Loading...
HomeMy WebLinkAboutPermit Plumbing 2013-4- ;I SPRINGFIELD kt 225 Fifth St ' ::: . CITY OF SPRINGFIELD Springfield,OR 97477 1 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 . PERMIT NO: 811-SPR2013-00749 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/12/2013 EXPIRES: 10/09/2013 STATUS DATE: 04/12/2013 APPLIED: 04/12/2013 SITE ADDRESS: 52 5 17TH PL,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703363107000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: extendded waqter service because SUB moved meter OWNER: FERGUSON JOHN WILLIAM TE Phone Number: ADDRESS: 2640 HAWKINS LN EUGENE OR 97405 OWNER: JOHN WILLIAM FERGUSON TRUST - Phone Number: ADDRESS: 2640 HAWKINS LN - • EUGENE OR 97405 CONTRACTOR INFORMATION II Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor READY ROOTER DRAIN CLEANING 8 REPAIR SERVICE I CCB 92524 02/18/2015 541-744-7991 INSPECTIONS REQUIRED ` . Inspections 3315 Water Line 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 3999 Final Plumbing Final Plumbing: Wien 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 construction. i O'"-- •r ontractor Signature D e ATTENTION: Oregon law requires you to • follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- NOTICE: 0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the telephone 1UTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notification OMN1ENCED OR IS ABANDONED FOR Center is 1-800-332-2344). 'Y 180 DAY PERIOD. Springfield Building Permit 4/12/2013 3:53:29PM Page 1 of 1 I, SPRINGFIELD CITY OF SPRINGFIELD t i 225 Fifth St Cet)1;# TRANSACTION RECEIPT Springfield.oR97477 541-726-3753 811-SPR2013-00749 www.springfield-or.gov 52 S 17TH PL permitcenter©spdngfield-or.gov RECEIPT NO: 2013000733 RECORD NO:811-SPR2013.00749 DATE:04/12/2013 DESCRIPTION'r_g—iM1-27 :S�->z: ; >r - " �:� d '?ACCOUNT CODE/TRANS CODE.- i_ �AMOUNTuDUE rte; State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.02 Technology fee(5%of permit total) 100-00000-425605 2099 4.18 Water Line 224-00000-425603 1005 83.50 {{� TOTAL DUE: 97.70 8@PAYMENT�ve-E - ,PA'irciiWgriii'"'T ucia _COMMENTS , AMOUNT @PAID . , - Credit Card READY ROOTER DRAIN CLEANING i 97.70 045995 REPAIR SERVICE INC TOTAL PAID: 97.70 n Plumbing Permit Application 7,r DEPARTMENT USE ONLY ++ir. CY; ®F S RINGFI,ELD� ®REGON `z; Permit no.:'a/l ZD/3 C�7�/j ('im!:s.N.I. `r.'••r. " °'m`!;/ «„a . ar - ,t ,, /(, /y 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: Li 4Z 2 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. > _ , :e LOCAL:GOVERNMENT APPROVAL'1."',21;-?R4 ', 95:=, -5,,1/.FEE.,SCHEDULE ,`:;'' Zoning approval verified? ❑ Yes ❑No s a.a Cost :,Total 3 Descw, ,rs:n .- Qty. , ea , .4A-cost `� ., , 4 .. rva t . s�� € s Sanitation approval verified? ❑ Yes ❑No New residential n ;'CATEGORY 'OF CONSTRUCTION ;"`c-'s.'. I bathroom/1 kitchen(includes:first y-� 100 feet of water/sewer lines, hose `aa Residential ❑Government • ❑Commercial' bibs, ice maker, underfloor low-point $262.00 $ 'JOB;,SITE:INFORMATION,AND:LOCATIONc:; ;3"': drains and rain-drain packages) e 2 bathrooms/1 kitchen. Job site address: S � J ��� `P )_ $411.00 $ 3 bathrooms/1 kitchen $483.00 $ City:$ ac ,e.id State:6 r ZIP:Li} (7' .� Each additional bathroom(over 3) $104.50 $ Reference: Taxlot,: Each additional kitchen(over 1) $104.50 $ ";i q•,q,` iDESCRIPTION'O-F:),WORK` „" _ ? Residential fire sprinklers(includes plan review) • )g'--e 4}er . c. -r VCc GC4�,s? 0 to 2,000 square feet $80.00 $ SCA CA tqa ( v/1n.� 1_ - 2,001 to 3,600 square feet $128.00 $ :l , ,?( PROPERTY3.OWNER t,x> ',I„gYyi,; q..0 3,601 to 7,200 square feet $192.00 $ Name: 7,201 square feet and greater $255.00 $ Manufactured dwelling or pre-fab(circle one) Address: Connections to building sewer and water supply $80.00 $ City: State: _ _ ZIP: - Commercial,industrial,and dwellings other than one-or Phone: - - Fax: - - two-family E-mail: Minimum fee $80.00 $ This installation is being made on residential or farm property Each fixture $21.00 $ owned by me or a member of my immediate family,and is Miscellaneous fees • exempt from licensing requirements under OAR 918-695-0020. 100' storm,sewer,water line / $83.50 $ Signature: Each fixture,appurtenance,and piping $21.00 $ ";nom , `,:_'�CONTRACTOR. INSTALLATION ,'';a;Y.lC' Storm water retention/detention facility $21.00 $ Business name: `, p -et(' h efAphb(M Irrigation systems $21.00 $ J -J Piping or private storm drainage Address:.\Q\s) � r r'JL systems exceeding the first 100 feet $21.00 $ City:.51,),e„. State.l/ ZIPPenL[oaj Specialty fixtures $21.00 $ Reinspection(no.of his x fee per hr.) $80.00 $ Phone. - - Fax: - - Special requested inspections(no.of E-mail: hrs.x fee per hr.) $80.00 $ CCB license no.:C] �'a L( BCD license no.: Each additional inspection:(I) $80.00 $ Plumbing license no.: C\.-\'l 9 r. e =Medical gas piping ;„4 ' tv Minimum fee $ Print name: TC Enter value of installation and equipment$ . 'I -r' ^t V Enter fee based on installation and equipment value. $ Signature: 'fir ,, bizi N .c'APPLICANT( USE ifCi ,'r„ k,7 y: (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ (D)Technology Fee(5%of[A]) $ TOTAL fees and surcharges(A through D): $77 70 440-2500-1(4/12013/COM)