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Home My WebLink AboutPermit Plumbing 2011-6-17 Pfumbing Permit Application ;", 'iJO'_'.;:"o".c.....:'.'<.,.,,''', ,,,I" ',' ,,-<" ".<Y '\,\h,'; ,.;~i',;,;:".;::<..'i,~'~ '. \' DEPARTMENT USEONL y""YT' . - . .,. -,"," Pennit no.: 511 - Ollr PR Date: b - I 7 - ( / 225 Fifth Street. Springfield,pR 97477 . PH(541)726-3753 . FAX(541)726-36B9 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. . . "':'?';'i,).,i'.1I.iipcALl 'c;QVERNNlEN1'i AJ>PRQVAIS~;'m!'1i?~~:ijii Zoning approval verified? DYes D No Sanitation approval verified? DYes D No CATEGORY OF. CONSTRUCTION' " Residential 0 Government 0 Commercial 'c;'i,\iDJOB' .$ITE '1 N FORiVlA"\'iIClNi:A.N Dc" liocAJ:ION;i;J": ,"'f' 5 ,6.-r- -'-,j c.- . PROPERTY. :OWNE~),'f,. "7: tLAN'OC-'C ~ /-g Name: Address: City: Phone: E-mail: This installation is being made on residential or fann property owned by me or a mem"er of my immediate family, and is exempt from licensing requirements under OAR 918-695-0020. Signature: 3S::S >PFi~ ZIP: 97f(7. FL . CONTRACTOR INSTALLATION . 6 Address: City: Phone: E-mail: CCB license n Signature: 440-2500-J (IIIOB/COM) :~<:t:~?~.~ .' :L:::'::'lf~'!.1~~~~,~;~;'t;~~S-_F'EE{{S.CH EPlJ l{Etji~{'!_: "~~f~~?~:~~.~:!I~'r::~~.\~.~~.~!~} 1De'5~riptio~"', "i-'~'" .:", , :.;- - ',.. Rtf;. .Xos/') . '.TotaV') '''' ," ",:- :..l';>'~'r~~',':' -"'~ ::" ' t: ~';,,~ ~ . :"'L -.,,,~, ~:~~:;:.~~_~~~~);~ ~(;j=.~_~(r:~~ New residential I bathroomll 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/] kitchen $374.00 $ 3 bathrooms/] kitchen $439.00 $ Each additional bathroom (over 3) $95.00 $ Each additional kitchen (over I) $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-Cab (circle one) Connections to building sewer and $58.00 $ water supply Commercial, industrial, and dwellings other than one- or two-family Minimum fee I $58.00 $ '5"E:. Each fixture I $19.00 $ 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 $ svstems exceedina 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: (1) $58.00 $ f:M~W~j'jg~~~':~ipr~;;g'\f::~~,~;~~~t~~Y:<,:~~4:~ M~nimum fee $ Enter value of installation and equipment $ Enter fee based on installation and equipment value. I $ ~n~"';~~~'~'~-''''~-_;'~'''a-''~-';'''~~'T.;"~.ffi"' _ '~'w'~~.'"" lifff'~~,:~'lil"" ,~~p.[!ICAN;r~I.'JSE..j:t,~ ," "4 '"'i~ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ 5'8 (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ \ ^ ,exl (D) Technology Fee (5% of [A]) $ IJ .Q ) TOTAL fees and surcharges (A through Dj: $ [,C] SPR. IN,GFIEL~ Bii7 =, (f;17 .~. ~." .. ':"lh:""'_ - ^'Y~'~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01488 IVR Number: 811137683991 www.ci.springfield.or.us 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: 06/17/2011 06/17/2011 Issued 06/17/2011 ISSUED: APPLIED: EXPIRES: VALUE: 12/13/2011 $0.00 SITE ADDRESS: 353 S 68TH PL, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702353307300 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install new hosebibb Phone Number: OWNER: ADDRESS: BRANDEL DAN & CONNIE 353 S 68TH PL SPRINGFIELD OR 97478 CONTRACTOR INFORMATION ~ Contractor Type Plumbing Contractor Contractor Name EUGENE EXCAVATION & PLUMBING JNC Lie Type PLUMBING Lie No 20-435PB lie Exp 07/01/2011 Phone 541-461.1904 BUILDING INFORMA nON ~ # of Units: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # of Bed rooms: 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: Lot Size: Sq Fllst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information ~ Engineered Fill: FiIJ Volume: Flood Hazard Area: Land Hazard AreATTENTION: Oregon law requires you to Re~,","g Wall: follow rules adopted by the Oregon Utility SOIls Report RHl!IlI1lE!!ltlon Center. Those rules are set forth In OAR 952-D01-00l0through 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). NOTICE:" ;''''".:n THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT ;' COMMENCED OR IS ABANDONED FOR <, ~ ANY 180 DAY PERIOD. .-, ,; , . Springfield Building Permit 6/17/2011 11:02:10AM Page 1 of3 SPRI;G~E. ~~ ~Jt .. ~~.~ .~ .;,~ OREGON www.ci.sprlngfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01488 IVR Number: 811137683991 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 ISSUED: APPLIED: 06/17/2011 06/17/2011 EXPIRES: VALUE: 12/13/2011 $0.00 06/17/2011 SITE ADDRESS: 353 S 68TH Pl, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702353307300 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Install new hose bibb 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Description TVDe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I DescriDtion State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) __... Hose bibb Balance of Minimum Plumbing Perm~ Total Amount Paid Amount Paid $6.96 $2.90 $19.00 $39.00 $67.86 Date Paid 06117/2011 06/1712011 06/17/2011 06/1712011 RecilJt# 2011001670 2011001670 .2011001670 2011001670 Springfield Building Permit 6f17f2011 11 :02:10AM Page 2 of 3 SPR.~HG....: IE.L~ ~A.. ....~ ~,,; OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01488 IVR Number: 811137683991 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cl.springfield.or,us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 06/17/2011 06/17/2011 Issued. 06/17/2011 EXPIRES: VALUE: 12/13/2011 $0.00 SITE ADDRESS: 353 S 68TH Pl, Springfield, OR 97478 ASSES OR'S PARCEL NO: 1702353307300 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install new hosebibb Plan Review ~ Deoartment Application Acceptance Received Due Date Com DIeted Result 06/17/2011 06/1712011 06/17/2011 Overlhe Counter Plumbing Review 06/17/2011 06/17/2011 06/1712011 Not Required Reviewer David Bowlsby David Bowlsby Comments: Iniil~fReview' - :Comments: . Over the counter permit -'i,;'';'':-f.. '~06r17/20f1j '06/17/2'o"111Y:W6/.17/2()1l:-:- Over~tt'etCounler '0..,"" ~,;:-:;'~Davkf8OWlStJy'-'--"~~:'" ",':,' i,h:'1""".$',,-::+<"'_";\'.;,,:?';,~>';:;'i'-~_.~. ~"'. "",,, .__ ~ '" ' , , Over theicoun1er permit", 0i~ ,," :';'-!tc0 ':_:. ,.i. '"'; _ ..' "'_:_~;>'::'?<':_': ~. .i".. ,:,<", "';;k '~;'- ~'" ,'.,...F...."',.._">>> ...~. ',' .;.~. cc...J " ..'- ,..,.,",.~;- .~. , ... ',,~"~---'. "..-;. ,-,,"pi "1'- ''''',' ".~.. ~. i INSPECTIONS REQUIRED ~ Inspections 3500 Rough Plumbing 3999 Final Plumbing , _ .J 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 aU 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, .---- ~~~/ Owner or Contractor '~ature Su-v'/(lt; 2/;) Date Springfield Building Permit 6/17/20'1 11 :02:10AM Page 3 of3 SP~~N..G...:E.~ ~~ ~~EGON wm-J . cL springfield. or. u s TRANSACTION RECEIPT 811-SPR2011-01488 353 S 68TH PL CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permilce nter@cl.springfield.of.US RECEIPT NO: 2011001670 l[)ESCRi&TION~""" ~""~'i\,r:';'" "".','{{i,';,:+;;::;.'-' Safancs of Minimum Plumbing Permit Fees Hose bibb ----2Ete of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) RECORD NO: 811-SPR2011-01488 DATE: 06/17/2011 ""cl:. Fo":!., .; ';"ACCO,UNLC,O[)E'~.o'H:' .'? '~~ AMOUNT:DUE " .': I 224-00000-425603 224-00000-425603 821-00000-215004 100-00000-425605 TOTAL DUE: "[COMMENTS,l:,,!,:: ",~'>:;:',':A. ".: ,~..~._...._+--,.,...,."_."_..,,,...:'-="="~~ - 39.00 19.00 6.96 2.90 67.86 AMOUNTPAIDf.,,,,::. 67.86 .- J /-J I_P~XM~NTCriPE'!":~P~YQFl' CASHII'R:DBowLSBY". Check EUGENE EXCAVATION & 1752 PLUMBING INC TOTAL PAID: 67.86