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Home My WebLink AboutPermit Plumbing 2013-5-23 • SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 5' '' Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01044 www.springfield-ar.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 05/23/2013 EXPIRES: 11/18/2013 STATUS DATE: 05/23/2013 APPLIED: 05/23/2013 SITE ADDRESS: 332 W CENTENNIAL BLVD,Springfield,OR 97477 SCOPE: Plumbing Only- ASSESOR'S PARCEL NO: 1703274405300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 60 ft.sewer line on priv. property OWNER: CLAWSON ANDREW Phone Number: ADDRESS: 332 W CENTENNIAL BLVD SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor READY ROOTER DRAIN CLEANING 8 REPAIR SERVICE I COB 92524 02/18/2015 541-744-7991 INSPECTIONS REQUIRED Inspections 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 3999 Final Plumbing 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 construction. Owner or r Signature Date ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the ...n.:; number for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 5/23/2013 9:00:10AM Page 1 of 1 • • SPRINGFIELD ---- CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR97477 OREGON 541-726-3753 811-SPR2013-01044 www.spnngfield-or.gov 332 W CENTENNIAL BLVD permitcenter©springfield-or.gov RECEIPT NO: 2013001028 RECORD NO:811-SPR2013-01044 DATE:05/23/2013 DESCRIPTION _. I5. ,. :7-[..a :::' ` )!ACCOUNT CODE/TRANS.CODE ° 'k_ o 0[1 .-''I Sanitary sewer 224-00000-425603 1005 83.50 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 TOTAL DUE: 97.70 PAYMENT TVPF PAVOR cASN iea dsoN COMMENTS ,A_MOUNT,4PAID Credit Card READY ROOTER DRAIN CLEANING 2 97.70 005143 REPAIR SERVICE INC TOTAL PAID: 97.70 Plumbing Permit Application i.iViigiliiikarfffM.TaTiTfirilaigt4ficrtVi.iii}"WS.;:17:4;a7Mggni.:M; i % ." ...., 2:".*CITY-OFSPRINGITELIVOREGONVA c,:,:. : " ' ' s:AL,tg, Permit no CZ:-(I zo(a a( oHt4 iogmggwAmgtgigNtlwiowA4w;w4kthkznlvg 70),e-- w 'N 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: 5-/Z.-;// 3 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. , ,,• AOCALLGOVERNM ENT AF'PROVAlAktialinit 11719,a0,:kli.S,417.1FEE:c0cHEDIJI2E ZAV:,,,Migtiatt: NinsccA--: , :7-tA /4r-,-7,1- 1,6 1.. '',1? liCoit 2 tToiart. Zoning approval verified? n Yes 0 No <Desc riptic)ry::::.&1,'i--11,7-tat,..-*.i.-x.: Qty.':5- .,,:t ii0.---- -.to, R,-÷,t4 .&,..,•2 Ilx,:s!Xl.2,i:24!'35Q.3 Sanitation approval verified? n Yes 0 No New residential ktATEGORYti:OF,i;CONSTRUCTIONsci;ti.Aef'::: 1 bathroom/1 kitchen(includes-first 100 feet of water/sewer lines,hose lil Residential H Government lif Commercial $262.00 $ bibs, ice maker, underfloor low-point gilz-ng-JOB):iSITEIINFORMATION::tAND LO CATION Sig drains and rain-drain packages) 2 bathrooms/1 kitchen $411.00 $ Job site address: 3 32 1„,/ Ce...-lin V 4/t 3 bathrooms/1 kitchen $483.00 $ City: 5p IA _ State: 648, ZIP: 1 Lb th 7 -------- Each additional bathroom(over 3) $104.50 $ - Reference: Taxlot.: Each additional kitchen(over 1) $104.50 $ :1111:e*1,1:1;1.1:,117...14DEStRIPTION):0 I':WORKA:'?1.,44gila Residential fire sprinklers(includes plan review) C.)1,,a- -Pow, f,cocc 0 to 2,000 square feet $80.00 $ 4 o 44,4 cc";4-e- 2,001 to 3,600 square feet $128.00 $ itz?,:igRROP ERM OWNER -I T::P,Iilliagia 3,601 10 7200 square feet $192.00 $ Name: 4f1%/ 7,201 square feet and greater $255.00 $ ch.,,,,,,s-e.),, Manufactured dwelling or pre-fab(circle one) Address: 33) j„,/ '0-hli c a 6 Connections to building sewer and $80.00 $ City: 5-c s4 State: azt ZIP: 7Y7 1 water supply — Commercial,industrial,and dwellings other than one-or Phone: - - Fax: - - two-family _ E-mail: Minimum fee $80.00 $ — Each fixture $21.00 $ This installation is being made on residential or farm property 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 $ talTRACTO R?:-'1NSTAELATI 0 N-1'''71•-Neit5al Storm water retention/detention facility $21.00 $ Irrigation systems $21.00 $ Business name: /tee,si . , iZocl-d Piping or private storm drainage Address: `)(Si 5'1 t i h 4 A zi systems exceeding the first 100 feet $21.00 $ Specialty fixtures $21.00 $ City: ,frit,e„./.._ , State: OK ZIP: 5-2y e.; fi Reinspection(no.of hrs x fee per hr.) $80.00 $ Phone: -51-//- -7'Pi-7 Y'It Fax: - - Special requested inspections(no.of $80.00 $ E-mail: hrs.x fee per hr.) Each additional inspection:(1) $80.00 $ CCB license no.: Co.,SA I) BCD license no.: . Plumbing license no.: WillatillaZailircia4rigara Minimum fee $ Print name: A un...r Enter value of installation and equipment$ ,44/70, .. , Enter fee based on installation and equipment value. $ Signature: ' rt=IEIMEFgaIW]fi3P7PtreA:Nfgtf§ERF:t(l.l'V.:tatia: (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): $ 9 7 2-'-'-- • 440-2500-1(4/112013/COM)