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Home My WebLink AboutPermit Plumbing 2011-3-16 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. . ~~9~~0~~ffiOCAt~GOVERNMEN~TAPPROVA~~w~~~~~~ Zoning approval verified? 0 Yes ONo Sanitation approval verified? 0 Yes 0 No CATEG.0RY 'OF, CONSTRUCTION- Plumbing Permit Application 225 Fifth Street. Sp,ingfield. OR 97477 . PH(541)726-3753 . FAX(54!)726-3689 City: Reference: i,~~,:,~'i.P/t~;F~;:;:~~B~:f:~\~DE_S,CRIRTI~,NS~"O_~!~W,()R.K<::$!nl~~1W~~~'f~t~11:ii \~~i;- ',~;" 1 . Name: Address: City:'Spr Phone5f 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: 440-2500-) (I 1/081COM) f~'",."l(;;1'~.""t"'f '~,-1',}",''''''",,~/,'''';'.\ ':'''::,''' ~}- --.,...,,' "'. ;'i,-,c>>""?Ii'.i",,!i ,'"'''''DEP ARTMENTOSE ONLYJ:;;",{< ...: ,'....:. -"- '. " ..-.'" "-' ,.-'''-p'-' <(3 'S ! <!I>;~;J",';1i",::'i,"'~;"'::- 'JDescriti 4twt <':o:::.:,\\..;P~R';,"\" New residential I batnroomlJ kitchen (includes,' first 100 feet afwater/sewer lines, hose bibs, ice maker, under floor low-point drains and rain-drain packages) 2 bathroomsll kitchen $374.00 3 bathrooms/1 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 water supply Commercial, industrial, and dwellings other than one- or two-family Minlmum fee $238.00 $ $ $ $ $ $ $ $ $ $ $ $ Each fixture Miscellaneous fees 100' storm, sewer, water line Each fixt.ure, appurtenance, and piping Storm water retention/detention facility Irrigation systems Piping or private storm drainage s stems exceed in the first 100 feet Specialty fixtures. Reinspection (no. ofhrs. x fee per hr.) Special requested inspections (no. of hrs. x fee per hL) Each additional inspection: (1) $58.00 $19,00 $76.00 $ $19.00 $ $19.00 $ $19.00 $ $19.00 $ $19.00 $ $58.00 $ $58.00 $ $58.00 $ M~nimum fee $ Enter value of installation and equipment $ Enter fee based on installation and equipment value. $ ~~1i:~~tA~l?,tIGWili;filli!i$'glif;1D~~~ (A) Entersubtotalofabovefees $ 1/; ~ (Minimum Permit Fee $58.00) (B) Investigative fee (equal to [A]) (C) Enter 12% surcharge (.12 x [A+B]) (D) Technology Fee (5% of [A]) TOTAL fees and surcharges (A through 0): .. "' Sk~:~. .G.,. ~EL~ ~~ ~ORfGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00433 IVR Number: 811185765563 www.ci.springfield.or.us 225 Fifth SI Springfield, 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 03/16/2011 ISSUED: APPLIED: 03/16/2011 03/16/2011 EXPIRES: VALUE: 09/12/2011 $0.00 SITE ADDRESS: 1670 EST, Springfield, OR 97477-4258 ASSESOR'S PARCEL NO: 1703362118000 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace <100' sewer line Phone Number: OWNER: ADDRESS: GILCHRIST DELLA 1670 E ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION' Contractor Type Plumbing Contractor Contractor Name TOM COPELAND PLUMBING LlC Lic Type eeB BUILDING INFORMATION ~ # of Units: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: r--'-"-'O~I: Oreaon law requires you tAazmat: i " II ""I(1~ a,dopted by the Oregon Utility I I' or iiDn Center. Those rules are set forth .if 0, ,R 802-001-0010 through OAR 952-001- Oc,~O, You may obtain copies of the rules~trical Specially Code Edition: cR!ling the center. (Note:the tele~honllpringfield Fire Code Edition: n.umber for the Oregon Utility Notlflcatl9.l),chanical Specially Code Edition: . ,r."nter is 1-800-332-2344). . # of Bedrooms: o Occupancy Type Construction Type R-3 Type VB Sprinkled Building: Fire Alarms: Energy Path: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 191507 Lic Exp 08/03/2012 Phone 509.301-8574 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: 2008 Site Information ~ Engineered Fill: . Fill Volu'Wi1'W~E: .. Flood Ha~';d ~re~: HALL EXPIRE IF THE WORK Land Hazard~rra;RMIT S . RMIT IS NOT Relaining[Wall:iORIZED UNOER THIS PE Soils ReP3G~~,9~~(~<tED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield BUilding Permit 3116/2011 1:21:31PM Page 1 of 3 . WWW.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00433 IVR Number: 811185765563 225 Fifth Sf 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 ISSUED: APPLIED: 03/16/2011 03/16/2011 EXPIRES: VALUE: 09/12/2011 $0.00 03/16/2011 SITE ADDRESS: 1670 EST, Springfield, OR 97477-4258 ASSESOR'S PARCEL NO: 1703362118000 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace <100' sewer line DEVELOPMENTlNFORMATION ~ 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 ~ Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ DescriDtion State of Ore9.~_~u:ch~~_~J1.?% o!.!pplicab!':.~ees) ~~_~i.t~ry~,:~~~ _~__ .____ ______ _.____ _~._"___.._ J:.echnology fe: (5% ~~:?!al) Total Amount Paid Amount Paid Date Paid Reciol # $9.12 03/16/2011 2011000497 $76.00 03/16/2011 2011000497 ..,.,.,..,-------,~..,-,.,----"'". -"-- - ..~ -.- ---.- $3.80 03/16/2011 2011000497 ._-~...--'-,,--""~~,_...._--"'_..,,'..,.,._.__._---- $88.92 Springfield Building Permit 3/18/2011 1:21:31PM Page2of3 .1 SP.~I,N~..'::.L~ ~...~ ~"^ \OD .:?\ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00433 IVR Number: 811185765563 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@ci.springfield,or,us PROJECT STATVS: STATUS DATE: ISSUED: APPLIED: Issued 03/16/2011 03/16/2011 03/16/2011 EXPIRES: VALUE: 09/12/2011 $0.00 SITE ADDRESS: 1670 EST, Springfield, OR 97477-4258 ASSESOR'S PARCEL NO: 1703362118000 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace <100' sewer line Plan Review I Deoartment Application Acceptance Received Due Date 03/16/2011 03/16/2011 Comoleted 03/16/2011 Result Over the Counter Plumbing Review 03/16/2011 03/16/2011 03/16/2011 Not Required Comments: Over the counter permit ~nitii:ll~Re~iew~;;,~' ~, . . '-~ ;,"':: ;,;~',O:31.J)3!?QJJ,~:: ,'g31t?!?.o;11:','~g3f;1:6IJ():~1,:~~'::9ver::tb!'<:()Llrjt~s i ~<~C'omrnent~:^; OVer"the,c6u~ter~errTi'jt*:"Y"" :. ;;~: ~,",~~~~~,jf:~~':r':;z"';;;,,'4:, .,'#,: ;"Z;~:;:;&~r~~'Jt;~ BJ"""'<-.< -"-', . ;~-,., ,~,..'''>K, """"~,-';..y",a:r[-,<,h);:;,_.",',', ,:.. ""'. T.. "".' INSPECTIONS REQUIRED I Inspections 3200 Sanitary Sewer Reviewer Chris Carpenter -g,h~i~ G~rp~nfer>j: .,,:i' ~ "'$ ,-.-'-' ,;r--->,,~;-; < .-. Chris Carpenter <<.'- ::. ':, ..'-- h. 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 o.f.plans will remain on the site at all times during construction. ~~ 3- II? - 'Z-o~ 4 Owner or Contractor Signature Date Springfield Building Permit 3/16/2011 1,21:31PM Page 3 of 3 .. www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00433 1670 E ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield, OR 97477 541.726-3753 permitcenler@ci.springfield,or.us RECORD NO: 811-SPR2011-00433 DATE: 03/16/2011 ""4" ~'_:~J-~i,"':,!~41;i~'0:i0z3A'eei:):UNI,-eODE - r:','/':,";;""~AIVIQUN~EDUE:,:'<7:"1 224-00000-425603 76,00 821-00000-215004 9,12 100-00000-425605 3,80 TOTAL DUE: 88,92 LE~'(MJiliT~Ty'f'.l:-;';~;~RAYORt_\CASHIER: CCj\RPEIiTErf~:4;',;:cbMMENTS;;;'r',' ,#,' 'Ar;-> tg;, ~::~MOUNUi\ID Credit Card TOM COPELAND PLUMBING LLC RECEIPT NO: 2011000497 [DE,se R'fe:TIQN" ,;;.-,;t',+_f05,;;;~:t;''i':;'?' Sanitary sewer _5..tate of Ore~on Surcharge (12% of applicable fees) Technology fee (5% of permit total) " 1 .. ~'+:q,;r::''S 1,: 88.92 031814 TOTAL PAID: 88.92