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Home My WebLink AboutPermit Plumbing 2011-7-29 .. CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01850 IVR Number: 811116557120 www.cj.springfie\d.or.us PROJECT STATUS: STATUS DATE: Issued 07/29/2011 ISSUED: APPLIED: 07/29/2011 07/29/2011 225 Fifth St Springfield,OR 97477 Phone 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfietd.or.us EXPIRES: VALUE: 01/24/2012 $0.00 SITE ADDRESS: 1433 CHEEK ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703243300110 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Cap toilet and add sink Phone Number: OWNER: ADDRESS: Kl YM JERRY DEAN & HEATHER JO WilSON 1433 CHEEK ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor Contractor Name DON LEWIS PLUMBING SERVICE LLC Lie Type CCB # of Units: BUilDING INFORMA TlON ~ # 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 167921 Lic Exp 01/06/2012 Phone 541-688-1931 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: Flood Hazard Area: land Hazard AreaATTENTION: Oregon law requires you to Retaining Wall: follow rules adopted by the Oregon Utility Soils Report Recl\lu'Jlir-ation 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). .. 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 7/29/2011 2:03:54PM Page 1 of 3 . www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01850 IVR Number: 811116557120 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 07/29/2011 ISSUED: APPLIED: 07/29/2011 07/29/2011 EXPIRES: VALUE: 01/24/2012 $0.00 SITE ADDRESS: 1433 CHEEK ST. Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703243300110 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Cap toilet and add sink 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: DownspoutJDrains: Valuation Description ~ Description Tvoe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ DescriDtion Balance of Minimum Plum~~ng Permit Fees Tech'.'.~logy f,,-e (5% ~l'e!mit total.L~ Fixture State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $20~00 $2~90 $38~00 $6~96 $67.86 Date Pa id 0712912011 0712912011 0712912011 0712912011 Recio! # 2011002146 2011002148 2011002148 2011002148 Springfield Building Permit 7/29/2011 2:03:54PM Page 2 of 3 .. SP~N.~. FIELD .-"\(.~ " '... OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01850 IVR Number: 811116557120 www.ci.springfietd.or.us 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 permilcenter@ci,springfietd.or.us PROJECT STATUS: STATUS DATE: Issued 07/29/2011 ISSUED: APPLIED: 07/29/2011 07/29/2011 EXPIRES: VALUE: 01/24/2012 $0.00 SITE ADDRESS: 1433 CHEEK ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703243300110 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Cap toilet and add sink Plan Review I Deoartment Application Acceptance Received Due Date 07/29/2011 07/29/2011 ComDleted 07/29/2011 Result Over the Counter peE~t'ssuance,;';::4", -.~- +:r~,,- c.. ",' I~suedc:. 07/29/2,Q~\:': 07/29J20.11 , :07/?~./2~11 '", - .~ - ~ j. '. Plumbing Review 07/29/2011 07/29/2011 07/29/2011 Comments: Over the counter permit :Iriiiiai Review ,---~. 07/29/2011 07/29/2011 07/29/2011 I Comments: Over the counlerpermit Not Required -----. Over the C9.yriJer ~. i:~" _.._...":_.~- Reviewer David Bowlsby "'''";David B6V;lsby:..~',. David BowJsby .David Bowlsby INSPECTIONS REQUIRED I Inspections 3500 Rough Plumbing 3999 Final Plumbing Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 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 -"~p {,- vf..rj_ J/'1 Z Ii Owner or Contractor Signature Date i Springfield Building Permit 7/29/2011 2:03:54PM Page 3 of 3 Plu.I;llhing Permit Application ";;;''OEPARTME'Nf.US{O'N[y'0':~f: Permit no.: 91- 01% S 0 Date: 7 - Z 7 ~ / I 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. ",~;,',;.,\.)!\;'. /il!!QcAL;GOVERNMENT: 'AF!PcRO'VAlE!;\i!lii"f>j'!8,:;'i;1.' Zoning approval verified? 0 Yes 0 No Sanitation approval verified? 0 Yes ' 0 No CATEGORY OF CONSTRUCTiON o Residential 0 Government 0 Commercial ,;'!i;:;')OB'81'rE 'IN FORMj\TiON;lANO;iLOCATIONW;.l:',:;(':,i Job site address: ~ 3 '> C 5>.f City: <;: ZIP: "1 7 tf Reference: 703 7-1..{ ~:3 Taxlo!.: 0011 . OESC;RII?T10N'OEiW.ORK ;:t'rr\;;1;i,X:\\iJj>,~il; '" 1c;,I.t.~ I? .'nK 225 Fifth Street + Spdngfield, OR 97477 + PH(54J)726-3753 . FAX(541)726.36S9 .PROPERTY.:OWNER'i),'; , Name: ZIP: q 1'07 Business name: Address: City, E PhoneS'1/-(.\J. 'I"I~'I E-mail: CCB license no.: /C.?"IZ,t Plumbing license no.: Print name: BCD license no.: Signature: law requlI "'> V"'.~ ATTENTION: Oregon b tile Oregon UtiliW folloW rules adopted :fse rules are set to[\\1 Notitication cente~16~hrOugh OAR 95?-,QQ1, in OAR 952-001-Obt '1'1 copies otth~ flM~ 'Qy 0090. You may 0 al Note' the \elephQl'1~ calling the center. (on Utility ~~Q\i!iQ~t!9fl number tor the 0~e8g 00'$32-Z;H4), Center IS ,- -- 440-2500-J (I J 10SICOM) 1';-(','(' ","",:., o"'<""'^'rO'I;EE"'SCHEOUl:E"'-"" :'(!,~:r~~_~!Wi; i'&J:~~i'~~~~;:i .f~,:;:>;";~::;,r:,/K~i.8rK' ,,1:\ _. '_"_ - , 1;;;.'({", ;::R.~~{i~Rt(~,h!~{:h~~~~~'~~i(;~;~S~~}~:.:~);:~~'~~ 2~~- ,~.~~::J~;I~~:~.,~!.;}.~}~:E~-- New residential 1 bathroom/J kitchen (inciudes:jirst J 00 feet 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 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 $ 2,00] 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 $58.00 $ water supply Commercial, industrial, and dwellings other than one~ or two-familv Minimum fee , $58.00 $ Each fixture 7_ $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 $ svstems exceedinu 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 $ ~M~i~~':i'j'g~~s'rpipi'[g~,I~~~}g1H~~X~i.~iY:~.,;~i?!~fiii Mjnimum fee $ Enter value of installation and equipment $ Enter fee based on installation and equipment value. 1 $ c~o.,,~.,. ,:w="-~""~'''''J.~JgJrll',''~' ",""'ii .,,"~.o ;lI:ep.lllCANi[~USE' ,. ~~' 'v:,,,. '~4.~';;tii."." ~_~'" ,'~ " ""'.'It 2: c_ "'_' "I Thi' ,,_S ,,~is- _"~ :. ..~.t (A) Enle'r\Ju~ib(f~EXP1RE If},~J WORK_~ ::> (Minimq",'l'e.'6fi '. _'JIC'~rn' T IS~~~ (B) Invei\igathle) a ,~~ "nn~ll::r FOF$ . (C) EnteCi2o/J sM~h~;get(. J4 ~ R.,,;~')' ". $ '. ,~";.1 (D) TechAQiQgy.Et!tlI~%bfl1)\jj'uu. $ TOTAL fees and surcharges (A through D): $L 7C?' :> '-" .. S~A~NG~IEL~ L~ ~'OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01850 1433 CHEEK ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield, OR 97477 541-726-3753 pe rmitcenter@ci.springfield,or.us DATE: 07/29/2011 .i:~AMOUNT:;IiuE' , .: ~~. - '1 20.00 38.00 ._'_.._-~ 6.96 2.90 67.86 .AMOUNT:PAID....~.. .';- :, ',.1 67,86 RECEIPT NO: 2011002148 (DESCRIR,TION" .'.... ,',... .' rl. ....'::t.i..J5f _._~alan~e.E.!.. Min~~~l~~bi~,~ Permit .~ees Fixture RECORD NO: 811-SPR2011-01850 f: " -;"".c,".kACCO,UNTae,ODE:";"'. """" 224-00000-425603 224-00000-425603 _.__._-----~--- ~---_..__.._,-_._._.. State of Oregon Surcharge (12% of applica~~:'L..__,.,.__.E1:~-215004 Technology fee (5% of permit total) 100-00000-425605 TOTAL DUE: ~P~YME~:r-iTYPg ;,.'-:.". J~AY6R .; :CASHIER: DBOWLSBYzC.:. Credit Card home styles inc 042785 ;':. c:.OIl!MENTS:<' ..' ;c ~r "" ;:~",.., TOTAL PAID: 67.86