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Home My WebLink AboutPermit Plumbing 2011-5-6 s.rR.IN.GFIE;1i1." .~ "'~' ~':'--, OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00765 IVR Number: 811176838596 www.cj.springfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfie!d.or.us PROJECT STATUS: STATUS DATE: Issued 05/06/2011 ISSUED: APPLIED: 05/06/2011 05/06/2011 EXPIRES: VALUE: 11/02/2011 $0.00 SITE ADDRESS: 2433 CORRAL DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703244303500 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line Phone Number: OWNER: ADDRESS: LONG LOWELL J & LOIS S M 2433 CORRAL DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor Contractor Name GARYS ROOTER & PLUMBING SERVICE LLC Lic Type CCB BUILDING INFORMATION I # of Stories: Lot Size: Height of Structure: Sq Ft 1 st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage: Hazmat: Sq.Ft, garJiOrt: '\ \II r8QUIIIC" , ''',\i\~ O e90D a OIS,!! 6tIOther:t" 0 -rIOI'\'. ( b" t\'1e ~. 001 lor" I'IIE\'\' S adopled 'e rulesO,ccupa~~~&?j1d: EI ' S "" "c,"le . "., l\'1oS '01'''' 95 b" ectrlcal p~cla ty ode l;dJt1on:' t\'1101l9D (Illes' , "'icaHo" ~'001 0 'o\\\'1e Springfield Rife Coae~Jltion:l- I iD copIeS telep\'10De ~. 01'-\'1 ~n'l ob ate' t\'1e ,'tioD Mechanical ecialty\Golle EOitron\ ,\,\0 ''''I'' \,\ot\\lca u,=,u, - .he Ce\ll~ ' (1 UI\lI, ) Municipal I Deve/j!pli,-lii\t'Code:e ore90 33'2-'2344. '.:,....,,( 101 ,,, , I-Baa- Plumbing Speci~ OOdt,EJfi,tJ9n:S 2011 Residential Specialty Code Edition: Structural Specialty Code Edition: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Lic No 174640 Lic Exp 02/28/2013 Phone 541.935.6350 Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: ~ il-lEINOR\\ MOi\Ct.: i SW\\.\. EYJ)IR~~R\IJ\\i IS t-\Oi il-llS ?ER\IJ\~D Ut-\DER il-ll~DOt-\ED ~O\'. p.,UiI-lORI2 D OR IS p.,\)p., CO\lJ\\IJ\Et-\CEp.,'{ ?ERIOD. p.,t-\'{ '\80 D Springfield Building Permit 5/6/2011 8:15:03AM Page 1 of 3 s..p~ IN...G~_FIE L~D . ~''!L\ . ,,,.. ~ ~": Oil' ,"'-"",- OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00765 IVR Number: 811176838596 225 Fifth 51 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 05/06/2011 ISSUED: APPLIED: 05/06/2011 05/06/2011 EXPIRES: VALUE: 11/02/2011 $0.00 SITE ADDRESS: 2433 CORRAL DR, Springfield, OR 97477 AssEsOR's PARCEL NO: 1703244303500 , SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line Frontyard Setback: Interior Setback: sideyard Setback: Rearyard Setback: Solar Setback: 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ DescriDtion Water Line State of Oregon Surcharge (12% of applicable fees) !~chnologyf~(5%-;Tpermit total) -- ~~"~.- Total Amount Paid Amount Paid $76.00 $9.12 $3.60 $88.92 Date Paid 05/06/2011 05/06/2011 _.~_..__.- 05/06/2011 ReciDt # 2011000893 2011000893 2011000893' Springfield Building Permll 5f6/2011 8:15:03AM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00765 IVR Number: 811176838596 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/06/2011 ISSUED: APPLIED: 05/06/2011 05/06/2011 225 Fifth 5t 5pringfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 11/02/2011 $0.00 SITE ADDRESS: 2433 CORRAL DR, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703244303500 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line Plan Review I Department Application Acceptance Received Due Date Comoleted Result 05/06/2011 05/06/2011 05/06/2011 Over the Counter Plumbing Review 05/06/2011 05/06/2011 05/06/2011 Comments: Over the counter permit 1,r)iti.~I..Rev!:Y"~ C'omrrierits: . "...."~ ".'" ,. .....~. Not Required INSPECTIONS REQUIRED I Inspections 3315 Water Line Reviewer Chris Carpenter Chris Carpenter 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 of plans will remain on the site at all times during construction. p~ ~r or Contractor Signature :716/(1' Date Springfield Building Permit 5/6/2011 B:15:03AM Page 3 of 3 PhiriIbing Permit Application "',;:;XOEPARTMENT.'USE'ON'LV:::({,j'fi Pennit no.: Sf I - ')& :> Date: 'J/b) I 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 \Vithin 180 days of issuance or if work is suspended for 180 days. "!:.;}";~:'.:;rI!OCAL:GOVERNMENT;APPROVAB'i(J;;:X:fi:~f;;~;i:; Zoning approval verified? 0 Yes 0 No Sanitation approval verified? 0 Yes 0 No CATEGORY OF. CONSTRUCTION . , o Residential 0 Government 0 Commercial :N\,O~OE3;SltE INFORIVlATION:!AIiIDA::(jCA'J'IQNfi,{{i,/:,; Job site address: tZ Y5 U" v-A ( City: >( p-,-,') Reference: t.' . , .PROPERTY,;OWNERi:"; Lvv--v/{ U-(, 5, ft"^- ZIP: 7 'N 7 . Name: Address: City: 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 INSTALLATION.. Business name: C..., t ;2t-J~- Address: 'Z. 5V '3 3 ZIP:97YOL City: Phone: E-mail: CCB license no.: Plumbing license no.: Print name: Signature: 440-2500-) (11/08/COM) ;j~'f~!,:',":,~,.~~:;-;?H.~~~~~';~;fr.*~)fEEtIS.CH E.O Ul:EHF1~;~"i_~'~;!;'~~_\~,~~i'::(:'i;-?:~~;J:~~:Y\~ :iR.e~:stlfi~i~hg;~{:~~~~!:;~~,:f:./~~,:;:E~~;i,l'~;(~i~;i 8~~' i:~;~1~~!;./.~: ,ToW';'!' ::~::Lc.o_~tt~~' : New residential I bathroom/I kitchen (includes: firsl 100Jeel of water/sewer lines, hose $238.00 $ bibs, ice maker, under floor low-point drains and rain-drain packages) 2 bathroomsll kitchen $374.00 $ J bathroomsl1 kitchen $439.00. $ Each additional bathroom (over 3) $95.00 $ Each additional kitchen (over I) $95.00 $ Residential fire sprinklers (includes piau 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 Of 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 r $76.00 $"1C:> Each fixt.ure, appurtenance, and piping $19.00 $ Storm water retention/detention facility $19.00 $ Irrigation systems $19.00 $ Piping or private storm drainage $19.00 $ systems exceedin~ 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) $58.00 $ K~~'i.~~i~g-~~~":'pipr~itn~,~;\1i4\:~~t{ii~L~:~~M~! Minimum fee $ Enter value of installation and equipment $ _' Enter fee based on installation and equipment value. I $ ." '~~~'i1"";,r"'"'"''-'''i'~']li1t!1~1Ii11l'~~,-~\;\''' ~t,'lt;id:%' _"""!lI;.,:A:I:~J~I:1ICA:N;r,,,USE - . _ . ,"~:, ""~ (A) Enter subtotal of above fees 7 (Minimum Permit Fee $58.00) $ (p (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ QI,3;- (D) Technology Fee (5% of [AD $ J 8:,0 TOTAL fees and surcharges (A through D): $ ~"t-'"= .. SP'~~:.:~~ L~:n ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00765 2433 CORRAL DR . CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541-726-3753 permitcenter@cLspringfield.or.us RECEIPT NO: 2011000893 RECORD NO: 811-5PR2011-00765 lDESCRI~TION:" ~', ":-.:f-~ '0 ." ,':i.\CCbUNJ"CODE '."- State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 __]:.e!,hnology fee (5% of permit total) 100-00000-425605 Water Line 224-00000-425603 ....._-- - -'-.---.--- ~ _.._------- TOTAL DUE: DATE: 05/06/2011 "'AMQUN'T.OUE 9.12 3.80 76.00 88.92 AMOUNT PAID . ~-" l::.~... Y.1!i!'I'lT TYPE" Cash ,PA YOR2':..".CASHiE'{{CCARPENTER~: ~ GARYS ROOTER & PLUMBING SERVICE LLC C..QrtlMEllTS ..;:'.~' ~. $100 cash 11.08 change ,.....",..,. J 88.92 TOTAL PAID: 88.92