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Home My WebLink AboutPermit Plumbing 2011-7-15 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~g4(;~i;~i~;~~h1J]G~C:~tWG'Q.\IEaNMEN-J)FAJ~eR'().VAJ!f~'~~~Wf~W0~~;!I~ li:&~i:r!:'!_:~~;~~~~~:'~l~E-EEf{S:CH E~,LJ.l3'E~'y,~~~,~~~\~til~;;~~~bx~1B~j Zoning approval verified? 0 Yes 0 No ~ff~~~~r!R!ig~tfl~t~l~}i~~{fli~l~~ g~~ i;~~~~~Ji~ ~lk~~:h~\ Sanitation approval verified? 0 Yes 0 No New residential CATEG.OR'COF. CONSTRUCTION I bathroomll kitchen (includes. first J 00 feet of WQter/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 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 reet 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 Plumbing Permit Application 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726.3689 o Residential 0 Government 18l Commercial "1'&"'"" . "'S'", . . O'RM' "0' N'"A"N' D"'?O""A"'IO N' '."w"."" ~'\\(;.1>,1i~i':.JOB:,. h!E,',iINI'...,. "'1'1' ~i. ':'L '" ,ll ,. "1:ii~;':,Y.A Job site address: 6~ 71{jJl- :, pR:d ~Ea.1:y;Jjb,^,.N E_R;~1~Ys}i;~~(~~9'~~~~~rti:t~{~;~ :EJJe... City: V. Phone: ZIP: 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: . CONTRACT:OI~..INSTALLA 'I'ION rv...'::, o( City: Phone: E-mail: CCB license no.: I) Plumbing license no.: Print name: BCD license no.: .-----:-- f{;fBlrk.. wO~5 c:tr- L,/f --g 440-2500.) (11/08/eOM) ;''f(;rff-:N,ML''':i'i.<~7';l>'''\' ;;':i1iifh :':i,~,:";"y.-l,,,.~~...~r:;,<,::.:;.ct-'-;~--M-iltW'h' ':''';;/DEPARTMENT:USE'bNlY~;;~:;\; .- ," 'f. . ;~.' ~' ; c' . ' '';.'. '" ,~, "'0' """. '.,,{,-:; ',; Date: $238.00 $ $ $ $ $ $ $ $ $ Each fixture Miscellaneous fees 100' storm, sewer, water line $76.00 $ Each fix~ure, appurtenance, and piping $19.00 $ ~. . Storm water retention/detention facility $19.00 $ Irrigation systems $19.00 $ Piping or private storm drainage $19.00 $ S stems exceed in the first 100 feet Specialty fixtures $19.00 $ Reinspection (no. of hrs. x fee 'per hr.) $58.00 $ Special requested inspections (no. of $58.00 $ hrs. x fee per hr,) Each additional inspection: (1) $58.00 $ ~M~'i~~i'!gisipr~'Hlg:~~1~~#~~'m~~j Mjnimum fee $ Enter value of installation and equipment $ Enter fee based on installation and equipment value. (Al Enter subtotal of above rees (Minimum Permit Fee $58.00) (B) Investigative ree (equal to [A]) (el Enter 12% surcharge (.12 x [A+B]) (D) Technology Fee (5% or [A]) TOTAL fees and surcharges (A through D): 16 .t .. \. SP:~~~=~ iti/!:IJ c,c).. OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01749 IVR Number: 811140994314 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 0711512011 ISSUED: APPLIED: 07/15/2011 07/15/2011 225 Fifth St Springfleld,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us EXPIRES: VALUE: 01/10/2012 $0.00 SITE ADDRESS: 2843 MAIN ST, Springfield. OR 97478 ASSESOR'S PARCEL NO: 1702310003000 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replacing Water Supply Service Phone Number: OWNER: ADDRESS: AMERIGAS PROPANE INC PO BOX 798 VALLEY FORGE PA 19482 CONTRACTOR INFORMATION I Contractor Type Contractor Name TOMS PLUMBING SERVICE INC Lie Type GGB # 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: 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: Lic No 159425 Lie Exp 05/18/2012 Phone 541-607-8879 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2011 Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: lWnCE: Soils Report Requi~~~iS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 Df'iY PERIOD, Springfield Building Permit 7/15/2011 9:36:29AM ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-001-0010 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). Page 1 of3 . , SP'.~.IN.G..FIEL~ .~ >;'".~~ -cS~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01749 IVR Number: 811140994314 225 Fifth Sl 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 07/15/2011 ISSUED: APPLIED: 07/15/2011 07/15/2011 EXPIRES: VALUE: 01/10/2012 $0.00 SITE ADDRESS: 2843 MAIN sT, Springfield, OR 97478 AssEsOR'S PARCEL NO: 1702310003000 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replacing Water Supply Service 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: Downspout/Drains: Valuation Description ~ Descriotion Type of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Descriotion State of ?regon~_charge (12% of applicable fees) Water Line Technology fee (5% of permit total) Total Amount Paid Amount Paid $9.12 $76.00 $3.80 $88.92 Date Paid 07/15/2011 07/15/2011 07/15/2011 ReciDt# 2011002030 2011002030 2011002030 Springfield Building Permit 7f15f2011 9:36:29AM Page 2 of 3 i ~ ST,NG.=~ ~.*".~'" ; ~ u. OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01749 IVR Number: 811140994314 www.ci.springfleld.or.us 225 Fmh 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 07/15/2011 ISSUED: APPLIED: .07/15/2011 07/15/2011 EXPIRES: VALUE: 01/10/2012 $0.00 SITE ADDRESS: 2843 MAIN ST. Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702310003000 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replacing Water Supply Service Plan Review I Deoartment Application Acceptance Received Due Date 07/15/2011 07/15/2011 ComDleted 07/15/2011 Result Application Accepted Permit Issuance 07/15/2011 07/15/2011 07/15/2011 Issued Initial Review 07/15/2011 07/15/2011 07/15/2011 Over the Counter Kip Kaufman Comments: Over the counter permit INSPECTIONS REQUIRED ~ Inspections 3315 Water Line Reviewer Kip Kaufman Kip Kaufman 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 with~ut 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. 1 further agree to ensure that all ~quired inspections are requested at the proper time, that each address is readable from the street, that the permit card is I cated at t t f the property, and the approved set of plans will remain on the site at all times during constructio 7-!S--/( Date Springfield Building Permit 7f15f2011 9:36:29AM Page 30f3 SP.!l.ING F I.EL.~ - ":~~ l~ . ",,If; '~EGON TRANSACTION RECEIPT CITY OF SPRfNGFIELD 225 Fifth $t Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01749 2843 MAIN ST permitcenter@ci.springfield.or.us RECEIPT NO: 2011002030 RECORD NO: 811-SPR2011-01749 DATE: 07/15/2011 [DESCRlf']'10N-"-''4icC:,:! :2(j:~'r" or},.,!!", :; :..::;'~ :,::;,,;;;j+;: .; , A'cCOl.JNJ1CODE", '." c"':'_ L;, AlliloUN'EDUE~' ';':;' . 'I _~tate of Oregon Surcharge (12% of applicable lees) 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 [;;:PAYIIiIENT;;r,YEE,"!,,~_PAY()R'i:r:;CASHIER~KKAU';,,!AN_;;:','t~COIVIIVIENJS;l';;;C- "; ," ;.:'; ~4'!-AMOUNJPAlb--~';' ;i,~.", . :] Credit Card Tom's Plumbing Service $88.92 832156 TOTAL PAID: $88.92