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Home My WebLink AboutPermit Septic Tank 2011-7-15 ~. ." SPR,IN.G,FIE, ~ ~,'.l~_ -~ 'it.!. ~",:""r ~. 1ii':;-'- OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01757 IVR Number: 811123878863 www.ci.springfield.or.us 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: Iss ued 07/15/2011 ISSUED: APPLIED: 07/15/2011 07/15/2011 EXPIRES: VALUE: 01/10/2012 $0.00 SITE ADDRESS: 4395 E 20TH AVE, Eugene, OR 97403 ASSESOR'S PARCEL NO: 1803031103001 SCOPE: Single Family Residence WORK INVOLVED: Demolition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Cap Septic Phone Number: OWNER: ADDRESS: BIERS DORFF KEVIN R 60 W 22ND AVE EUGENE OR 97405 BIERSDROFF GLORIA L 60 W 22ND AVE EUGENE OR 97405 OWNER: ADDRESS: Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lic Type Lic No lic Exp Phone # of Units: BUILDING INFORMA TION ~ # 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 J Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: 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 ~ Engineered Fill: Fill Volume: NOTICE' Flood Hazard Area: . Land Hazard Area: THIS PERMIT SHALL EXPIRE IF THE WORK Retaining Wall: AUTHORIZED UNDER THIS PERMIT IS NOT Soils Report Required:MMENCED OR IS ABANDONED FOR ANY i 80 DAY PERIOD. Springfield Building Permit 7/15/2011 1:43:10PM ATTENTION' Ore follow rules ~do t~on law requires you to ,Notlflcatioll Cent:' ~ by the Oregon Utility In OAR 952-001 0010 those rtlles are set forth 0090. You may ~btain rough OAR 952-001_ calling the Center (~oPles of the rules by number for the Or' ate:, the telephone egon UtIlity N t'/' , Center is 1-800 3 0 Ilcatlon . 32-2344). Page 1 of 3 S.PRIN.GFI E.. ~.D iIlv ...~~ f!Jf; . --c, -''oREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01757 IVR Number: 811123878863 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perrnitcenter@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: 4395 E 20TH AVE, Eugene, OR 97403 ASSESOR'S PARCEL NO: 1803031103001 SCOPE: Single Family Residence WORK INVOLVED: Demolition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Cap Septic Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 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 ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ DescriPtion State of Oregon Surcharge (12% of applicable fees) ~~~!...~ap~~ptic tan~~:~~i~ion :-"."~nologr.:ee (5% of pe~mit t91al) Total Amount Paid Amount Paid $6.96 $58. DO ---~-"-"---- $2.90 $67.86 Date Paid 07/15/2011 07/15/2011 07/15/2011 Recipt# 2011002036 2011002036 2011002036 Springfield Building Permit 7/15/2011 1:43:10PM Page 2 of 3 SrRIN. G. F. IEL~ .~ ~ . /'. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01757 IVR Number: 811123878863 www.ci.springfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541~726-3676 permilce nter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 07/15/2011 07/15/2011 07/15/2011 EXPIRES: VALUE: 01/10/2012 $0.00 SITE ADDRESS: 4395 E 20TH AVE, Eugene, OR 97403 ASSESOR'S PARCEL NO: 1803031103001 SCOPE: Single Family Residence WORK INVOLVED: Demolition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Cap Septic Plan Review ~ DCDartment Application Acceptance Received Due Date 07/15/2011 07/15/2011 Completed 07/15/2011 Result Over the Counter Reviewer Kip Kaufman Plumbing Review 07/15/2011 07/15/2011 Comments: Over the counter permit JnitiaJ-Review/,/w,~' r,~:,~: ~':::~~~~;; 'P7(15/?O~.1\ <.91L15/2911,:, "'~CO;~c~~t?:''":~@g~rt~~:~~l~~,~,~~~m;~p2: ~.:i:~'(:'~:J~~~:.,:,~~; 07/15/2011 Not Required Kip Kaufman Ovec t~e;.Counter~\. " JA~,KifftK~"lifman ,',:r:,;?l~4:i - ~.::.' ;_~:w;:::,"{~~1~~~~1"~:\~~"'~~,-~:~c~ -\ ' ,#?1t~?4,2)~~ ;;:;b ':c'" ,. 'c, -"'~'-' ;';."" '" ;:'+.. e'~ , ,~ INSPECTIONS REQUIRED I Inspections 7160 Sewer/Septic Cap 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. f 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. \ GlMvih ! f %O~11 Owner or Contractor Signature 1r IS /(( Date Springfield Building Permit 7/15/2011 1:43:10PM Page 3 of 3 Plumbing Permit Application 225 Fifth Street. Springfield, OR 97477 . PH(541)726~3753 . FAX(541)726-3689 ~~t~?6~WA~'!M~N:1{:q~'~1,'o~~C~~~~~ 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. fi7?;!f.~~'(i0fiJIoC;t..t;\<GOVERNNlEN1:fvAPRR.OVA~~~~';;~*1' Zoning approval verified? 0 Yes 0 No Sanitation approval verified? 0 Yes 0 No CATEG.ORY.' OF. coNSTRUCTION:' . esidential D Government D Commercial ~ii'~3~?JOBiSI:rE""INFORMAtION~ANDislfo<::ATloN;i11)j{'i.\~'!;~ Joh site address: E- City L2:V/c;--e; Reference: , \~~.i".~;~\~;~~';';',i~~~~%:;t;PESCRI_f?;nI_oN;~t)Fi~~W,ORK~~:~Ui:'5:1fs~j;~'t~~~\1;m-~ c . '~\ .- RRORE;RTYc:owN~BN;~~;~H/1:~Mi1~~~;~t{~*;~*W "Name: City: 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 9 J 8-695-0020. Signature: . CONTAACTOR"INSTALLATION.". ." Business name: Ovv 'e-e- Address: City: Phone: E-mail: CCB license no.: Plumbing license no.: Print name: ZIP: BCD license no.: Signature: 440-2500-J (1I!08/COM) li;',)':'~'O'~~'II€i~4~~t;'FEE!:S'bHEDOli'Et,:.l;;;i":"'~~1?,1'~li'1;",~ ,-.....<, .,-.-' ~ ,,,,,,,.,. "~~,'-'.'J',k"",~ ,1.i.,.~'\J ,. ~~,.. .., }1.".:,',,, .~,~):f>;L, ".~."" ."" .,.\~",,;;;:.t"~, .,;. '. [~R~~~fJ!ti~~~i~l~~~~!t~j~ 8:i~.~~' t~~~1{~ii ~~~~~~J;~,' New residential I bathroomll kitchen (includes: first IOOfeel of water/sewer lines, hose $238.00 $ bibs. ice maker, under floor low-point drains and rain-drain packages) 2 bathrooms/l kitchen $374.00 $ 3 bathroomsl1 kitchen $439.00 $ Each additional bathroom (over 3) $95.00 $ Each additional kitchen (over I) $95.00 $ Residential fire sDrinklers (includes Dlan 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 (cirde one) Connections to building sewer and $58.00 $ water supply Commercial, industrial, and dwellings other than one- or two-family Minimum fee I I $58.00 I $ Each fixture I I $19.00 $ Miscellaneous fees 100' storm, sewer, water line $76.00 $ Each fixture, appurtenance, and piping $19.00 $ Storm water retention/detention facility $19.00 $ Irrigation systems $19.00 $ Piping or private storm drainage $19.00 $ systems exceeding 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: (I) $58.00 $ d.~';'~:;;-';~:;"?!:i:,,<:;v;'1~':",.i,..H.~'~'_"'?,"~"':fi~'J;*>"";jjii-.tj Mi,nimum fee $ !,\~e(hqll:glls;pIP.I.J.Ig~~~~;~~i.i1i\:1;~fi~V';1j Enter value of installation and equipment $ Enter fee based on installation and equipment value. $ 'l.ll"<_~~W~;p,y" w~"'''~l1l't'~ ~;;'w.;' '.%,j Ji< :\;;:;", ,~,.~~RL:IC::~Nn;'!;l:J.S.E" ~~~"0~r- .~;/< (A) Enter subtotal of above fees $~.? p (Minimum Permit Fee $58.00) (B) Investigative fee (equal to [AD $ P- (C) Enter 12% surcharge (.12 x [A+BD $ r n.0 to (D),Technology Fee (5% of[AD $ 12...'-" ~ TOTAL fees and surcharges (A through 0): $h~' TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541v726.3753 WWoN. ci. springfield. or. us 811-SPR2011-01757 4395 E 20TH AVE perm itcenler@ci.springfield.or.us RECEIPT NO: 2011002036 RECORD NO: 811-SPR2011-01757 DATE: 07/15/2011 rDEstRI~tION ~_ ~,.",,:'_0,7,~"';>''J'Y"fr!Ji"~),};le~;,,':;.;~cS':',AtcciUNt;cciDE~r:,' . ":: .d.AMOIlNt~D,UEL'1 Sewer cap/septic tank demolition 224-000~~25603 58,00 ~te of Oregon Surcharge (12% of applicabl,e_!ees) 821-00000-215004 6,96 --.:r:echnology fee (5% of permit total) 100-00000-425605 2,90 TOTAL DUE: 67,86 \ 'ie~YMENPr'YPE.r;:i',,!p AYOR;;e;;;;;~;p~s8IfR"KKAUFMAN:,~} i:,cciMMENtS"fiii~:>,:;~;' _{}"'I~ X AMOU NIP/Watdk ;':"\' "i ~ .~~_...--"~="'-' . ... .~. ~~.. ~~~ ~-""-'" ---~, Credit Card Kevin Biersdorff $67,86 262490 TOTAL PAID: $67,86