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Home My WebLink AboutPermit Plumbing 2011-8-18 SP~:~...~~ ~;,~ ^ :?-~'>.. OREGOW CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01964 IVR Number: 811176979911 www.ci.springfield.OLUS 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: 08/18/2011 08/18/2011 Issued 08/18/2011 ISSUED: APPLIED: EXPIRES: VALUE: 02/13/2012 $0.00 SITE ADDRESS: 532 38TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702311305700 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line Phone Number: OWNER: ADDRESS: DAVIS HAZEL JANE 532 38TH ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION l Contractor Type Plumbing Contractor Contractor Name PLUMB CRAZY PLUMBING INC Lie Type CCB Lot Size: Sq Fl1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Electrical Specially Code Edition: ATTENTION' 0 ' Springfield Fire Code Edition: follow rules a' doretgodnblawhreqUlfeS you to , " p e y t e Orego un Mechanical Specially Code Edition: NotifICation Center Those rul n Ilty \ in OAR 952 O' es are set forth Municipal I Development Code: 00 - 01-0010 through OAR 952-001- 90. Ynll may obta' , Plumbing Specially Code Edition: cal/' 20[h In copies of the rules by Residential Specially Code Ediiion: num~~ fo~ t~eentoer, (Notue:, the telephone regon liiity Nolificati Structural Specially Code Editi.o~: Center is 1-800-332-2344\. on # 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: Lie No 136547 Lie Exp 08/31/2013 Phone 541-895-8864 Site Information . ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: 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 8/18/2011 1:13:11PM Page 1 of3 ~ ST;G.~E~. ~,~ ~OREGO"" WWoN. ci. sprin gfield .or. us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01964 IVR Number: 811176979911 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 08/18/2011 ISSUED: APPLIED: 08/18/2011 08/18/2011 EXPIRES: VALUE: 02/13/2012 $0.00 SITE ADDRESS: 532 38TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702311305700 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 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 ~ DescriDtion Technology fee (5% of permit total) Water Line State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $3.80 $76.00 $9.12 $88.92 -Date Paid 08/18/2011 08/18/2011 08/18/2011 Reciot # 2011002270 2011002270 2011002270 Springfield Building Permit 8/18/2011 1:13:11PM Page 2 of 3 " SPRIH...G..FIE. ~ li~ "" ,'""" , \lW . "n', OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01964 IVR Number: 811176979911 WWW.ct.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.OLUS 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: 532 38TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702311305700 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water line Plan Review ~ DeDartment Permit Issuance Received Due Date 08/18/2011 08/18/2011 Com Dieted 08/18/2011 Result Issued PlumbingReview':c" ~'.'.. . 08/18/2011 _ 08/18/2011..' 08/18/201 ;Y ...,,>......,0' ,-.:st", 1 ,'" "'^" ~, "Cl?mments: c_"Ove~.the 0co~nter p~rmlt\ &+;"... NotR~qi.Jired.. :;>d' .. ",. )ri1!...., .'~.-: . - ': ~ -", Initial Review 08/18/2011 08/18/2011 08/18/2011 Over the Counter Comments: Over the counter permit ~ppliCation Acceptance OverlheCounter ',;': .. .l~ ,. ',< , - 08/18/2011 08/18/2011',08/18/2011 ~' ;. - INSPECTIONS REQUIRED ~ Inspections 3315 Water Line Reviewer Chris Carpenter Chris Carpenter -- .Jr;o'_>{f,', '~ .":::~~: ' ,: Chris Carpenter Ctiris.Carpente! '^ !~ .' , _ _-.J 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 constr cti ~ 1~~OII Date Springfield Building Permit 8/18/2011 1:13:11PM Page 3 013 . . ." Plumbing Permit Application '~q--!J '-\ :,'-F'~~\ .~'h,~~~'!~~:""-:-...~~J.;.~~-"'{f'Ji.:--';.;:€:)4~)":iit:."~~ .~~~ :';" ~~'- ~~I~Y~9H~~~~~F,lJlL!l;:,()~GQ~~. ;::- [i~;;..""",-,~'}_~\,Y~,," ~~~1l""""=~7""" . -g. "". Jf ",~~,;i~4.&;:.,'}.?1t~~.,,~~~~,'li' 225 Fifth Street. Springfield. OR 97477 . PH(541)726-3753 . FAX(541)726-3689 SPRINGFIELD ~"" ~ ,. . -"''1'''' . -, ',,~ i@1-.. _~'il tj;'.~_..,n " ." ~iir~'" .. ~,:" ;'t,.",. :'", ',' _,~,,,,...', -',-' _C:~.-'-.' 'e" ;:-,,~""';~';; <O'''-@'''' ~';r':DEP ARTMENTUSEONLY",~,\S ~,.' '.'," -.' '. _(." "'.f,' Pennit no.: S' ( I - Date: '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. '1~1?"''''li;~..%iIlO.CAL;'GOVERNMEN1,-);PI'?ROVAIY1~1.\"i::~9iil::ft Zoning approval verified? 0 Yes 0 No Sanitation approval verified? . 0 Yes 0 No . CATEGORY' OF. CONSTRUCTION IDesidential 0 Government o Commercial ./:~~j:.JOB?Sfl7E",'INFORMATIQN~ANb:~lfocATJON~i;;:{J\f: Job site address: ~ '2... 3'S'-l-'-\ City: 3Ppg;;, State: ~ ZIP: cr?'f7 Reference: ! 1 tJ .L "3 ( ):J Taxlo!.: 0')'170'0 .tJ.<:j;'{J,it~:;:;;~'~~1t4}~~DESCRI J?J:.10 N~!(;F.!~W,ORK:t:~1~);~':t~jJ'~ji~ . ::'f<...vtt:-e L0l1'1 ~h- 'u A./r:::-- },,!. .PROP;ERTYi.'OW.NER!T~)~~~}Jftrf?t::e~r~4~~ Name: A-v', .) Address: )'3 2.. City: S f'F L.\ Phone: ~ q;(p E-mail: This installation is being made on residential or fann property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 918-695-0020. ?. ~'- JgH--.. ZIP'71Lt1 Signature: 440.2500-J (11/08/COM) :~~~;'i:}1't:::~~~~~~~~i~~;F.EE~:S.CH E_DtJ ~E;;J~~'.,~::J.~~~~)1R€:.,~~~~~r~ ::~,\L~ L" ,.:~-i~";i,:': ;',;:;.1';'-~',~",~"!,~~:/,--~",'t' >',,: '. ...".~ " C t"; J. '-T 't "1;'" ;Descriptioh~~,flii'''''' "". ~'n".'"-''''' Qty' -. os j'?;jl~" 0 a.J i.i:,~.f,>Y 'j'.":~(k.,!i'~""",~.,...~.;;::'f:~:~':;1'~k1:t;0~' ~i.'jlr,~~'~~~~ :"..' ,,,,,1- tu:e.a.tt}~5 ;~'<:: c.lJ~tj.:: " New residential I bathroomll kitchen (includes: first 100 feet of water/sewer lines, hose $238.00 $ bibs, ice maker, under floor low-point drains and rain-drain packages) 2 bathroomsl! kitchen $374.00 $ 3 bathrooms/l 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 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 $58.00 $ Each fixture $19.00 $ Miscellaneous fees lOO' storm, sewer, water line $76.00. $ 7(-$E:- Eac~ fixt_ure, appurtenance, and piping $19.00 $ Storm water retention/detention facility $19.00 $ Irrigation systems $19.00 $ Piping or private storm drainage $19.00 $ svstems exceeding 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 $ tM~'~'i'i~Fg!~trpfp'i:ng~f~~N~~€:*~~;;~~fi~:j Mjnimum fee $ Enter val~e of installation and equipment $ Enter fee based on installation and equipment value. Jr/-Q 1$""'~~~yl;~~~pplIC'iI.Nf~uSE'#':";-:"':?"'~'''i"i~ ,i~,5rZt __" .'..'.... ',__ ' , " " ~ ,_",.,~#,.~_~,'"".,,~'&:l.:,...,' .~ (A) Enter subtotal of above fees 1)&- - (Minimum Permit Fee $58.00) $ (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+S]) $ q/2..- (D) Technology Fee (5% of [A]) $ 'J~ TOTAL fees and surcharges (A through D): $"i?Ji<;2- . TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726.3753 www.ci.springfield.or.us 811-5PR2011-01964 532 38TH 5T perm itcenler@ci.springfield.or.us RECEIPT NO: 2011002270 RECORD NO: 811-SPR2011-01964 fDESCRI[TION"';?)'f"": r'~+;:.,~:;:"'+ "'::'::~--,-.!,t(C'COUNT~C<)DF' State of Oregon Surcharge (120/: of applicable fees) ._ 821-00000-215004 Technology fee (5% of permit total) . 100-00000-425605 Water Line 224-00000-425603 _._M_. TOTAL DUE: DATE: 08/18/2011 ,-, -.' , ,t(MO()Nt~D.UE'~\ ' , ..>j 9,12 3,80 76,00 88.92 "'AMOUNT PAID, 88.92 . .C<' J 1~j>A:y]ViENT 'i:XBIO'"' ,- Check 4711 ;.....7r..'.:x;.....~..,;. , .. :.' "">';"""""'. ' C~-...;' ~ --~,,-""""'.'::. '*' ,." .~..".""""""" PAYOR, CASHIER:CCARPENTER~ ,~ .:;'".;C_OMME!'!IT!h;e,~~'? PLUMB CRAZY PLUMBING INC I~" TOTAL PAID: 88.92