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Home My WebLink AboutPermit Plumbing 2011-5-19 ~ SP~~,N~. fIEL~ ~~ ~.ORfGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01011 IVR Number: 811165115991 www.ci.springfield.or.us 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfieJd.or.us PROJECT STATUS: STATUS DATE: Issued 05/19/2011 ISSUED: APPLIED: 05/19/2011 05/19/2011 EXPIRES: VALUE: 11/14/2011 $0.00 SITE ADDRESS: 658 S 57TH ST, SPACE# 37, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802040000200 PROJECT DESCRIPTION: SCOPE: Plumbing Only WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential Replace waterlines underneath house and up to fixtures. OWNER: ADDRESS: DAVIDSON RUBY C 658 S 57TH ST SPACE 037 SPRINGFIELD OR 97478 Phone Number: Contractor Type Plumbing Contractor CONTRACTOR INFORMATION ~ Contractor Name Lie Type READY ROOTER DRAIN CLEANING & REPAIR SERVICE I cee BUILDING INFORMATION ~ Phone 541-744-7991 # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lie No 92524 lie Exp 02/18J2013 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 -ATTGm8:,!:COci;ujia'rfcy Loiid:!l'eS \'(JLI<1>O EI ct' al S 'Ity C d Ed't(011()W ..,,:es adop~sc, i;y ,he Oregon Utility e fie pecla 0 e I Ion:.. . ' NOtITlcatlorl Center. Those rules afe'set fo\l1ih Springfield Fire Code Editio% OAR 952-001-0010 through OAR 952:001- Mechanical Specialty Code !j.~ltlOJ1: You may obtain copies ot the rules:tJy Municipal I Development CodeDalling the center, (Note: the telephone Plumbing Specialty Code Editrd~lJlber for t~H1.pregon Utility Notificati<Dn Center IS ,1,800,332,2344). Residential Specialty Code Edition: ....' . Structural Specialty Code Edition: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 5/19/2011 11:07:00AM NOTICE" THIS PER"MIT f!~H~~IJ i~1~~~Z~~~1Jf~~; . D. Page 1 of 3 \~ 5PRIN.G.~. FIELD ~~'I. ;.~,~ ,<c.. OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01011 IVR Number: 811165115991 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 05/19/2011 ISSUED: APPLIED: 05/19/2011 05/19/2011 EXPIRES: VALUE: 11/14/2011 $0.00 SITE ADDRESS: 658 S 57TH ST, SPACE# 37, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802040000200 SCOPE: Plumbing Only WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace waterlines underneath house and up to fixtures. DEVELOPMENT INFORMA nON I Overlay Dist: # StreetTrees 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 Descrietion Tvee of Construction Unit Amount Unit Tvpe Unit Cost ,. Value FEES PAID I Descriotion Clothes washer --- -- - S~~k/basinl!~vat?~y Water heater -. - -~ ---- ----,.._._...._~--- Water closet - - ,~ - State of Oregon Surcharge (~2% of applicable fees) Technology fee (5% of permit total) Dishwasher Showe~Showerpan Amount Paid $19.00 ~---~- $57.00 - -- - - -- -~.,. ----~-~.",._~ -- --_..,,_.,~-.-._- $19.00 r__.__..___ __._____ $38.00 $22.80 $9.50 *"---_.~,--~"--,, $19.00 $38.00 $222.30 Date Paid Reciot # 05/19/2011 2011001151 05/19/2011 2011001151 ""-"----_._..'----~._------_.- -- 05/19/2011 2011001151 .__.~ -- -.------ 05/19/2011 2011001151 "____0-,,_- 05/19/2011 2011001151 05/19/2011 2011001151 05/19/2011 2011001151 05/19/2011 2011001151 Total Amount Paid Springfield Building Permit 5/19/2011 11:07:00AM Page 2 of 3 .. Sr~NG:~L~ ~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01011 IVR Number: 811165115991 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: 05/19/2011 05/19/2011 Issued 05/19/2011 EXPIRES: VALUE: 11/14/2011 $0.00 SITE ADDRESS: 658 S 57TH ST, SPACE# 37, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802040000200 SCOPE: Plumbing Only WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace waterlines underneath house and up to fixtures. Plan Review I Department Application Acceptance Result Over the Counter Received Due Date 05/19/2011 05/19/2011 Completed 05/19/2011 Reviewer Nancy Machado Plumbing Review 05/19/2011 05/19/2011 05/19/2011 Not Required Nancy Machado Comments: Over the counter permit Iht!~~~.~,~v~~:" ,~~.,:'4-~:: -'~~-:;~=~3~;~~511;~2,~!:j,: :,:E~j:Q(~OJ };,:~{~~p_~~{~~N_~:;~,:,O~~(t,~~q~y~?~~:;'_~~c~--~, _~ti,~~~':~,;~tz~dQ, ~:1' ~'>:-~'~'._:_\1~!~~-~:::~}-:,_;_' ,~l.,. Comments.> OverJhe,counter permit , _ ! f',,-.-n ,\; ",_-:;~",";--'\!'-^_ ~<' ,'J 2~;t'-'-':'-," A"" -" " ',;;, :L__'-' __ ,"'" '-~ ',,' '--''''0- '7' , , . ".",,_ ';;1"""'- -'~-i'-,- ,-- " -- ",,':#' ','---;,,:,~ ,,__ ~ __ '__'_,' -^'4i._,-_,;0..'S', --";::'",""," ~,,- '1 '"^ ',-'--". _ 0',,"";: -,~.-: c. ," ';( -"-- -"-- ,'" ,--,-- ,,---~_2~'"- ,""""j--' _,'\':;,; ,__ ',', ,'__ ,-- '," " ' INSPECTIONS REQUIRED ~ Inspections 3500 Rough Plumbin9 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 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. 17~ fA)~ 5-/1- ! ( Owner or Contractor Signature Date Springfield Building Permit 5/19/2011 11:D7:00AM Page 3 of 3 Plum'bing Permit Application . . -:., "';.;,~, ,;".~., -''':' -''', ,"',- '-.-/', .,' ,.,;"i.,' ..:' 'Co ~''"'J', > .' "".'<-,,""',"'~~'_,i'_ ~ ",': D!=pARTMErilT. USE-ONLy,~,,,,i; .' ,- Pennit no.: 225 Fifth Street. Springfield. OR 97477 . PH(541)726-3753 . FAX(541)726-3689 Date: I 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. 'q,% ;.:;;iEQCAL;GQVERNIVIENT'ApPRovA~'fjf>!;,?{:!jl;!Sf~'iF Zoning approval verified? 0 Yes 0 No Sanitation approval verified? 0 Yes .0 No CATEGORY OF. CONSTRUCTION City: ZIP: '17 <176 1', Phone: E-mail: This installation is being made on residential or fann property owned by me or a member afmy immediate family, and is exempt from licensing requirements under OAR 918-695-0020. Signature: '. CONTRACl'OR INSTALLATION Business name: J€etl~ ()d';~ -r C. ,. tYJ"" Address: City: t;; v ~ Phone: E-mail: I/u,.,b,,, ZIP: ,CCB license no.: D'1J, S::< S43f5 TP BCD license no.: Plumbing license no.: Print name: Signature: ,,/'0"-(>'1 440-2500-) (ll/08/COM) ,- :~. , IL~';!'C'~:/':' . :~~:,~?;e:.::;.~~~rji;;.~~~r:EEE{~f$.bH E_b(J({Ei:in:;;(~>".0}r~~?~;>Cf!::5r~~'fH~;!:~I ;:1fi~:~~4:i~Bt~e~~1;'t1~~~~1'}i.:~i}i~,{;{;~1~~;f_~~~\ g~'1. i"~~~~~l~:~~~' ~_\~.~~~.r~::'~ New residential I bathroom/l kitchen (includes: first J 00 feet of water/sewer lines, hose $238.00 $ bibs. ice maker, under floor low-point drains and rain-drain packages) 2 bathrooms/l kitchen $374.00 $ 3 bathrooms/l kitchen $439.00 $ Each additional bathroom (over 3) $95.00 $ Each additionaJ kitchen (over 1) $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 $58.00 $ water supply Commercial, industrial, and dwellings other than one- or two-family Minimum fee I I $58.00 I $ Each fixture II 01 $19.00 I $1 <to Miscellaneous fees 100' storm, sewer, water line $76.00 $ 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 exceedine: the first 100 feet Specialiy 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: (1) $58.00 $ f;tvj~ijJ~~:_i:!g~;~pipj~~g~~t~i:{i~;~1i~~'I{~)i;,::~~~~~i) Mjnimum fee $ Enter value of installation and equipment $ Enter fee based on installation and equipment value. I $ "'''<'''!!~~'i~'"r1'~~;A;RRi:!'lcPiN;n'itisE~~ill'i'~~''AA\ -~":';-7.:il;;",,,,~.<~ -~J~!>':< d".j!CA:.,..'._~.,0_;;',__ _'lIi',;:;~i~ ',,' ".'F:<-l:,'??)f.( (A) Enter subtotal of above fees I"/O~f-- (Minimum Permit Fee $58.00) $ (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ 22~'" (D) Technology Fee (5% of [A]) $ "1 -:>.2 TOTAL fees and surcharges (A through D): $ 22 2-. ' o t; . ' SP~~N:~L~ .~~ IX-OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.cLspringfield.or.us 811-SPR2011-01011 658 S 57TH ST. SPACE 37 permitcenter@cLspringfield.or.us RECEIPT NO: 2011001151 tDESCRIPtION::''::.,:, 'j,;",~;yc;;;, ;. ',';'{"o Clothes washer Dishwasher Shower/Shower pan Sink/basin/lavatory State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Water closet Water heater RECORD NO: 811-SPR2011-01011 DATE:. 05/19/2011 l"""';';Zi~;..':';' : 'ACCOUNT-CODE;. >.,,;,';' "'~ AI'v10UNT..DUE..,':.L...':-..-'! 224-00000-425603 19.00 224-00000-425603 19.00 224-00000-425603 38.00 224-00000-425603 57.00 821-00000-215004 22.80 100-00000-425605 9.50 224-00000-425603 38.00 224-00000-425603 19.00 TOTAL DUE: 222.30 ;,{ 'c:.QM.MENfs~;t,.~,,;:; . . ..,- '.,;;l,,~;iit}\MOUNT PAID ,,;;~'j.,;; . . ','1 222.30 l1~Y.ni1INLD'gEr:k~AYQI!~~"ASHlER;'NMAcHA[)o)L;;,,:' Check READY ROOTER DRAIN 17561 CLEANING & REPAIR SERVICE TOTAL PAID: 222.30