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Home My WebLink AboutPermit Plumbing 2011-5-26 Plumbing Permit Application 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(54 1)726-3689 .--', ':~". ~"':"_-~'-.";i';-i'-"'", '-"'\ . '~":"""_ . ,> '. ,_,,>;'.z.)~:..,~_~ '<7.'. H", DEPARTMENT USEONL, Yi):;~f Pennit no.:~ I -SP2--20 I I - J Date: $- 2-Cf> - 1 I )/ (5; I This permit is issued under OAR 918-780-0060, Permits are isstred 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, :~-"~,f,;:;~;~';" ,'ri!!OCAU 'GOVERN M EN,-. PoP P RbI/Al!l41J:o'\].t':;F~"~" Zoning approval verified? DYes D No Sanitation approval verified? DYes D No CATEGORY OF CONSTRUCTION' esidential D Government D Commercial 'sciUJJOB:SITE INFORMAl'ION;iAND;;toCATlON~:h}'C, O~ <b~ C\ Toxlot.: ,DESCRII?TION,j OFiW.ORK,';:f[l~'~::~'\':I('P'+jf) i: ~.vsf-v-I.. I.. ~ .u II\- \-0.-"" ~ Z"'-~ "'---- \l:...- 7A-o........-.c .. .PROPERTY;OWNER:;:r~ ';,:,i,,"'i;:i~~;Ai~';-:~i Name: ~'^-\~ City: Phone: 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 918-695-0020. Fax: Signature: Address: City: Phone. E-mail: Signature: 440-2500-J (11/08/COM) ;h't';':','. ;~,~?~,;'/i~{:~?~~~{t~fEE{rS_Cf{ EOU l:Er:n~j; ,;:-:r$.~r~:_~;~.~:f:~~'~'f;:~l;i~~!_~J, ;'iR~~:4:~~RiJCi,~j~t~~~~~~%\:i:;~<'( ~~';~J,\ ~."1{.1 g~~' ~~:;~~;lh~ ;~;~::~.~j1tt~: New residential ] bathroomll kitchen (inciudes: first 100 feet of water/sewer lines, hose bibs, ice maker, under floor low-point drains and rain-drain packages) 2 bathroomsll kitchen $374.00 3 bathroomsll kitchen $439,00 Each additional bathroom (over 3) $95.00 Each additional kitcben (over I) $95,00 Residential fire sprinklers (includes pla'n 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 $ Each fixture I I I $58.00 I $ I $19,00 I $ Miscellaneous fees 100' storm, sewer, water line Each fixt.ure, appurtenance, and piping Storm water retention/detention facility Irrigation systems Piping or private storm drainage systems exceedinp the first 100 feet Specialty fixtures Reinspection (no. ofhrs. x fee-per hr.) Special requested inspections (no. of hrs. x fee per hr.) Each additional inspection: (1) $76.00 $ $19.00 $ $19.00 $ $19,00 $ $19.00 $ t~( , $19,00 $;2).9'; $58.00 $ $58.00 $ $58.00 $ Mjnimum fee $ gM~'d'i~~"i1g~{pfp'f~g~t;r.~~Q~;~.t'r7t;~;~'}i~f.4M'~; Enter value of installation and equipment $ Enter fee based on installation and equipment value. ! $ "~. ,..,,,,~~_~,"u.~......,.,,,.._.,,_,...~~,~ ~'\'''&''e.~_~e'p'l!IC~N;riliUSE~ ... _.,'~ (A) Enter subtotal of above fees (Minimum Permit Fee $58,00) (B) Investigative fee (equal to [A]) (C) Enter 12% surcharge (.12 x [MB]) (D) Technology Fee (5% of [A]) TOTAL fees and surcharges (A through 0): $ A.;) 7 ? $ JZ? ~1/'5 6 $ IL\Ol?'\ $ p-'~9 It V . .. - i.~L~ .... ~~~ , ,- OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01181 IVR Number: 811107748142 www.ci.springfierd.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: OS/26/2011 OS/26/2011 OS/26/2011 SITE ADDRESS: 205 S 54TH ST, SPACE# 1, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702330001200 EXPIRES: VALUE: 11/21/2011 $0.00 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Installing individual water meters for each unit. Space number 1 thru 121. 121 Total Phone Number: OWNER: ADDRESS: CHALET VILLAGE MHC LLC 450 NEWPORT CENTER DR STE 595 NEWPORT BEACH CA 92660 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name SNIDERS PLUMBING & DRAIN CLEANING LLC Lie Type ceB # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heal: Water Type: Range Type: Hazmat: o # of Bedrooms: Sprinkled Building: Fire Alanns: 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: Lie No 184589 Lic Exp 11/12/2012 Phone 541-461-0166 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 ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: NOTICE: WORK THIS PERMIT SHALELRETXH~~~~~~~TEIS NOT AUTHORIZED UND COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ATTENTI'ON: Oregon law requires you.~o follow rules adopted by the Oregon Utility Notification Center. Those rules are set fDrth in OAR 952-001-0010through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the tele~hone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 5/26/2011 1:31:11PM Page 1 of3 . Wf~L~ 'n..'}, ~EGON www.ci.springfield.or.us CITY OF'SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01181 IVR Number: 811107748142 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued OS/26/2011 ISSUED: APPLIED: OS/26/2011 OS/26/2011 EXPIRES: VALUE: 11/21/2011 $0.00 SITE ADDRESS: 205 S 54TH ST, SPACE# 1, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702330001200 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Installing individual water meters for each unit 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: DownspouUDrains: Valuation Description , Descriotion Tvee of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ DescriDtion State 0(0(890" SurCharge (12% of applicable fees) Fixture Technology fee (5% of permit total) Total Amount Paid Amount Paid $275.88 $2,299.00 $114.95 $2,689.83 Date Paid OS/26/2011 OS/26/2011 OS/26/2011 ReciDt # 2011001321 2011001321 2011001321 Springfield Building Permit 5(26(2011 12:51:31PM Page 2 of 3 SPRING...F IE~ .~ . "~t ~ ,/'; OREGOl>t CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01181 IVR Number: 811107748142 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permltcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued OS/26/2011 ISSUED: APPLIED: OS/26/2011 OS/26/2011 SITE ADDRESS: 205 S 54TH ST, SPACE# 1, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702330001200 EXPIRES: VALUE: 11/21/2011 $0,00 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Installing individual water meters for each unit Plan Review Department Application Acceptance Received Due Date Completed Result OS/26/2011 OS/26/2011 OS/26/2011 Over the Counter .-.- ---_.,~------.,.~ - -~~~ !Permi1 Issu~_nce' .' OS/2~/2?11 ~5/26!2_011-: OS/26/2011 '.' Is,,-ued. .', ,-'-:. -. i.~"__:_L__;:~~,,,_..._,~'~_~~__~~.,:,.':; -~>;~~~__:~~~~ . ';1 Plumbing Review 05/26/2011 05126/2011 OS/26/2011 Not Required Comments: Over the counter permit 'Initial Revj~~ ,'--' ~05!26i2'01T "Comments:'" Over the" cbuntE3fpermif, ~ Reviewer Nancy Machado Cf'. Nancy.Machado. ,;',,' ...,!; ,...." I ,] ,. \_':;'-. Nancy Machado '-..j " ..;--. \ '.<' ::;+ Nancy: Machado -~l ...~ Over the Counter Inspections 3315 Water Line INSPECTIONS REQUIRED ~ 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 CZ?~.lA~ cr-~~-I/ v Owner or Contractor Signature Date Springfield Building Permit 5f26f2011 12:51:31PM' Page 3 of 3 .i~~ )\ OREGON www.ci.springfield.or.U5 TRANSACTION RECEIPT 811-SPR2011-01181 205 S 54TH ST. SPACE 1 CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 permilcenter@cLspringfield.or.us RECEIPT NO: lDESCRIP-TION, Fixture 2011001321 ,.,. ec" RECORD NO: 811-SPR2011-01181 ACCOUNT-CODE 224-00000-425603 821-00000-215004 100-00000-425605 TOTAL DUE: DATE: OS/26/2011 , AMQUNTcDl.JE 2,299.00 275.88 114.95 2,689.83 'AMOUNT PAID 2.689,83 I State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) I PA '(MENT TYPE, Credit Card 064815 PAYOR'" CASHIER: NMACHA'DO\~~:-:' sniders plumbing I bill snider . c"~ ,. " 'C_<2-MME~'rS' .:; ~. . ";." """ I TOTAL PAID: 2.689,83 SPRING.FIEL;1iI ~'\,\.. -.. r~ OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth Sl Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01181 205 S 54TH ST, SPACE 1 permilcenter@ci.springfield.or.us RECEIPT NO: 2011001321 lOESCRll:TIQN Fixture State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) RECORD NO: 811-SPR2011-01181 DATE: OS/26/2011 ,'nn'hi !'iAc_c.cH.lNiTt:c:OOE'iAMODNiT1D:uE'i:1r" 224-00000-425603 2,299.00 821-00000-215004 275.88 100-00000-425605 114.95 TOTAL DUE: 2,689.83 '"m~'PAY'OR CASHIER: NMAcHADO ;::[f;if?:; i,HtBJ}P;,'tc'O'MM'ENTS:c;;mr':":;"!ffmi ""';,:m::!'};:::,,+'''' 7)AM60NT"~Alb.1,:;n~?;ml~Jiff;":'r:'i''''' sniders plumbing / bill snider jl: TIT!' PAYMENT TYPE: Credit Card 064815 2,689.83 TOTAL PAID: 2,689.83 ; ~