HomeMy WebLinkAboutPermit Plumbing 2011-8-18
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;)?i;;;' "tl:;OCAC,.GQVERNMENl".' A~I?ROVAe'w;;:?Y?i:F;\)'
Zoning approval verified? 0 Yes 0 No
Sanitation approval verified? 0 Yes 0 No
CATEGORY' OF. CONSTRUCTION'
esidential 0 Government 0 Commercial
i.';;t!i:t!',JOBiSIJjE; INFORMAfI()N~'AI'm"IfOCATION:J;:;':'''.<ii .
Job site address: '5 I J +-1.- ~ \'
City: 'S ...prO State:, 0./ ZIP: 97l(7
Reference: 70 '3 51.( ,. Tax]ol.: 002.0
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oS-e. ~; i~ 70
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,h. 'I'ROI'ERTYci.OWNEB'i$~,;:.ti\~i{~i.;3\1J~;;:iiii\\
. Name: "B r:.4--.. --7
Address: 77& W. c Ar+l- ",.r-
City: rl"rI. .'l<"" State: LA ZIP:
Phone:
E-mail:
This installation is being made on residential or farm property
owned by me or a member afmy immediate family, and is
exempt from licensing requirements under OAR 9] 8-695-0020.
Signature:
Plumbing Permit Application
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225 mth Street. Springfield. OR 97477 . PH(541)726.3753 . FAX(541)726.3689
. CONTRACTOR .INSTALLATION
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Signature: t
ATIENTION: Oregon a ~ o~e v o~ Utility
follow rules adoPte$h~~hr~les a~e set forth
NotificatIOn cente~'1 0 through OJ\.R 952.001-
in OAR 952.001'~btain copies of the rules by
0090. You may (Note' the telephone
calling the centoer. on Utility Notification
number for the reg )
Center is 1.800-332.2344 .
440.2500.) (11/08/COM)
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Permit no.:
Date:
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New residential
I bathroomll kitchen (includes: firs!
100 Jeer of water/sewer lines, hose $238.00 $
bibs, ice maker, under floor iow-poi~t
drains and rain-drain packages)
2 bathrooms!l kitchen $374.00 $
3 bathrooms!l kitchen $439.00 $
Each additional bathroom (over 3) $95.00 $
Each additional kitchen (over 1) $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 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-family
Minimum fee I $58.00 I $
Each fixture 1'"701 $19.00 I $ J~:.s
Miscelfaneous fees
100' stonn, sewer, water line $76.00 $
Each fixture, appurtenance, and piping $19.00 $
Stonn water retention!detention facility $19.00 $
lrriga~ion 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 $
eM Lii:-";-::I):i""iiti"""."f"':~~' ~:';::i'2ir\.h7.~j.l'~~'l(rG-:e.' Minimum fee $
). e _lea :gas~plp,l~g:. ~i'.t(~jf~:;:~~:;' ,F :\'.;~:\{!.-;
Enter value ofinstallation and equipment $
Enter fee based on installation and equipment value. $
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(A) Enter subtotal of above fees 3> :>
(Minimum Permit Fee 558.00) $ I
(B) Investigative fee (equal to [A]) $
(C) Enter 12% surcharge (.12 x [A+B]) '. $ IY7
(D) 1;".c)1.n9lqgY,:tee (5% of [A]) ...n,$,1I bb
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AUTHORIZED UNDIESR ::ANDONED FOR
COMMENCED OR
ANY 180 DAY PERIOD.
SP1~~G~E..L..~
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~OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-5PR2011-01961
IVR Number: 811179231919
www.ci.springfield.or.us
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcente(@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
08/18/2011
ISSUED:
APPLIED:
08/18/2011
08/18/2011
EXPIRES:
VALUE:
02/13/2012
$0.00
SITE ADDRESS: 15712TH ST, SPACE# 1, Springfield, DR 97477
ASSESOR'S PARCEL NO: 1703354100201
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Install hose bibbs for 70 units
Phone Number:
OWNER:
ADDRESS:
FITTERER BRIAN
19772 MACARTHUR BLVD STE 200
IRVINE CA 92612
CONTRACTOR INFORMATION ~
Contractor Type
Plumbing Contractor
Contractor Name
SNIDERS PLUMBING & DRAIN CLEANING LLC
lie Type
CCB
# of Units:
BUilDING INFORMATION ~
# 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:
Lie No
184589
Lie Exp
11/12/2012
Phone
541-461-0166
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:
2011
Site Infonnation
~
Engfrieered Fill:
Fill Volume:
Flood Hazard Area:
land Haza~Ar,ea. .
. . . .1l::NTION: Oregon law requires you to
Re~onlng WJbW Jules adopted by the Oregon Utility
So,ls Rep'j!jotl~f/;u~fr6h 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: . . .c.':?'"
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
8/18/2011 11:02:31AM
Page 1 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01961
IVR Number: 811179231919
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,sprlngfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
08/18/2011
ISSUED:
APPLIED:
08/18/2011
08/18/2011
EXPIRES:
VALUE:
02/13/2012
$0.00
SITE ADDRESS: 15712TH ST, SPACE# 1, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703354100201
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Install hose bibbs for 70 units
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
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
~
Description
State of Oregon Surcharge (12% of applicable fees)
Hose bibb
-"-"'~_._..._,-
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$159.60
$1,330.00
$66.50
$1,556,10
Date Paid
08/18/2011 .
08/18/2011
08/18/2011
Reciot #
2011002267
2011002267
2011002267
Springfield Building Permit
8/18/2011 11:02:31AM
Page 2 of 3
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01961
IVR Number: 811179231919
www.cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
08/18/2011
08/18/2011
Issued
08/18/2011
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pe rmitcenter@ci.springfield,or.us
EXPIRES:
VALUE:
02/13/2012
$0.00
SITE ADDRESS: 15712TH ST, SPACE# 1, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703354100201
SCOPE: Plumbing Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Install hose bibbs for 70 units
Plan Review
I
Deoartment
Application Acceptance
Received
08/18/2011
Due Date
08/18/2011
Comoleted
08/18/2011
Result
Over the Counter
Plumbing Review 08/18/2011 08118/2011 08/18/2011 Not Required David Bowlsby
Comments: Over the counter permit
flmt",I-Revlew--:-::-~. - : 08/.18/2011.'" OOiiii72011:- 0?/.18/201{~5'0Ve[.the;<;;ou~teT--:;-;i5avld Bowlsby
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~.:omments:~' O~erthecounterl?ermlt _ "0'1.' ~,,\,,_:.~_ . .'.: _~"": _: J~~:.:'_"~ o~:u:.:.:_._ "
INSPECTIONS REQUIRED ~
Inspections
3500 Rough Plumbing
3999 Final Plumbing
Reviewer
David Bowlsby
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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
':~"rJA~l:.;g SL/fi'-((
Owner or Contractor Signature Date
Springfield Building Permit
8/18/2011 11:02:31AM
Page 3 of 3
. . , .
SPRI~G.--. FIE.L~.D
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TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth SI
Springfield,OR 97477
541-726-3753
www.cLspringfield.or.us
811-SPR2011-01961
157 12TH ST. SPACE 1
perm itcenler@cLspringfield.or.us
~.'r."{.
'0,
"~'~i
;A:CC.OUNECODE
224-00000-425603
821-00000-215004
100_00000-425605
TOTAL DUE:
^.
DATE: 08/18/2011
~AMOUNT':DI.JE
1,330.00
159.60
66.50
1,556.10
AMo.UNT PAID.
1,556.10
RECEIPT NO.: 2011002267
lDESCRIP..TION .
Hose bibb
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
RECo.RD NO.: 811-SPR2011-01961
PAYMENT lYP~
Credit Card
070014
PAyo.RCASHIER: DBOWLSBY---.:~ Co.MMENTS.
SNIDERS PLUMBING & DRAIN
To.TAL PAID:
1,556.10