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Home My WebLink AboutPermit Plumbing 2011-8-19 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01974 IVR Number: 811159487070 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 08/19/2011 08/19/2011 Issued 08/19/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 'Fax: 541-726-3676 permilcenter@ci,springfield.or.us EXPIRES: VALUE: 02/14/2012 $0.00 SITE ADDRESS: 1947 D ST, Springfield. OR 97477 ASSESOR'S PARCEL NO: 1703361311600 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Sewer line repair Phone Number: OWNER: ADDRESS: HARRIS GREGORY E & SANDRA L 1947 D ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Plumbing Contractor Contractor Name ROYAL FLUSH PLUMBING CO Lie Type CCB BUILDING INFORMA TION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lie No 181482 Lie Exp 04/30/2012 Phone 503-657-3919 Lot Size: Sq Ft 1st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 QccuRancy Load: ATTENTluN: Oregon law requires you to Electrical Specialty Code Edition: follow rules adopted by the Oregon Utility Springfield Fire Code Edition: Notification Center. Those rules are set forth Mechanical Specialty Code Edition: In OAR 952-001-0010 through OAR 952-001- Municipal I Development Code: 0090., You may obtain copies of the rules by " , , caJ/mq the center. (Note: the telephone Plumbing Specialty Code Edition: numb3P1or the Oregon Utility Notification Residential Specialty Code Editi~n: Center is 1-800-332-2344). Structural Specialty Code Edition: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: 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 8/19/2011 1:35:38PM Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01974 IVR Number: 811159487070 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/19/2011 ISSUED: APPLIED: 08/19/2011 08/19/2011 EXPIRES: VALUE: 02/14/2012 $0.00 SITE ADDRESS: 19470 ST, Springfield, OR 97477 ASsESOR's PARCEL NO: 1703361311600 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Sewer line repair 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 ~ Descrietion Tvee of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ DescriDtion State of Oregon Surcharge (12% of applicable fees) Sanit~ry sewer Technology fee (5% of permit Iota I) Total Amount Paid Amount Paid $9.12 $76.00 ---~- $3.80 $88.92 Date Paid 08/19/2011 08/19/2011 08/19/2011 Reciot # 2011002282 2011002282 2011002282 Springfield Building Permit 8/19/2011 1:35:38PM Page 2 of 3 SP..RINGF. IE.L~ -~ "OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01974 IVR Number: 811159487070 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 08/19/2011 ISSUED: APPLIED: 08/19/2011 08/19/2011 EXPIRES: VALUE: 02/14/2012 $0,00 SITE ADDRESS: 1947 D ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361311600 SCOPE: Plumbing Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Sewer line repair Plan Review ~ DeDartment Permit Issuance Received Due Date Comoleted Result 08/19/2011 08/19/2011 08/19/2011 Issued Reviewer Chris Carpenter Ini1iaf Review 08/19/2011 08119/2011 08119/2011 Over the Counter Chris Carpenter Comments: Over the counter permit !Affpli.cation~Ac;~p~a~~:7 . ,~> ";' "" :98lW~,~Ot ~';. 9~l~ 9/2~,1~r."B~i{~~~/,2:911" ~;, ;~v~rit~.4~':C9U-Q!~.~ ~f r." .~; .~'~ :"<:,,~':. : ."h...~,~<';:":';,~d:..,:; >~~ 2i:!,' ;: \"~~ =':~' ~"7~n,:~:',_~1'~~-,. '~l' , I INSPECTIONS REQUIRED ~ .6 ChrisCarperiter~;?,j~...:,: (' """'<>'~J"" '~---~<:::~"~t':'>i~~'"-,,,~,_ ," c' 7'~:"~,~i~,i,,~- .': -' r;'- :~. Inspections 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. By signature, I state and agree, that 1 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. 1 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, M,-- OW e or Contra or Signature ~~ (cr-~ Date Springfield Building Permit 8/19/2011 1:35:38PM Page 3 of3 ': Piu'mbing Permit Application 225 Fifth Street. Sp,ingfield. OR 97477 . PH(541)726-3753 . FAX(541)726-3689 "'<\"".l0:~,i~'ii~""~:''';?;'''''-<'W'''''>:'''''~'''~,''>J>'''_'~~W'{''-:;;.:l.r~'S;'; ~"'\".:DEPARTMENT.USE!o.NtYifxt!Jt' .) '.:'" ..,: . .-., . - ',:. ".' .' -';~~:: ..' Date: <6 This permit is issued uuder 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. ~S'!.!if.j!#;G;;t:;j110CA!:!.f~bYERNMENTI'iJAPP,RO.vJi.L!'~\'!;V:~i;P:;~~z;j Zoning approval verified? DYes D'No Sanitation approval verified? DYes' D No CATEGORY' OF. CONSTRUCtioN:: .... esidential if:i~\i,',(1'JOEkSI;r;E . Job site address: o Government 0 Commercial INF,ORMAf:IONtfAND};li'OC:;AJ110N~iMW-t\f~1l "/1 b City: ZIP: f't 7 Reference: \ Taxlo!.: \\\0 ~J~?~i.t:_~i}~-;:~fi~~t!.;~f:~PESCR.I_f?JI(jNtf\'O~ff~Vv.or{K^r::~j~t;lt~~:~1iti?iff~~~\~;i\~ ZIP: err; 17 E-mail: '--- This installation is being made on residential or farm property owned by me or a member of my -immediate family. and is exempLfromJic ing--re iroments-tiIttb Oi\R:.9J80695oOWll: ZIP: '1100 Plumbing license no.: . Print name: Signature: 440.2500-J (11/08/COM) ;,~~8!,'~;r!;J~;~W\~~~t~~jf~r.1,I7E-E~i.aCH E.[)_QIlEp.H:,r::}if:Kt~~~{~Wt~~~~~f?~ ~R~~:~t'~1~~iit~~KJ)i~~~~1~~~~~}~ 8:~~ ~f~~~~t~f ~~~~~1~3:: New residential ] bathroom/] kitchen (includes: first 100feel of water/sewer lines, hose $238.00 $ bibs, ice maker, under floor low~point' drains and rain-drain packages) 2 bathrooms/1 kitchen $374.00 $ 3 bathroomsll kftchen $439.00 $ Each additional bathroom (over 3) $95.00 $ Each ~dditional 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-family Minimum fee $58.00 $ Each fixture $19.00 I $ Miscellaneous fees ]00' storm, sewer, water line r $76.00 $ fJ (n-- Each 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 exceedinQ the first 100 feet Specialty fixtures $19.00 $ ~einspection (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 $ ...: "~f" ":-,,...; ";a"Ot-t:W,. ;';;<". ~-:;:K;ri\">~c""i",,~;~T':'-~h:~X:iP"r'{'ip Minimum fee $ ~M_e~u~~tg~s:plplIlg\r\W3'}11;iJ?j~~.H~'Qlii<t451Zi:: Enter value of installation and equipment $ Enter fee based on installation and equipment value. I $ ~,~.y~_._-,_.",~""", """-"" !itj~." ~"':\""&~ Aii%"'P"!';j.. ';':'\~~lIG~NTll'tlS.E"" :t1~if0~~,,'" ",'fiI (A) Enter subtotal of above fees $ 'Ira (Minimum Permit Fee $58.00) (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ql!:. (D) Technology Fee (5% of [A]) $ o@.. TOTAL fees and surcharges (A through D): $ 5<, y(n SPRIN.G. :El~ ~\. " ttJ; . ..'. '\ OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-72&.3753 www.d.springfield.or.us 811-SPR2011-01974 19470 ST perm itcenter@cLspringfield.or.us RECEIPT NO: 2011002282 lDESCRI~TIONT. Sanitary sewer State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) RECORD NO: 811-SPR2011-01974 ;,",',ACCOONT~CODE " 224-00000-425603 821-00000-215004 100-00000-425605 TOTAL DUE: DATE: 08/19/2011 '.- ""'AMOUNT-DUE 76.00 9.12 3.80 88.92 AMOUNT PAID 88.92 i LP.";YMENTTYEE ", Credit Card 09412z P'AY9R'''''' CASHIER: CCARPENTER Steven Kramer . COMM~~tT.S' TOTAL PAID: 88.92