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Home My WebLink AboutPermit Building 2011-5-13 . CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00743 IVR Number: 811143119137 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 05/13/2011 05/04/2011 Issued 05/13/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci.springfield.of.us EXPIRES: VALUE: 11/08/2011 $1,400.00 SITE ADDRESS: 1319 M ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253302900 SCOPE: Bathroom WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: add toilet and lavatory Phone Number: OWNER: ADDRESS: SECRETARY OF HOUSING & URBAN DEVELOPMENT 20829 72ND AVE S STE 150 KENT WA 98032 CONTRACTOR INFORMA TION ~ Contractor Type Contractor Name KEVIN COHEN PLUMBING INC Lie Type PLUMBING # of Units: BUilDING INFORMATION I # of Stories: Height of Structure: Type of Heal: Water Type: Range Type: Hazmat: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: - Structural Specialty Code Edition: Lic No PB363 Lic Exp 07/01/2011 Phone 541-607-9208 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: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 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 Cenfer is 1-800-332-2344). NOTICE: . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR t\I~Y 180 DAY PERIOD. Springfield Building Permit 5f13/2011 10:50:52AM Page 1 of3 SPRIN....G.FIE~ .~ :. ~~. :: .~ ~ ~ .~.. '.?E\L, 'OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00743 IVR Number: 811143119137 225 Fifth SI Sprin9field,OR 97477 Phone: 541-726-3753 Inspection Phone. 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 05/13/2011 05/04/2011 EXPIRES: VALUE: 11/08/2011 $1,400.00 05/13/2011 SITE ADDRESS: 1319 M ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253302900 SCOPE: Bathroom WORK INVOLVED: Remodel TYPE: OF STRUCTURE:: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: add toilet and lavatory DE:VELOPME:NT INFORMATION' Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRE:D PARKING Total: Handicapped: Compact: PUBLIC IMPROVE:ME:NTS 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 Tvoe Unit Cost Value FE:E:S PAID ~ Description ~.~~!basin/la"~atory__ ! echno~9_g~J~~_f?~~.5).!.pe~it totall__ ___ State of Ore~on Surcharge (12% of applicable fees) Balance of Minimum Plumbing Permit Fees . Water closet SDC: Total Sewer Administration Fee SDC: Improvement Cost - Local Wastewater sac: Reimbursement Cost - Local Wastewater Total Amount Paid Amount Paid $19.00 $2.90 ~------ $6.96 $20.00 $19.00 $39.20 $257.16 $526.88 $891.10 Date Paid 05/04/2011 05/04/2011 05/04/2011 -~,--, 05/04/2011 '~.65/04/2iJT1--- 05/13/2011 05/13/2011 05/13/2011 . Reciot # 2011000866 "-""'-- 2011000866 ....--,--- 2011000866 2011000866 2011000866 2011000936 2011000936 2011000936 Springfield Building Permit 5/13/2011 10:50:52AM Page 20f3 SPRIN G flE~ -';7" ~ - Ai tJt! ... ~__::l OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00743 IVR Number: 811143119137 225 Fifth SI 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 05/13/2011 ISSUED: APPLIED: 05/13/2011 05/04/2011 EXPIRES: VALUE: 11/08/2011 $1,400.00 SITE ADDRESS: 1319 M ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253302900 SCOPE: Bathroom WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: add toilet and lavatory Plan Review I DeDartment Received Application Acceptance 05/04/2011 Comments: Updated by ACA Script Il~itiaIIR'eviev./ ". !;"~-' . . ~~lc6m~'Efrit1"'iih er'the!cQunte li'A"&"'""%"-' "'/":::;;\'~ Application Acceptance 05/04/2011 Due Date 05/04/2011 Comoleted 05/04/2011 Result Reviewe r App Submitted Work Au; admin admin 05/04/2011 05/13/2011 Application Accepted Initial Review 05/13/2011 05/13/2011 05/13/2011 Over the Counter Nancy Machado INSPECTIONS REQUIRED ~~~:r~y:~~~~~o;~:;';'. " ~,'-;~}:~t;?7~1 l~I~~'6~ng;R~yr~~.':~.~~~~ ~J;B~?f:.;~~5/1;~,~~,O~1~1,~?~~:jt~~2~~1~1:" ;~,{:,::1?!3g~-:1J;'::; ".~~~R:~~~~~~ L Comm,~~,t;s:::,#' o.l{~[~t~~:o~~te.~p~S-!llr~~:.fli .~~~,~J"',:r,~"j ~ '~~ .~4t::~.~3 :- "::':*'fP_ ;::"t',1fr.~ . Inspections 3500 Rough Plumbing 3999 Final Plumbing Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 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 Springfje,ld 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 al! times during constr 5-\:'~\1 Owner or Contract r S nature Date Springfield Building Permit 5f13f2011 10:50:52AM Page 3 of 3 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00743 1319 M ST CITY OF SPRINGFIELD. 225 Fifth SI Springfield,OR 97477 541-726-3753 permilcenter@ci.springfield.or,us RECEIPT NO: 2011000936 RECORD NO: 811-SPR2011-00743 DATE: 05/13/2011 !i:>ES.CRI!~j:jON~',;' ;l':;"~"~,,'I;f~ ~.;;::;V; .;.C~' ;,\;~.';'';;&\::l:!:-AC:C:OUNJ-,C6DE'' /"f,.-t,C.~~~AM01.iN:iLOUE;'-:Fi;'''{'l SOC: Improvement Cost - Local Wastewater 443-00000-446025 257.16 SOC: Reimbursement Cost - Local Wastewater 442-00000-448024 526.88 SOC: Total Sewer Administration Fee 719-00000-426604 39.20 TOTAL DUE: 823.24 ''''':''';~;, " :;:-;AMOUNT~A!D -";:; 823.24 b;f>AYMI':~lt\.:&kE' ,?':~,'PA YOB "CASHIER,'NMAc'HADo';' .;(",,~_ci,~':'EIiT.f .:. Credit Card Jeff MerIot 04562c V,J TOTAL PAID: 823.24