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Home My WebLink AboutPermit Plumbing 2011-5-6 (2) SP~I~~~E~~ ..~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00770 IVR Number: 811112412338 www.ci.springfieICl.or.us PROJECT STATUS: STATUS DATE: Issued 0510612011 ISSUED: APPLIED: 0510612011 05106/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us EXPIRES: VALUE: 1110212011 $0.00 SITE ADDRESS: 1280 F sT, Springfield, OR 97477 ASsEsOR's PARCEL NO: 1703351104700 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace sanitary sewer Phone Number: OWNER: ADDRESS: REOPELLE EUGENE & E TE 1280 F sT SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor Contractor Name JOHN PHilLIP DECKER CONTRACTOR INFORMATION ~ Lic Type CCB BUILDING INFORMATION I # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 163936 Lic Exp 03/29/2013 Phone 541.726-6124 Lot Size: sq Ft 1 st Floor: Sq Ft 2nd Floor: sq Ft Basement: sq Ft Garage: sq Ft Carport: sq Ft Other: 0 Occupancy Load: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard AreaATTENTION: Oregon law requires you to Retaining Wall: follow rules adopted by the Oregon Utility Soils Report Re'jljll"ft~cation Center. Those rules are set forth in OAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 5/6/2011 1:19:16PM NOTICE: .... h",',.,'""'V",,, . THIS PERMIT SHALL EXPIRE IF THE WORK ,: AUTHORIZEO UNDER THIS PERMIT IS NOT ~ COMMENCED OR IS ABANDONED FOR ',S" ANY 180 DAY PERIOD. Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00770 IVR Number: 811112412338 225 Fifth St Springfield, OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 pe rmitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 05/06/2011 05/06/2011 EXPIRES: VALUE: 11/02/2011 $0.00 05/06/2011 SITE ADDRESS: 1280 F ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703351104700 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace sanitary sewer 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 I Descriotion Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I DescriDtion State of Oregon Surcharg.e (12% of applicable fees) Sa^nita'Y~e~er Technology fee (5% of permit total) Total Amount Paid Amount Paid $9.12 $76.00 $3.80 $88.92 Date Paid 05/06/2011 05106/2011 -,--- 05/06/2011 ReciDt # 2011000899 2011000899 2011000899 Springfield Building Permit 5/6/2011 1:19:16PM Page 2 of 3 S~RIN.GFIE...~... . .~ .. - "" . . .. ~:;~ . ~RfGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00770 IVR Number: 811112412338 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 05/06/2011 ISSUED: APPLIED: 05/06/2011 05/06/2011 EXPIRES: VALUE: 11/02/2011 $0.00 SITE ADDRESS: 1280 F ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703351104700 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace sanitary sewer Plan Review I DeDartment Permit Issuance Received Due Date Comoleted Result 05/06/2011 05/06/2011 05/06/2011 Issued Reviewer David Bowlsby Initial Review 05/06/2011 .05/06/2011 05/06/2011 Over the Counter David Bowlsby " , .~ . ..... . , 'I ~"",~ 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 at the front of the property, and the approved set of plans will remain on the site at all times during construction. t:>s--06-11_ Owner Date Springfield Building Permit 5/6/2011 1:19:16PM Page 3 of 3 Plumbing Permit Application ':'~r'DEPARTMENTUsE'oN'~yi~;N' Pe~ elf'Co((-;- 0= 770 Date: 5 - & - (I This permit is issued uuder 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. "'::i:;:"%;.':;'frpCAU '~OVERNNlEN:r.:APPR.OVAlS'41w0i'"';j!D':;;;,l' Zoning approval verified? DYes D No Sanitation approval verified? DYes D No CATEGORY OF CONSTRUCTION ~Residential 0 Government 0 Commercial ,,:S!i,;\\JOS:SITE 'INFORMATloN:; Jl:ND}l!iocATION:i~,\:i~/< Job site address: 11. '2,0 . f, SI' i City~ State: 0\' Reference: 7D S SI Taxlot.: .';'/':;:>,';~~~~,? :':'. .:h~~i~~';'-:- ,'D_ESCfUI?JION;!:,O'FhW,dRK:-:~;';~~y&;~g. ~:';,i:).l\~,{~~~}_~!; ;fE.jJ/- MG SA-/l/ IT#./ S G r.-Vr;/.? 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 . . .PROPERTY.;owNER"'.ii, Name: tYL9,/E RcOPEL!-,E Address: /2. '6CJ r. ST' City: MItV6-frCCf'J ZIP: Phone$'f/ -)%- q;og 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 INST ALLA TION ..,' Business name: fLOc.UGR \)/Uil/AJ.j. E 1(1:1 VIt~/rJ{y Address: ZIP: '1/'181 Ecmail: CCB license no.: [0>39 Plumbing license no,: Print name:5olftJ Signature: BCD license no.: " 440-2500-) (] 1I08/COM) :'fg:;':;'~.." ,::, ;:;r~:;"~~~.:.M~~?~;:;';.~~~:J.:~,tE E~?S,C H e,p ut Er~;g~;~.~~:'~'~~t~!,~)t/f!r~~::~~}~~;.}.~} '.h~';i~':if,'ti"';" ":1; .;. :'cose" i.Toiiil": ~ ,.'.0'):< 2~! i';;;':.~~~1F!.;: ;rJ:'_~9.~(t\ New residential 1 bathroom!l kitchen (includes: first IOOfeet of water/sewer lines, hose bibs, ice maker. underjloor low.point drains and rain-drain packages) 2 bathrooms/1 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 sDrinklers (includes Dlan 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 $ $ $ $ $ $ $ $ $ $58.00 $ $58.00 $19.00 $ $ Each fixture Miscellaneous fees 100' stonn, sewer, water line Each fixt:ure, appurtenance, and piping Storm water retention/detention facility Irrigation systems Piping or private storm drainage systems exceeding the first 100 feet Specialty fixtures Rei":spection (no. ofhrs. x fee per hr.) Special requested inspections (no. of hrs. x fee per hr.) Each additional inspection: (I) gMJ~'i~;r:g~~~!p'i~'i'~o;g~TI~~i~~;~~~J~:;n~'.;~~~~i M~nimum fee $ Enter value of installation and equipment $ Enter fee based on installation and equipment value. I $ ij{;,,,."'it~''''-'''''';iif'cM''jl!''iiFD,i'~'I''C~;'!N''':;;~iii''S'E'''',,~~OOi\1~1I!',"~_~"! ~:6~"'?~~~~~m"",*-'i.r.;_.....-"'"jl~\J,.m~~~~'ri~ (A) Enter subtotal of above rees 7 (Minimum Permit Fee $58.00) $ 76 (B) Investigative fee (equal to [A]) $ (C)EnterI2%surcharge(.12x[A+B]) $ 'tfL (D) Technology Fee (5% of[A]) $ 3bf.:::> TOTAL fees and surcharges (A through D): $ 00 c;.j au- I , .,. $76.00 $rb $19.00 $ $19.00 $ $19,00 $ $19,00 $ $19,00 $ $58,00 $ $58.00 $ $58.00 $ SP1~G~~ Ii!~EGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00770 1280 F ST CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 permitcenter@ci,springfield.or.us RECEIPT NO: 2011000899 RECORD NO: 811-SPR2011-00770 DATE: 05/06/2011 [DESCRI~TION".U';";!2:::;ZJJ!r;.:':'>r~:;':;:::;~'"",:.:, "'::..t~:,,;ii.;.;'C:AC'C-6(jNf~c61:iE; ':.!,.i_::. il.AMO(jNt[)UE~.:._L "~ ;\ Sanitary sewer 324.00000-425603 76.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 9.12 Technology fee. (5% of permit total) 100-00000.425605 3.80 TOTAL DUE: 88.92 r:PA 'iM€NT.;j:ye:€:;::Cf;:ii~y6R"{CASHIERrDBOWLSI3~~";'::.i:;;:::C()MMENfs'm:~j:!:'.;:l:l;-:~ ~;-",A,.IVJOU.NT;PAI\l';l?:-,~; _ .. .,';j Check flowers drain and 'excavating 88.92 7204 TOTAL PAID: 88.92