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Home My WebLink AboutPermit Plumbing 2011-7-14 PJQml)ing Permit Application \ii;!i'i;DEPARTME'NT~'USE?ONtYII!~ .'., . ,_ ,...,' -', :'_.' .,' t ....' ~...' ,,",,,. ~ . _"'''1' ',: 225 Fifth Street. Springfield, OR 97477 . PH(541)726.3753 . FAX(541)726-3689 , Permit no.: Date: 1 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. :,t~~:f(~1Z;1:'~;!1!!0CAIi\:;GO'j.fERNNlEr{rf~A~~R.O.VA~~s~~i,!l)Kl Zoning approval verified? 0 Yes 0 No Sanitation approval verified? 0 Yes 0 No CATEG.ORy' 'OF; CONSTRUCTION 'j,;. o Residential . 0 Government 0 Commercial ~;V;~;SiJ.'.JOI3;'Slm.E .:INFJ.lRMA'l'IONI1AN07![()CAl'ION~i1Nfl\k0::i Job site address: ")'-/ PrV-'o\\- City. State: 012- ZIP:'77LfT7 Reference: /7:S '3 '-f J 2... Taxlot.: CJ C;OtJo ~\tt{~~~j~F:_~;(~~~0;;bES:CRIf?::TIO,N~;~,t)_E;~~W.O~-K<!,~~~~~~t~~,,~~t1}; ~~ V\Le... :~R.()P,:ER.TY4;OWNER'!;~;J,H~f:~!i;~~:~i~~((~:il . Name: \-.r'"", 0,~...",<;"-" Address: \'2,(, Cl <:'0 :\.c- (}.c.\,-,,- City: ,,-V'I.- \.1..-.\\ '7 Phone82'>-~ ~1.. 'ifl 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;JNSTALLATION..- :.'''. L.:,,.,Jo.. f>\. " """ \, " "'" U-L Address: ')') a ~ JJL.~ t- k.r- ZIP: .0,7'< DLI E-mail: COVVlli.o"~ .N (,."T' CCB license no.: i"11'5'c-' BCD license no.: \l?,~" Plumbing license no.: 'l2'-b~~ Print name:,- 0"'" l<> \0.-,..1 Signature: ~~ 440.2500.) (11/08/COM) New residential 1 bathroom/l kitchen (includes: first J 00 feet of water/sewer fines, 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 kitchen (over 1) $95.00 Residential fire s rinklers (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 water supply Commercial, industrial, and dwellings oth-er than one- or two-family Minimum fee $238.00 $ $ $ $ $ $ $ $ $ $ $ $ Each fixture Miscellaneous fees ] 00' stann, sewer, water line Each fjx~ure, appurtenance, and piping Stonn water retention/detention facility Irrigation systems Piping or private storm drainage s stems exceed in the first] 00 feet Specialty fixtures Reinspection (no. ofhrs. x fee per hr.) Special requested inspections (no. of hrs. x fee'per hr.) Each additional inspection: (l) $58.00 $19.00 $76.00 $ $19.00 $ $19.00 $ $19.00 $ $19.00 $ $19.00 $ $58.00 $ $58.00 $ $58.00 $ $ [;ij:~~~r~;Vg~i~!pipTifg~%1W~~~R;~~~~~+~) Minimum fee Enter value of installation and equipment $ Enter fee based on installation and equipment value. (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Investigative fee (equal to [A]) (e) Enter 12% surcharge (.12 x [A+B]) (D) Technology Fee (5% o[[A]) TOTAL rees and surcharges (A throngh D): $ 7b $ $ '} /'- $ ~ $ '1"2 . .~::~ .' 'OREGO~ CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01747 IVR Number: 811188810627 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@cLspringfield.Of.US PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 07/14/2011 07/14/2011 Issued 07/14/2011 EXPIRES: VALUE: 01/09/2012 $0.00 SITE ADDRESS: 954 PRESCOTT IN, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703341209000 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line~ bonding scheduled for investigation 7/14/11 Phone Number: OWNER: ADDRESS: URHAUSEN CHRISTOPHER J 1430 WllLAMETTE ST #182 EUGENE OR 97401 CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor Contractor Name TOM COPELAND PLUMBING LLC Lie Type CCB 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: Electrical Specialty Code Edition: 0" 0 I'J'^' r"''lIJir(:.s 'IOU to . . . . ATTE\!TI ,,: f3gcn r".. :, ' , Springfield FIre Code EdItion: follow r..jes adopt8d oy tr,e O.egon Utility Mechanical Specialty Code Edition:fication Center. Those rules are set forth : '-" R 952-001- Municipal I Development Code:n OAR 952-001-001 0 through OA " , ,nn90 You ~'V obtain copies of the rules by Plumbmg SpeCIalty Code Edltiort~aliing th~OdJnter. (Note: the tel~phone Residential Specialty Code EditiYPJmber for the Oregon Utility Notification Structural Specialty Code Edition: Center is 1-800-332-2344), # of Units: BUilDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # 'of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Lie No 191507 lie Exp 08/03/2012 Phone 509-301.8574 Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils R~port Required: NOTICE: 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 7/14/2011 2:29:20PM Page 1 of3 S~R.IN.. G.. FI.EL~ - -,~ ""~, 'OREGOrl www.ci.springfield.or.us CITY OF SPRINGFIELD . Building I Residential Permit PERMIT NO: 811-SPR2011-01747 IVR Number: 811188810627 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 0711412011 ISSUED: APPLIED: 0711412011 0711412011 EXPIRES: VALUE: 01109/2012 $0.00 SITE ADDRESS: 954 PRESCOTT IN, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703341209000 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace water line- bonding scheduled for investigation 7/14/11 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: PROJECT DESCRIPTION: PUBLIC IMPROVEMENTS ~ Street Improvements: Stonn Sewer: Stann Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion T voe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ DescriDtion Technology fee (5% of permit total) Water Line State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $3.80 $76.00 $9.12 $88.92 Date Paid 07/14/2011 07/14/2011 07/1412011 ReciDt # 2011002027 2011002027 2011002027 ,< Springfield Building Permit 7/14/2011 2:29:20PM Page 2 of3 . S~R..I.N.GFI~~. ..... - ,>. /!j' . ~OREGOH CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 W'MV.d.springfield.or.u$ . Building I Residential Permit PERMIT NO: 811-SPR2011-01747 IVR Number: 811188810627 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/14/2011 ISSUED: APPLIED: 07/14/2011 07/14/2011 EXPIRES: VALUE: 01/09/2012 $0.00 SITE ADDRESS: 954 PRESCOTT LN, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703341209000 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repl~ce water line- bonding scheduled for investigation 7/14/11 Plan Review ~ DeDartment Permit Issuance Received Due Date Com Dieted Result 07/14/2011 07/14/2011 07/14/2011 Issued Reviewer Chris Carpenter Initial Review 07/14/2011 07/14/2011 07/14/2011 Over the Counter Chris Carpenter Comments: Over the counter permit INSPECTIONS REQUIRED Inspections 3315 Water Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all info/1Tlation hereon is true and correct, and I further certify that any and all work perfo/1Tled 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 pe/1Tlission 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 pe/1Tlit card is located at the front of the property, and the approved set of plans will remain on the srte at all times during construction. c ~ I'L(\' AM fs'..fl- OWner or Contractor Signature a--- 7, / '(. 2 0 tI Date Springfield BUilding Permit 7/14/2011 2:29:20PM Page 3 of3 . S~~.~.F.IE~ iE~.. ~ ~ "'''- OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 WWN.cLspringfield.or.us 811.SPR2011.01747 954 PRESCOTT LN pe rmitcenter@ci.springfield , or. us RECEIPT NO: 2011002027 RECORD NO: 811-SPR2011-01747 \ DATE: 07/14/2011 [DESCRIf1.TioN"<"J.0,h: '. -:-'''_:','';J~;,l>:''<>;;;,-,;:> " ACCOI.JNJJ;ODE . ',w'>AMOI.JNT.D.UE.':.' ,l State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 9.12 Technology fee (5% of permit total) 100-00000-425605 3.80 Water Line 224-00000-425603 76.00 TOTAL DUE: 88.92 CpAYMENT~TYPE ":','P~YOR;,' ", ':'CA~HIEll:,CC"RP~%::C;OMMENtS';, i.. ' -c_~~ :;;.AI\IIOUNT'PAID,t;'''' ,.,':g/;' Credit Card TOM COPELAND PLUMBING LLC $88.92 042952 TOTAL PAID: $88.92