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Home My WebLink AboutPermit Plumbing 2011-4-13 ...~ G ~~~ "<.~l OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00598 IVR Number: 811190847894 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 STATUS: STATUS DATE: ISSUED: APPLIED: 04/13/2011 04/13/2011 Issued 04/13/2011 EXPIRES: VALUE: 10/10/2011 $0.00 SITE ADDRESS: 13619TH ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703364200801 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residentia' PROJECT DESCRIPTION: Replace sewer line <100' Phone Number: OWNER: ADDRESS: BERG LEAH S 13619TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor Contractor Name RILEY PLUMBING & CONSTRUCTION COMPANY LLC Lic Type CCB Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: Electrical Specially Code Edition: ATTENTION: Oregon law req . follow I U1res you to Springfield Fire Code Edition: N t'f' ru es adopted by the Oregon Ut"'t , 0 I Icatlon Cent Th II Y Mechanica' Specially Code EditlPrOAR 952-001 er. ose rules are set forth -0010 through OAR 9 Municipal (Development Code:0090. You may obta" 52-001_ , In copies of the rib Plumbing Specially Code Edition:calllng tll!lJt1Jnter. (Note' th t, u es y numb f h . e e ephone Residential Specially Code Edition: e~ or t e Oregon Utility Notification Structural Specially Code Edition: enter IS 1-800-332-2344). BUILDING INFORMATION I # of Units: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Lie No 169050 Lie Exp 03/14/2012 Phone 541-998-8092 Lot Size: o Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 4/13/2011 3:11:47PM NOTICE: " THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 of 3 :... .. ~j SPh~ -~ ,*~~,,;'~!i OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00598 IVR Number: 811190847894 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/13/2011 ISSUED: APPLIED: 04/13/2011 04/13/2011 EXPIRES: VALUE: 10/10/2011 $0.00 SITE ADDRESS: 13619TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703364200801 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace sewer line <100' DEVELOPMENT INFORMATION I 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 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 04/13/2011 04/13/2011 04/13/2011 Reciot # 2011000713 2011000713 2011000713 Springfield Building Permit 4/13/2011 3:11:47PM Page 2 of 3 .... .... SPRIH.G.fIE~O ... ~... :c" (!ff1; '~ '. OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00598 IVR Number: 811190847894 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/13/2011 ISSUED: APPLIED: 04/13/2011 04/13/2011 EXPIRES: VALUE: 10/10/2011 $0.00 SITE ADDRESS: 13619TH ST. Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703364200801 SCOPE: Plumbing Only WORK INVOLVED: New TYPE Of STRUCTURE: Residential PROJECT DESCRIPTION: Replace sewer line <100' Plan Review ~ DeDartment Permit Issuance Received Due Date 04/13/2011 04/13/2011 ComDleted 04/13/2011 Result Issued Reviewer Chris Carpenter Initial Review 04/13/2011 04/13/2011 04/13/2011 Over the Counter Chris Carpenter Comments: Over the coumer perm'lt F~~~A~::;QCe;:!~"~;::/_;~:2 r:f!~:I'~; :~~1~~?:k~..~:~er~::~~f.' i.,~~: :.:' iarPr::te~--:-~~~--:-:--~l INSPECTIONS REQUIRED ~ 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 a1 the front of the property, and the approved set of plans will remain on !he site at all times during construction. LJ/;//// I Date Springfield Building Permit 4/13/2011 3:11:47PM Page3of3 rhiIitbing Permit Application ~~-"~~?;:bEPA;R+ME\NT;'USE16NlY:~~.fJ '. . i ,~_ " '",' _" ". )-,.' -',_,.~'_c 225 Fifth Street. Spdngfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 Permit no.: Date: 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. ,~,,~#,.~y(it_r4IIOCA'"t;iGOVERNMENTi&I>:~I;>R0VAl!(i1i~0k~~1~iiF,~ Zoning approval verified? 0 Yes 0 No Sanitation approval verified? 0 Yes 0 No CATEGORY'OF CONSTRUCTION' Residential D Government D Commercial i\'~':;fii;;:,'i!()I3~;SITE' INFORMMj()Ni;'AND';[;1i0CATI()N~i~:r~t~.~ f36 If'C!J--- f-tt-f ZIP: r~ 'Name: E-mail: -Fhis-installation-is-being-made-onTesidentiaLodaJ:!!l..E!:operty mW'ed-15 me or a member ofmy_immed'- -. , ndls exempt trements under OAR 91'8-695-0020. Signature: .CONTRACT:O Business name: N..e Address: '? <)'5' City: T v.-,;ct~" Phone:~;- ry; E-mail: CCB license no.: I r; '1050 Plumbing license no,: Print name: "_;;j(",~"jc,L'. ZIP: . BCD license no.: Signature: 440.2500-J (I 1/08/COM) t&9[~i)~~i:~;:~1~i~~df1~~~tf~*tlt,FEEjiS:C__R I;[)UIJE?,~~:-~"~~~:~?lt~~~)f~;~~~~e~i}lf:~ lli1?::~~~lii~~:rii.ii~1~~~~i~~i~ ~~i J~~)~1tt~ii ~ti;?~~}~lt~ New residential 1 bathroomll kitchen (includes: first 100 feet of water/sewer lines, hose bibs, ice maker, under floor low-point drains and rain-drain packages) 2 bathrooms!1 kitchen $374.00 3 bathroomsl1 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 Minimum fee $238.00 $ $ $ $ $ $ $ $ $ $ $ $ Each fixture Miscellaneous fees I 00' ~torm, sewer, water line Each fixture, 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 hr.) Each additional inspection: (I) ~ifi~ii~;i';prpr~g{fi~l~~t}~l~~~~l~ Minimum fee $ Enter value of installation and equipment $ Enter fee based on installation and equipment value. $76.00 $7 $19.00 $ $19.00 $ $19.00 $ $19.00 $ $19.00 $ $58.00 $ $58.00 $ $58.00 $ (A) Enter subtotal of above fees (Minimum Permit Fee SS8.00) (B) Investigative fee (equal to [A])' (C) Enter 12% surcharge (.12 x [A'+B]) (D) Technology Fee (5% of(A]) TOTAL rees and surcharges (A through D): $ ?r.", '12. ....... ... s~~~;~~ ~ II[3iORfGOH www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2011-00598 136 19TH ST CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541.726--3753 permilcenter@ci.springfield.or.us L~"'YNlEt"LD'~!'_,"'::c.:..R!).'(O_R . CASHiER,CCARPENTER Credit Card Julio Valera 083057 .," COMMENIS DATE: 04/13/2011 ;);ivI0UNT_DUE I 76.00 , 9.12 3.80 88.92 .AMOUNT F.'~~~_ ._____! 88.92 RECEIPT NO: 2011000713 lDESCRI~TION,r" -:.... ,":" ,,' Sanitary sewer State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) RECORD NO: 811-SPR2011-00598 ~,,}~"~ . 'T. ,,"'f ','..,<:. '..~ ";f'AC,COUNTcC,ODE '. , " ' 224-00000-425603 821-00000-215004 100-00000-425605 TOTAL DUE: TOTAL PAID: 88.92