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Home My WebLink AboutPermit Plumbing 2011-8-26 PlbmJjing Permit Application D':'~'~'!:"f,~,~_.,,':;;i,Y;<r::-9!+"-'!."":_'i;'-::;i'.:r-7"-_'ll'-'-'-\'o,,",,f;-"'v,'J..,',:ti,::t;;i P'~~,"DEf>ARTMENT ,USFONlYlli!"tf] c-. t. "". ....,j,). " - ",': ._, "I. _ ..~,. "".,{1-,t; -; Pennit no.: .5/1 ~ D Z 0 0 9- Date: g ~ 2 6 ~ /1 225 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. :!iJff"i'#'i,'f;'iiI!!OCAl!t'GOVERNI\Il.EtIIt";;Af>P,RbVA@C~~?~Jfi.~1,;~I'il Zoning approval verified? 0 Yes 0 No Sanitation approval verified? 0 Yes 0 No CATEG9R'(OF. CONSTRUCtiON' o Residential 0 Government 0 Commercial 'i~;t~4'rt1ij"jbB!:SlmE",'ltIIF.ORMAtiON!i'/i.NDit)[OCAT~oNcltl'fi'g.':,1i C S City: 7 ., h' Phone: E-mail: CCB license no,: f'Zz.. Plumbing license no,: OU\O , o,uiles'l D\i\i\'I \'I \a'l'l Ie Ole90\'l \ \o\\n , ~. Ole90 d '0'/ \ne sale se 00\- :\I"t.~'\O S ~dO\lW ,nose IU\e of>-~ 9,,'2.~e5 '0'1 ~\\o'l'l {,:,\~ ce\'lwt. \0 \nloU9DS 0\ \De I~Ol'e , ~0\i\iCa~~'2:00'\-0~\ai\'l co~~~ \De \e\~~ica\\O\'l \\'1 oJ>-~ ~OU ~a'l ~wt. ~o 0\\\i\'1 ~A~)' 0090.. \De ce Ole90\'l 33'2.-'2.3 ca\\I\'I9 \ot \De. \ _\,>00- ",-'oet . el IS nil'" r,el" 440-2500-J (fl/08/COM] New residential 1 bathroom/l kitchen (includes: first. 100 leer of water/sewer lines, hose 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 1) $95.00 Residential fire sprinklers (includes Ian review) 0(0 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 water supply Commercial, industrial, and dwellings other than one- or two-family Minimum fee $238,00 ,$ $ $ $ $ $ $ $ $ $ $ $ Each fixture, appurtenance, and piping Storm water retention/detention facility Irrigation systems Piping or private storm drainage s stems exceedin 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: (1)_ . ~MJWi~iirg-~;pflj'ift~~tk1~~~i~!:~~~~~ $76.00 $ $19,00 $ $19,00 $ $19,00 $ $19,00 $ $19.00 $ $58.00 $ $58.00 $ $58.00 $ Minimum fee $' ~ SP'~~,:::EL~ ~;,;" ~ ""+:,<>\.. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-02009 IVR Number: 811189230382 www.cLspringlield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541~726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/29/2011 ISSUED: APPLIED: 08/29/2011 08/26/2011 EXPIRES: VALUE: 02/24/2012 $0.00 SITE ADDRESS: 3530 GAME FARM RD, SPACE# 36, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703154003100 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Plumbing Only New Residential PROJECT DESCRIPTION: Water service, hose bibb and sewer connection modifications Phone Number: OWNER: ADDRESS: URBAN TRANSITIONS LlC 840 BELTLlNE RD STE 202 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Plumbing Contractor Contractor Name RELIABLE PLUMBING & MECHANICAL INC Lie Type CCB BUilDING INFORMATION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # 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 182964 lic Exp 09/20/2012 Phone 541-689-4235 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 Information ~ Engin~-ered Fill: Fill Volume: Flood Hazard Area: land Hazar~~ Retaining W I II::NTION: Oregon law requires you 10 Soils Repo Ilw'rt'd!es ad,opted by the Oregon Utility . 0 Iflcatlon Center. Those rules are set forth In OAR 952-001-0010 through OAR 952.001'; 0090., You may obtain copies of the rules by callmg the center. (Note: the telephone' number for the Oregon Utility Notification Center is 1-800-332-2344), ,-" NOT! CE: " /o\:;';(':'!;;-:';::~':;.'_ THIS PERMIT SHALLEXPIRE IFTHE WORK; AUTHORIZED UNDER THIS PERMIT IS NOT F COMMENCED OR IS ABANDONED fOR ",-:"l,' ANY 180 DAY PERIOD. ,', ,,'- ";," , Springfield Building Permit 8/29/2011 8:07:08AM Page 1 of 3 ;; .~ SPRING.. F.IEL~ W ::~ Ah... OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-02009 IVR Number: 811189230382 WWoN. ci. springfield. or, U s 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 0812912011 0812612011 Issued 0812912011 EXPIRES; VALUE: 02/24/2012 $0.00 SITE ADDRESS: 3530 GAME FARM RD, SPACE# 36, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703154003100 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Water service, hose bibb and sewer connection modifications DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot C.overage: Highest point on structure to north property line: FrontYard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Plumbing Only New Residential REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description Description Tvee of Construction Unit Amount Unit Tvee ~ Unit Cost Value FEES PAID ~ Description Amount Paid Date Paid Hose bibb $19.00 08/29/2011 _. -._.._...~_._-----_.__....._---- -------_..~- - ~a~l~ry _se.'~eL___._ __. _______.___ __ __ __ .~~~:~~__ ______~~/~?~1.1___. State of Oregon Surcharge (12% of applicable fees) $20.52 08/29/2011 ~no~~y fee (5% of permit total) .. $8.55__ 08/29/2011 Water Line $78.00 08/29/2011 Total Amount Paid . $200.07 Springfield Building Permit 8/29/2011 6:07:08AM Recipt# 2011002332 2011002332 2011002332 2011002332 -..-'~'-- 2011002332 Page 2 of 3 -. SPRIN..GFIE.~ ...~- or.. i.'IM. ;Ji...: \~ \,-.J\.. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-02009 IVR Number: 811189230382 www.ci.springfield.or.U5 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 08/29/2011 08/29/2011 08/26/2011 EXPIRES: VALUE: 02/24/2012 $0.00 SITE ADDRESS: 3530 GAME FARM RD, SPACE# 36, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703154003100 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Plumbing Only New Residential PROJECT DESCRIPTION: Water service, hose bibb and sewer connection modifications Plan Review I DeDartment Application Acceptance Received Due Date 08/26/2011 08/26/2011 Result Over the Counter Comoleted 08/29/2011 Reviewer David Bowlsby ~..;.e:~lJs.uance' ~~~, Plumbing Review 08/29/2011 08/29/2011 08/29/2011 Not Required David Bowlsby Comments: Over the counter permit {\~~!~~~~:~: !:~~:\,_ ~-, .~ ~W2,9~29.t~<~:02j,9/2~1~1'. ;08!2~{2b11:~':,~~9ver:the 9?~ht~rjii'. ~.~[tDavid}~,9~lsby:~~" k~p.?~T~n<t~:'~..?~:~.th~j'Counter perr111P': ,", ~N.l';f~'~~m!x ~~: F ..~ i'::~r<;J ~.~ .~;~/.,~',~! '"^ ~ ,,~~. INSPECTIONS REQUIRED ~ Inspections 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing, 3315 Water Line 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 al ired inspections are requested at the proper time, that each address is readable from the street, that the per~rllt,card roca €d t the front of the property, and the approved set of plans JJl remam on the 51te at all times dUring /con56u~n ~1 _ '. nero Springfield Building Permit 8/29/2011 B:07:08AM Page 3 of 3 -. SP~~N:::'E. L~ ~~ ~OREGON www.ci.springfield.or.U5 TRANSACTION RECEIPT 811-SPR2011,02009 3530 GAME FARM RD. SPACE 36 CITY OF SPRlNGFIELD 225 Fifth St Springfield, OR 97477 541~726-3753 permilcenter@ci.springfield.or.us iDESCRI~TI0N~"::' Hose bibb ,."~" f ,;+>-','r.'f RECORD NO: 811-SPR2011-02009 DATE: 08/29/2011 ';~. _. J~~';'i~::':>;.li";;8ACC0UNTlC:0De'. ""- -~i:I,-,~AMQUNT1b.UE...L..:..-.~ 224-00000-425603 19.00 ~.__._- 224-00000-425603 76.00 821-00000-215004 20.52 100-00000-425605 8.55 224-00000-425603 76.00 T0TAL DUE: 200.07 I'tC_6MMEN:rS~ '. ",:'p~,::,,; AMO.UNT'PAID:'Y 200_07 RECEIPT NO: 2011002332 Sanitary sewer State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit tot~~ Water Line LP.A YM'ENJ~T:YeE::::':""::~Ay'Q~~"~SB~B'D~6vvLSBYi;<".;- Cash urban transitions "'I TOTAL PAID: 200.07