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Home My WebLink AboutPermit Plumbing 2011-7-13 Plumbing Permit Application . ",' Of. ~"~;.".<' "",c;T"~c.''','' ,_'..,~'1 .,...-. t '.'~n'."}\);''',-'':'-.'<;..-,i''', .' DEPARTMENT USE'ONlyc;{iif; , ..'.. ",.......v. 225 Fifth Street. Sp,ingfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 Permit no, 5/1- () /3.S b Date: 7 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 ofissuauce or if work is suspended for 180 days. ':,;!f":f,"?rl.iocAl: 'c:;()VERNMENt.A:PPR()VA.I$fij'~?;:!'\:~\,:;:1i\j:i Zoning approval verified? DYes D No Sanitation approval verified? DYes D No CATEGORY OF CONSTRUCTION . I....~ Name: 0 Address: 6 Z b City: SRF b Cj71.{7 Phone: 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 .INSTALLAl:ION L Address: City: . Phone: E-mail: ZIP 7 ?'-It.{b -s~ Print name: Signature: .' 440-2500-) (11/08/COM) :'r::{'(t,\: ;~:,;r:..~,:;<.q~~~r~~~if~'~,:,ftEEff.S.C.H EOD li:'E!~j;:':,~~,-'(,:,,~?(t:!~:~;,~:f:'~0'.;).~\if~\t~} ;6~s~r'i'p';'Hi:ii\;:yg(k~\:.i(i.:,:.::\::::::,,>i 'Q'ty': :Cos~;::. :.To/ii,I-"' .:;, [.~~,'';;:,,''::;.;~ \~,;_~:~'T,:y6;1;:;tifJ~!;;:\,'i~}~~;\;:;'-;:t';'i )):.~'(;('> :.,,!.. ..,<,~ _ .~:.'l~~;..e;1;.;:)~./,: ';;:-.;': c.<<J_s.1f~. New residential 1 bathroomll kitchen (includes: first 100 feet of water/sewer lines, hose bibs, ice maker, under floor 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 sprinklers (includes nlan 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 Miscellaneous fees -11)0' stonn~ewer, waler line I Each fix~re, appurtenance, and piping Storm water retention/detention facility / Irrigation systems Piping or private storm drainage systems exceedino- 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: (I) $58.00 $19,00 $ $ $76.00 $~ $19.00 $ $19.00 $/ "j $19.00 $ $19.00 $ $19.00 $ $58.00 $ $58.00 $ $58.00 $ $ ~MJ~:i~~T1g~:s~~fp'i~~g'~riW~~~~~~~~;)~?;+fft~'~~~4~~~,i Mi.nimum fee pnter value of installation and equipment $ Enter fee based on installation and equipment value. I $ ~;~~~:'t:;~~t;~~~'~{"1'"!~:'~:<<eE~iG'ANfu;?1i~fsE~zrR.~;t;~~~~~~~~B? -;sc.".,~~,;q;,~~,]'9!,*~,_ _.._E._ _._~.".~_.__.._. w;i"~~~~~"rJ~~ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Investigative fee (equal to [A]) (C) Enter 12% surcharge (.12 x [A+B]) (D) Technology Fee (5% of [A]) TOTAL fees and surcharges (A through D): $ 9 r- $ ~ $ /1"" $ l{ 7~~ $ II I I' III~ SP~~H.. ~.. FI:L~ ~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01356 IVR Number: 811162928648 www.cLspringfield.OLUS 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permftcenter@ci,springfiefd.or.us PROJECT STATUS: STATUS DATE: Issued 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/09/2011 EXPIRES: VALUE: 01/03/2012 $40,000,00 SITE ADDRESS: 626 28TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361111800 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition to existing single family residence Phone Number: 541-747-0316 OWNER: ADDRESS: JEAN STEPHANIE STONE REVOCABLE TRUST 626 28TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor General Contractor Contractor Name RILEY PLUMBING & CONSTRUCTION COMPANY lLC KEITH lEESMAN lie Type CCa CCa Lie No 169050 72082 Lie Exp 03/14/2012 04104/2013 Phone 541-998-8092 541-995-6157 # of Units: BUILDING INFORMATION I # of Stories: 2 Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: No o Occupancy Type Construction Type Occupancy Type Construction Type R-3 Type VB U Type VB # of Bedrooms: Sprinkled BUilding: No Fire Alarms: No 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 Ft 1st Floor: 311 Sq Ft2nd Floor: 311 Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 37 Occupancy Load: 2008 Site Information I Engineered Fill: Fill Volume: Flood Haz~NlflON: Oregon law requires you '.0 Land HazY6~&.CJ''ti.lles adop'.ed by '.he Oregon U'.lltty Retainin!N'i\'iI"cation Center. Those rules are set forth Soils Re~R'Wtl'l'!iW001-0010 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 Center is 1-800-332-2344). 'OOIt/3d A't/a Og~ AN't/ 1:I0::l 03NOON't/8't/ 81 tIO 03::JN3lJ1JlJIJO::J ION 8111lAlt/3d 81HI t/30Nn 03ZIt/OHIn'tl )It/OM 3HI ::l13t/ldX3 11\tH8 IllJlJt/3d 8tHl :3:JllON Springfield Building Permit 7/13/2011 8:59:42AM .,~ .:~'<" ';:.:,. . . ': ' Page1of6 SP~.IN. G.f IE. L~ .--~ ,:.% t!b ~~.'bREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01356 IVR Number: 811162928648 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.OLUS PROJECT STATUS: STATUS DATE: Issued 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/09/2011 EXPIRES: VALUE: 01/03/2012 $40,000.00 SITE ADDRESS: 626 28TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361111800 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: 228 Interior Setback: Sideyard Setback: 30 Rearyard Setback: Solar Setback: 21.5 Addition to existing single family residence DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: '% of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING No Total: Handicapped: Compact: 21 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: 99 Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Bid TVDe of Construction NA Unit Amount Unit Tvpe 40,000.00 Bid Unit Cost 1.00 Value 40,000.00 40,000.00 Springfield Building Permit 7/13/2011 8:59:42AM Page 2 016 SPRINGFIElD ~-'C -, ~.;, !$J1 -,~,,, OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01356 IVR Number: 811162928648 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 . www.ci.springfield.or.l.Is permitcenler@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/07/2011 ISSUED: APPLIED: 07/07/2011 06109/2011 EXPIRES: VALUE: 01/03/2012 $40,000.00 SITE ADDRESS: 626 28TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361111800 SCOPE: Single Family Resjdence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition to existing single family residence FEES PAID I Description Amount Paid Date Paid Reciot # Structural Plan Review Fee Residential $254.83 06/09/2011 2011001505 SDC: Improvement Cost - Storm Drainage $113.52 07/07/2011 2011001921 Water heater $19.00 07/07/2011 2011001921 Fi;;tApplian_ce ~ee~=-~=-~-=--=---==-'-,=,,-=:~:~= ~~--.__. ____ $7900 _..._. 07/07/2011_~_~11 001921 Admin fee (10% of apP.!.ic,:b!e f~es)._._... ...... __. . _.' ~3:~....__ ..07/0~/2~~.___. ..._..~011002.921_ Residential Fire (.05 Per Sq Foot) $32.95 07/07/2011 2011001921 SDC: Reimb-~rseme;'t-Co~i-- L~c~1 Waste;,.,,~t;r -"$922.04- ---_.-"'--07/0'712011- -- -_. - --."' 2011-001921 ___ ,w,_,,'___...,__~--..l-______. _~_,.__~.__~___ ___ ___~_~"'_'W___ SDC: Improvement Cost - Local Was~water $450.03 07/07/2011 2011001921 SDC: Total Sewer Administration Fee $78.18 07/07/2011 201 1 001921 --- - ---_..._-- ~ .--.--.-.-.,- ,........"..._."~".__."',,._."--_... -.- -'--. --_.."-- 2e.C: Reimbursement Cost.. Storm Drainage $78.02 07/07/2011 2011001921 Planning - Minor Review.. City $119.00 07/07/2011 2011001921 Technology fee (5% of permit total) $28.30 07/07/2011 2011001921 State of Oregon Surcharge (12% of applicable fees) $67.93 07/07/2011 2011001921 Sink/basin/lavatory $38.00 07/07/2011 2011001921 ~ower/Shower pan $19.00 07/07/2011 2011001921 Stru_ctural-'?~~din9_ ~!,!mit .I:'-.e_ $392.05 07/07/2011 2011001921 Water closet $19.00 07/07/2011 2011001921 - ----------- --_.-..~.._,,_._.-.._------- Drywell ....__.. ""'_' ...__._. $19.00_07/1~/3.9!.2...._._ __..~D1.~~03004. S_torm~~w~__ _'_'__ _._ ____._...___ ______... $7600 ___~/1.~3~1..._ _...__..3~1..~02004 Tec~~9.9.Y fee (5% of p~rTT1il.total)______.... $4.75 07/13/2011 2011002004 State of Oregon Surcharge (12% of applicable fees) $11.40 ..___0~/.1]!201:':=--=- - 2oi1002004 Total Amount Paid $2,825.30 Springfield Building Permit 7/13/2011 8:59:42AM Page 3 of6 SprING.__. FIE,~ ~,.L", ,,,{~ . ~-X::;f;: OREGON. www.ci.springfreld.or.us , CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01356 IVR Number: 811162928648 225 Fifth 5t 5pringfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/09/2011 EXPIRES: VALUE: 01/03/2012 $40,000.00 SITE ADDRESS: 626 28TH ST, lipringfield, OR 97477 ASSES OR'S PARCEL NO: 1703361111800 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition to existing single family residence Plan Review ~ DeDartment Initial Review Received Due Date Comoleted 06/09/2011 06/09/2011 06/09/2011 Result Approved Reviewer David Bowlsby :e /& Structural Review 06/0912011 06/09/2011 06/16/2011 Add'llnfo Required Comments: Engineering was not provided for non-prescriptive elements- Arch contacted 6/16. ~36Ii~.~~rks.R~iJ~~-_~"c'::~7;~_~~~(.~g!2.~~~~; _ ;_P_~{?~~~~p~.~~:v:e~~~.;;: $I . L:C_o~m:~~~"_'8tgnn_,'.\I~J~fJ9~~lstt~~-~ratnage~fi:<r:F'ii ' '. ."~ ;r+' Structural Review 06/09/2011 06/09/2011 06/21/2011 Waiting Internal Chris Carpenter Chris Carpenter. ;_P~anni~g Reyiew' . -- ., 06/0912011' '-'i:i6709/20U"'oii728120i'"fr- 'Approved :-, ,_ ~ '7, ~'filr;j.Jon1,r: ': ":~~"~~3~ '~.;i:L~~i' ~'l~:~_;~:':}':~r.;'~~~:(~~,~:'~~ '~" ""''''-''''''''-'-r... "-~"'\ , . Structural Review 06/09/2011 06/09/2011 07/06/2011 Approved Chris Carpenter Inspection 07/07/2011 07/07/2011 07/08/2011 In Process Robert Castile Comments: Inspection in process Springfield Building Permit 7f13/2011 8:59:42AM Page 4 of6 sp. ~IN..':- FIE..~ . ~"'.... i~:~ ,~ -' """~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01356 IVR Number: 811162928648 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or,us PROJECT STATUS: STATUS DATE: Issued 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/09/2011 EXPIRES: VALUE: 01/03/2012 $40,000.00 SITE ADDRESS: 626 28TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361111800 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition to existing single family residence INSPECTIONS REQUIRED ~ Inspections 1110 Footing 1220 Underftoor framing 1260 Framing Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Undertloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ce[lfng 1530 Exterior Shearwall Ceiling Insulation: Prior to cover. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Underfloor Plumbing: Prior to insulation or decking. 2300 Rough Mechanical 2999 Final Mechanical 3170 Underlloor Plumbing 3315 Water Line 3500 Rough Plumbing 3999 Final Plumbing 1020 Zoning/setbacks 3400 Storm Sewer Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 3450 Drywell/Soakage Trench Storm Sewer Line: Prior to filling trench. Drywell: Engineered Drywell is Required. Springfield Building Permit 7/13f2011 6:59:42AM Page 5 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01356 IVR Number: 811162928648 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 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/09/2011 EXPIRES: VALUE: 01/03/2012 $40,000.00 SITE ADDRESS: 626 28TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361111800 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition to existing single family residence 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. ~4L~~ 7- /'""2,_// Date Owner or Contractor Signature Springfield Building Permit 7/13/2011 8:59:42AM Page 6 016 . . . JIbS zI " . H/Uo. OF DltWlf,U. ~. l'q f . INAL-m-T10N ,^T& (lNIlItz.) ~ 0,/ ;y hr T. . M#IlQMUM t.LUl\IIt.&L& f>TO~ TlM& OF ....&U.(lI~) Vr . VOID ~T10 ....f,U. M&oIUM @ MAl'. h.. H/Uo. OF ItUNDff TO DICMf,U. ~. f't) q, . ItUNOff ~OUNT ~ D"Y (IN.) @ MINIMUM 0.. . D&1'TII OF ....&Li.. (l'r.) <! MI'9 Do .. D&1'TII Of '&OIL t:.OV&\QNf" D(l.Y\OIf,U. (f't) Do f t ' <- (Jfc-lerc d:2> ,~ t ~ c/ on~ ," ",bu- O"e>.-t r;C ~, L .-/ Po 10 DVf;ltf1.DvI 0.. ~.... . ...-!. f>U. ~ l\1toII y:!~1Ql TN>IL NOT& ., 6r .,. ~;;m~~i~fiii~~~illii~~m~~~igi~ii~~~Uili:i~ NOT€. .1 0.. . Do MUfoT NOT &lCl.UiP D&1'1lI TO . Tl\& ....INreltItIl.ll ....,..T&lt T~. NOT€. .,. f>&& INPlVlpU#>.L LOTIJq)Of P!tNN P(l.Y\OI&LL f>C.t\&MA"m. 'liTO. P\OIG.. 4-u TO fIND Afl.E,A.: J h.J(;: . "IN'b.F: j/0S)( He = A = B 0.- J I 5 f VrlC-o.. .3>< :?> . 'J TO VE.tz,lfY DAAW DOWN TIME. (MU'i>T &f. < 1.4 t\outt'i>j A I ;J.LN'" h.lC-~ . .)( --'- 01 , n. (n) .T.(l\O~) 17.. =: J1 !-- =-)1-" (:u.... "")0.. f (J.L .J;(" ) (3) I J,Lr)/.I) 0) ~!r()O =~ - - .. ..... CITY OF SPRINGFIELD Sl'AIlIWlD . DEPI'. OF PUBIJC WORKS 1lIIA1IING 22\1 _ &mar DRYWELL SIZE COM PUT A TION SPJI\IraJUlll. OR. 8'14:n 4-19 SPRING.. FIEl~ J.~.-.ii$J&w_ --7,--~ OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01356 626 28TH ST permitcenler@cLspringfield.or.us RECORD NO: 811-SPR2011-01356 DATE: 07/13/2011 . '''J''F~,-'-f, "",,, J:.ll,~:~;: c' :_;:Ac;c6iJN;rtC0DE~;':t!,,\1VI0UN;rzDl.JE ~.; . I 224-00000-425603 19.00 821-00000-215004 11 AO 224-00000-425603 76.00 100-00000-425605 4.75 TOTAL DUE: 111.15 ,3!.A YM!,Nl"jYPE0~;:;Ff'AY6R'-;..F;CASHIER'DBO\\lLS'J1~;LQQMJ\IIgJl!:t.s.,j::'':'::'~''; c.-; e.MOUNT:PAID'v . ~-'! Credit Card KEITH LEESMAN $111.15 RECEIPT NO: 2011002004 ['ESe" R'IRTION';C" ~"., ,'n O '. . . ""_" ."c... . . ...,. . ~~w .."'~l _,' ~ ,. . Drywell State o:.Oregoo Surcharge (12% of applicable fees) Storm Sewer Technolof!Y fee (5% of permit total) 043552 TOTAL PAID: $111.15