00341 DATE: 03/04/2011 fO.E S'CRIi>.I.IO' 'N',. .'._~ '.' " ""':":<~,r,,;\.;"""- .~'., i #'''' ,,~,;, ,; ...... 'A"C"C' 'O';"N"I"C'O'O'E' c' .f;.- c., . -",'. " 'AM' 'Oi'N'I-O"E',' - ,/;~. " ~ r..... .._. _ ,m... _ !$;_t,/"'~:...'St-:..Ii;,4rl4~~,. u, _, ~~.__iL"*,,, U, ~ v ...~,~."""x...J,~Ll _._Sanitary sewer __~____ 224.00000.425603 7600 Sewer cap/septic tank demolition 224.00000.425603 58.00 ~::~e.. of Oregon Surcharge (12% of applicable fees) 821.00000-215004 16,08 Technology fee (5% of permit total) 100-00000-425605 6,70 TOTAL OUE: 156,78 ~~YME~:rl:jrYPE24!:'~AYbRi."JCASHiitff;NMAC'HA60?~~~~~~*<Y~QM:~~Nis;Xi~~~;:~~~~&~;,.':f~~7!;"~i::{;AM~~ID;!;::::~?f::i\~ ..~ ~. ~ ,I Check Terri Clark 156.78 6112 TOTAL PAID: 156.78