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Home My WebLink AboutPermit Plumbing 2011-4-26 ~ , SPRIN.G FIE.~ Ii;:' ,:~~ ~ 'r,.. ". OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00682 IVR Number: 811145074041 www.cLspringfield.or.us ~ 225 Fifth SI ~ 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: Issued 04/26/2011 04/26/2011 04/26/2011 EXPIRES: VALUE: 10/23/2011 $0.00 SITE ADDRESS: 3043 WAYSIDE LOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703224100400 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace 40 feet of water line Phone Number: OWNER: ADDRESS: ALESHIRE JENNIFER L 3043 WAYSIDE LOOP SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Plumbing Contractor Contractor Name PHILSROOTER SERVICE LlC Lic Type CCB BUILDING INFORMA TION ~ # of Stories: Lot Size: Height of Structure: Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage: Hazmat: Sq Ft Carport: Sq Ft Other: 0 ATTENTION: Oregon law requlrrOc)!Ojiamy Load: EI t' 11s-lIn", 1';l)IC~ai-d'lt8rl by the Oregon Utility ec "caNo'l~f~~ironoC~llter'.o~:nose rules are set lorth Springfi~I~l5ihenCg82_t\YIi~J1 Q through OAR 952-001- Mechani~"'JLSP.e6i~ltylc~.~~I;.dilion::opies 01 the rules by Municipal/tD~V'eI6pmiinfCi\'de, (Note: tile telephone Plumbin s' '~ajtt, t%JPEd'ilrtn~on UtilitY2~lntilicatio_n. 9 .P_... 'tenter IS HlQQ-332-2044). Residential Specialty Code Edition:. -'. '!' Structural Specialty Code Edition: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Lie No 191427 Lie Exp 07/23/2012 Phone 541"844-1512 Site Information ~ 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 4/26/2011 9:48:28AM Page1of3 Y:~N..~~.~~ ~~ ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00682 IVR Number: 811145074041 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 . Fax: 541-726-3676 permilcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/26/2011 ISSUED: APPLIED: 04/26/2011 04/26/2011 EXPIRES: VALUE: 10/23/2011 $0.00 SITE ADDRESS: 3043 WAYSIDE LOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703224100400 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace 40 feet of water line 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 Tvee of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID I Description State of Oregon Surchar~e (12% of applicable fees) Water Line ____ ____'.._....0__~_._.._ Technology fee [5% of permit total) Total Amount Paid Amount Paid $9.12 $76.00 $3.80 $88.92 Date Paid 04/26/2011 04/26/2011 04/26/2011 Reciot # 2011000800 2011000800 -"'_..._-~~ 2011000800 Springfield Building Permit 4/26/2011 9:48:28AM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00682 IVR Number: 811145074041 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 04/26/2011 04/26/2011 04/26/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 10/23/2011 $0.00 SITE ADDRESS: 3043 WAYSIDE LOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703224100400 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace 40 feet of water line Plan Review ~ Deoartment Appllcation Acceptance Received Due Date 04/26/2011 04/26/2011 Comoleted 04/26/2011 Result Over the Counter Reviewer Chris Carpenter INSPECTIONS REQUIRED I Inspections 3315 Water Line 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 r 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 wiff 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 of plans will remain on the site at all times during construction. ~..~ ~! %/iI Date Owner or Contractor Signature Springfield Building Permit 4/26/2011 9:48:28AM Page 30f3 Phlmbing Permit Application ',,"", "i,F'_ :'.,2.""~. .;!,:"",.,.,~ >.ii','.' )._'.-;: "'.:.' ,: "",,;,,''''''':;'"">~:''';':'~''';''''i ", "'DEPARTMENT;USE'ONLY'i\;'I' Pennit no,: .5/ / - {., 12- /I 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 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, ':>;',:,"j)~,;,:ct{jocAL; 'GOVERNMENT:'APPROVA~4Xim"~'~;fj:i;i Zoning approval verified? DYes D No Sanitation approval verified? DYes D No CATEGORY OF CONSTRUCTION esidential 0 Government 0 Commercial j"i:;;\JOB',$ITE INFORMAf:ION:,)AND;,I:iOCATION~::;i,!,/':. Job site address: (7 CJ c( 'J L'::> City: ";)/,i=<-..U State: 0Y.2- ZIP: c;? y1? Reference: ! 70 y 2- 2 '-{ ( Taxlot::tA:) '+~ DES<:;RIp,TION"'OFNN,ORK ,"Nl~"Z,f',;;'\i,;,t:;~:;. 'Rc:::'(-'~ Lfo' "'" < =-><- L-(,...; ~ " ,PROPERn,owNER'iiF;'; 'Name: ~~, P-c-A- /~LL~::n+-~'7<- Address: :5"04'3" LAJ14 y[iD~ t-P City: :) ~Pi-I) State: O/t- ZIP: 57 Y7? Phone: - ?I '=f -(;,OL Fax: E-mail: This installation is being made on residential or fann property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 9]8-695-0020, Signature: , CONTRACTOR INSTALLATION" :fs R~ vi ~D\L Lj\of3 State: () f Fax: Business name: Address: 1"'9 City: [u Phone: -2 E-mail: CCB license no,: -IQ;p-id Plumbing license no,: Print name:" Signature: 440-2500-J (l1/08/COM) r:c;" ,;~ ~':;:~;r4';;,~":: FEEf1SCH ED U lE ';k;:- ',' ;C\";;~;;' i"~'j!?k" I;:b~scripti~~'i;{ - ''. ';':' " >', ': QiY'.' Cos,!::. ,:.Total." .u' " <Y ': }~'>f~l:t:., ',.-"~:,;;;,, . 1 ',,;. ~~'", ~"'~:.'~:' ,~,'~:;.:~e~_&~.{i ~U:~.9_~t};.~'._, New residential 1 bathroom! I kitchen (inciudes: first J 00 feet of water/sewer lines, hose bibs, ice maker, under floor low~point drains and rain-drain packages) 2 bathrooms/! 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-Cab (circle one) Connections to building sewer and water supply Commercial, industrial, and dwellings other than one- or two-family Minimum fee ",' Each fixture Miscellaneous fees 1,00' stonn, sewer, water line ( Each fixt,ure, appunenance, and piping Storm water retention/detention facility Irrigation systems Piping or private storm drainage svstems exceedina the first 100 feet Specialiy fixtures Reinspection (no. of hrs. x fee per hr.) Special requested inspections (no. of hrs, x fee per he.) Each additional inspection: (I) $238,00 $ $ $ $ $ $ $ $ $ $58,00 $ $58,00 $19,00 $ $ $76,00 $'7(; $19,00 $ $19,00 $ $19,00 $ $19,00 $ $19,00 $ $58.00 $ $58,00 $ $58,00 $ ~'M~~'i~~l!g~:srpi'pr~g~ns~(:f,~~it's~j;;~ij~W~t~ Mjnimum fee $ Enter value of installation and equipment $ Enter fee based on installation and equipment value. I $ ~~;tJ1t~~__iIi!'A&&i.11'c::WN;j;it,jjj'S~~ (A) Enter subtotal of above fees (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 D): $ 7&- $ $ 7/Z $ 7W $ '6259'1.-- www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00682 3043 WAYSIDE LOOP CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2011000800 RECORD NO: 811-SPR2011-00682 DATE: 04/26/2011 iDESCRW!.TIOIII ';',,, '< ,'. ~~ ' < ;;" "C:;''';'"'0'"''''~~-<;:;'-p-'., '^.: -'ACCOUIIITR;oOEf-;.;Jif '. ;'";e ,;",-~ JAMOUNT~DUE,; __State of Oregon Surcharge (12% of appl;cable fees) 821-00000-215004 9.12 Technology fee (5% of permit total) 100-00000-42560~_ 3.80 Waler line 224-00000-425603 76.00 --~- ._- TOTAL DUE: 88.92 t~~MMENf.ij.f?E~..c..::.:EAYo~l:.f..ASHIER;.CCARPEN1i~:.;_.:"'-";9_Qr~JVIE.NTSf'''',j~/, ,--L;,,;-3::::,-:;__~~~N.T..!'~ID.. ".-" Credit Card lupe medosa owens 88.92 444277 ..., I , ~,'r TOTAL PAID: 88.92