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Home My WebLink AboutPermit Plumbing 2011-7-21 ~ CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01788 IVR Number: 811126670654 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/21/2011 ISSUED: APPLIED: 07/21/2011 07/21/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield,or.us EXPIRES: VALUE: 01/16/2012 $0_00 SITE ADDRESS: 3761 CHEROKEE DR, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802061204000 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTIDN: New sewer line, septic cap and tank abandonment Phone Number: OWNER: ADDRESS: CASTRO CLAUDIO CANCHOLA 3761 CHEROKEE DR SPRINGFIELD OR 97478 Contractor Type General Contractor Plumbing Contractor Contractor Name OWNER OWNER CONTRACTOR INFORMATION ~ Lie Type OWNER OWNER BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition:. Structural Specialty Code ~djtjon: Lie No 0000000 0000000 Lie Exp 08/12/2025 08/12/2025 Phone 541-285-0543 541-285-0543 Lot Size: Sq Ft1 5t Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Fl Other: 0 Occupancy Load: Site Information ~ Engineered Fill:' Fill Volume: Flood Hazard Ar~. Land Hazard Are :TrENT/ON: Oregon law requires you 1'1 Retaining Wall: oll.ow r~les adopted by Ihe Oregon Utility Soils Re ort ReN.)ltlfwallDn Center. Those rules are set fortg p ffll5'A11 952-001-0010 through OAR 952-001; 0090. You may obtain copies of the rules by calling the center. (Nole: the telephone' number for the Oregon Utility NotificaY?? Center ,is !:.8_0.o-.9.i32:.2}7~); Springfield Building Permit 7/21/2011 8:48:28AM ..:."....".';,... NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 of3 .. www.ci.springfield.or.llS CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01788 IVR Number: 811126670654 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 07/21/2011 ISSUED: APPLIED: 07/21/2011 07/21/2011 EXPIRES: VALUE: 01/16/2012 $0.00 SITE ADDRESS: 3761 CHEROKEE DR, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802061204000 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: New sewer line, septic cap and tank abandonment DEVELOPMENT INFORMA TION ~ 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 Tvee of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID I Description Sanitary s~^ ,. ~~_!~_,?!"_~reg~harge (12%,_C:f applicable feesl___,_ Technology fee (5% of permit total) Sewer cap/septic tank demolition Total Amount Paid Amount Paid $76.00 $16.08 $6.70 $58.00 $156.78 Date Paid 07/21/2011 07/21/2011 07/21/2011 07/21/2011 Recipt # 2011002076 2011002076 2011002076 2011002076 Springfield Building Permit 7/21f2011 8:48:28AM Page 2 of 3 .. SPRINGFIELD ~,~ ~OR'GON CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541~726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2011-01788 IVR Number: 811126670654 pennitcenter@ci.springfield,or,us PROJECT STATUS: STATUS DATE: Issued 07/21/2011 ISSUED: APPLIED: 07/21/2011 07/21/2011 EXPIRES: VALUE: 01/16/2012 $0,00 SITE ADDRESS: 3761 CHEROKEE DR, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802081204000 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New sewer line, septic cap and tank abandonment Plan Review ~ DeDartment Application Acceptance Received Due Date 07/21/2011 07/21/2011 ComDleted 07/21/2011 Result Over the Counter Reviewer David Bowlsby Permit Issuance 0712112011 07/21/2011 07/21/2011 Issued David Bowlsby '_;,--,..- '~_._'''',~''''''''':::y-.'rc:---~~_~~... '~~-~'----':-:~~<~1.~'" :Pub!~C;_W~rk~ ,~eview~c:'~'" ~\:~~~""~TJ2;1/.20~ 1" ~ ?~~2,~ :~?9:l;1<~ ,~Y~;lt?~}:~. :~6t,~eq_~i~eg:'RJ; ;"?~'1'lT!e~ls~.?,v:,l~e;c,7ug;\erp~rmit".j '~.':;~~;~;;~ ~~:y y~~~~_~- ,- Structural Review 07/21/2011 07/21/2011 07/21/2011 Not Required Comments: Over the counter permit fPTa;;~j~-~~~View ';J'~~""~"T97/2112011"/~.?i3j2Q11, ~97!,~)/~g11. ., L~I~2~.,ents:" ov~r,~~;~~JlerlT)!t ..:>0f'.:'iiitlJ.i:i:.' :~,\ "rt-}> ~ '~;;'~. David Bowlsby NO)": R~qujre~~ ;.,..?',~'" h . ~" '" >'\ " ( "... ."'~ ,Da.v!d;B,iwl;:;9.Y 11,. ~r-.,. :~. ::;.~,< 0>' ~." :.,-:. f:,~'- '~ ,,'."Y if,__." "-".,~.~ " . ,l ~? -/.jc;....~ INSPECTIONS REQUIRED ~ Inspections 3200 Sanitary Sewer 7160 Sewer/Septic Cap 7170 Septic Tank Abandonment Sanitary Sewer Line: Prior to filling trench and including required testing. By signature, I state and agree, that I have carefully examined the completed appllcation 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~ e4~~ (?c,_/Jril7 &- c9 '7-- 21-// Owner or Contractor Signature Date Springfield Building Permit 7/21/2011 8:48:28AM Page 3 of 3 PIum6ing Permit Application ~'q:~";,i'tti~",*T':'~~\;';'''".*'''''''\;"Vi<':';';<'-~''\i~f;"..~i'mi1;~;;i!'iX ."C;,;oEP.ARTMENTUSE,ONLY.~"l::'i\~ '.' '~':.T ;.'.:",-' ",' .'_-' ,'..: ., ',;"", c,~.._,.( .,,~;.~';':,: Permit no.: $,1/ - () / 7&,g Date: 7~Z I- I I 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 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. 'Wii%\;i)'1{:~f~I.!0.CACWG0..vERIiIIVIENJ'if'AP..RRO.vAI!(7JI;,'~~~~}' Zoning approval verified? 0 Yes 0 No Sanitation approval verified? 0 Yes 0 No CAtEGOR'(' Of., CONSTRUCTION '." Residential 0 Government 0 Commercial \;l;1;'l!it7"()B;{SlmE~'1 N f0.RMAti0.NifAN b~;Ii()G'AmIQNc!!~,fi!<'E~ Job site address: "3'71& I CtI-€\:':.D "-CE D(l..- City: (, f) c:l ZIP: o,f]Lf) Reference: D Tax10t.D l.{C:()C:l ~~r:7;~'r~~0Y~ti~~~:;f~;DE5,C'R_I_~-;tIGN}~'Q_F3s~W.ORR,:~1~~~~!j~~f1~f@Sit,~~ /Jew $<oVJ0LL-I"-lt: 'S~I"Tl'- C-r\"J><j, 1<- .4-B~o,~ , '. '".:PROp.ERTYI!()WNER'gr,!ifj;ltMll'Wi{~\~~~& <::llU ~ LA- Address: 374> I Cfh~-LJk::.c-C- City:, T'q-,-~ Phone: ;?-t:S" -05 <-; E-mail: ~c...o '7 ~f\- , c.oYL 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 re . 'rements under OAR 918-695-0020. Signature: :2 . ONTRACTOR"INSTALLATIQN" Business name:Qw f\Jt::9L- Address: ZIP: '1'7 YO'? City: Phone: E-mail: CCB license no.: Plumbing license no.: Print name: ZIP: BCD license no.: Signature: 440,2500-J (lI/OS/COM) 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 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 ?,201 square feet and greater $232.00 Manufactured dwelling or pre-Cab (circle one) Connections to building sewer and winer supply Commercial, industrial, and dwellings other than one- or two-family Minimum fee Each fixture $238.00 Miscellaneous fees 100' storm, sewer, water line Each fixture, appurtenance, and piping Storm water retention/detention facility lrrigation systems Piping or private storm drainage s stems exceed in 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: (" )~~ $76.00 $19.00 $19.00 $19.00 $19.00 $19.00 $58.00 $58.00 $58.00 $ $ $ $ $ $ $ $ $ $ $ $ $ ?~ $ $ $ $ $ $ $ $0 $ Enter value of installation and equipment $ Enter fee based on installation and equipment value. $ ,.,;;C;""-<~i.lf"!'!:~"I'A"P'''oWI''C:)'''N'TJiifO'S'''E' ~~>!lI\'i'~,""" :l;~,*,~i'_,,:ti.i'j-';~;~;L~:~~*;.I'{\ ~,I5;!4'..._,I'{\..jl!iKY.., ;.;:"iqg!fX:E'?'~,l,~.Jf_~~"@ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (8) Investigative fee (equal to [A]) (e) Enter 12% surcharge (,12 x [A+B]) (D) Technology Fee (5% of[A]) TOTAL fees and surcharges (A through 0): $ /3 C; $ $ &,j)J $ . ,70 $ IS-", '7 ..O TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01788 3761 CHEROKEE DR permitce nter@ci.springfield.or,us RECEIPT NO: 2011002076 RECORD NO: 611-SPR2011-01766 !DESCRIP..1iIONC'''"T Co/ c,oCc',;Y';c::;" 'Yyi$'v;; !iy,;~ -:"~"5"'"",,,~ACtOUNT~CODE; c,'55 Sanitary sewer 224-00000-425603 ___ Sew~~,c;~~-,,~p!'.c.!""!2.cJ.emolition______ __" 224-00000-4~5603 __ ,_S~e o~O!,eJlo!, ~urc~a~~~?~'!!_"P.p'I~cabl~~L "_,, _, _,_~~1.:~0_~~215~i.._ ___ ___ Tech~~gy fee (5'/~Olp~!O~_,__,_____,,__, 1.90.:2.oii2.0.:~35,~!5________ DATE: 07/21/2011 '+ "'{5' :;#,AM5,UNT~DUE;T!i:~,'5 -I 76,00 56,00 16,06 6,70 _._--_._-.----,~,.- TOTAL DUE: 156,78 , COMMENTS''',-,' ,"'-'AMOUNTPAIO',' --~_. -,-~_._.-."~._,._~~-,,.,--+-- ~- ._- $156.78 1","" -' ..."....,.... _."., ,_..., ,'-.. wm.,.... ,......,.., ... . _..H. -,'_, ._. LEE(I\'IEN1L1irp~~YOB,,-,-,,~,.;EASHIE"',DBO~!:.",~Y~,,; Cash claudio canchola i{h;T~,;\'~ TOTAL PAID: $156,78