Loading...
HomeMy WebLinkAboutPermit Plumbing 2013-5-16 • - SPRINGFIELD- . 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 \ OREGON Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 . PERMIT NO: 811-SPR2013-00972 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/16/2013 EXPIRES: 11/11/2013 STATUS DATE: 05/16/2013 APPLIED: 05/16/2013 SITE ADDRESS: 406 16TH ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703362409500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair Sewer Line-on private property OWNER: COVEN GARY Phone Number: • ADDRESS: 406 N 16TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION 1 Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor CARDWELL CONSTRUCTION&PROPERTY MANAGEMEI CCB 74466 09/09/2013 541-688-7609 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 Contractor Signature Date NOTICE: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility • THIS PERMIT SHALL EXPIRE IF THE WNO r'OMMENCED OR IS ABANDONED FOR Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT In OAR 952-001-o0to through OAR 952-001- 0090. You may obtain copies of the rules by I^n nAY PERIOD. • calling the center. (Note: the telepr number for the Oregon Utility Notification • Center is 1-800-332-2344), Springfield Building Permit 5/16/2013 9:38:04AM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield.OR 97477 .00.EGON 541-726-3753 811-SPR2013-00972 www.spnngfieldor.gov 406 16TH ST permitcenter @spnngleld-or.gov RECEIPT NO: 2013000960 RECORD NO:811-SPR2013.00972 DATE:05/16/2013 IoI Ys)=7)JIdIo]`L. ". f. ".#.r;'..✓._.x„< '°s -'. i„"ACCOUNT•CODE/TRANS CODE f°- ' C AMOUNT4DUE',.'; 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 . P.AYMENT TYPE IPA I - -cnsi E ARSON iC IMMENTS? LIWI__ AMOUNTjRA,Kr.,,+ ' Credit Card COVEN GARY - 97.70 H23737 TOTAL PAID: 97.70 Plumbing Permit Application :c:.;-;pEOARtmENT usE opwc.: rertrzlzgaftwa___swifitriviwgits-wAwki71:347.4 -4ia; e. _. UttEITY4-9ESItitiNGFIEU*SZEGIONVA gt:40„s- , Permit no.: si t ZoL3 0091 7L St laigittra- WittallitaKiti:51%.24`trifti:7-4WITegiall a. z-225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: 574/ '7/3 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. 7, zio,- LOCAlfr:GOVERNNIENT. .APPROVAL2P4gSg ,z125,1Nifi-51*5215,:ligAFEV,$CHEDULIEZI:teaK4Sitigipa Zoning approval verified? E Yes 0 No op,,igges5, 77.2.-vt:y.tiv,ii%intnt,Z6..?„ra4zLiel.,..-if; til? ;',1Ciist"-.37.1.-",TiTtlIr 'iDestriptior0-,,F'1,01,1 :-.-t'3,:f,'W<:‘4. Qty,'.1.:1,-- , ,,--k-' ,E..c..---. ,.''' ;:r$ ea:,;,,,„,r,,,,cost,y.:si Sanitation approval verified? 0 Yes El No New residential ';‘:' '.:;'$:•. : CATEGORY,f0F,;tONSTRUCTION,:, Wqr.;:i-, I bathroom/1 kitchen(includes first 100 feet of water/sewer lines, hose KResidential 0 Government 0 Commercial bibs, ice maker, underfloor low-point $262.00 $ 5•i!:;iiii:?3,NO EriS IT E i I N FO BMATIO N. AN D LO,CATIONaleta drains and rain-drain packages) Job site address: up LI, [In(AA „ski-eiA 2 bathrooms/1 kitchen $411.00 $ 3 bathrooms/1 kitchen $483.00 $ City:1-4171S na6 64 rA State: DR ZIP:Ci 7L/77 Each additional bathroom(over 3) $104.50 $ Reference: Taxlot.: Each additional kitchen(over 1) Residential fire sprinklers(includes plan review) 04.50 $ 3Quaur 1-kry VIP tir\3 otON2 -A-Ellejorl 0 to 2,000 square feet $80.00 $ 2,001 to 3,600 square feet $128.00 $ (y &- Orancv huum , ih,.mikni:1:Y-?!KbiP,R014ERTAPIWNEW::::.?:4,VM.,-V-ANS 3,601 to 7,200 square feet $192.00 $ 7,201-square feet and greater $255.00 $ Name: e.,a ,,, C ingtin Manufactured dwelling or pre-fab(circle one) . Address: 4---c0{D I irg;2s 81NLC* Connections to building sewer and $80.00 $ water supply City: sQI1„ ,,y44( State: 0,(L, ZIP: coq--77 Commercial,industrial,and dwellings other than one-or PhoneSt/lc- 1 Gig Fax: - - two-family fee ' $80.00 $ E-mail: CifzItAD ca9 tj, ani gisE cowlats-6 . Minimum Each fixture $21.00 $ This installation is bent, 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 249 $83.50 $ Signature:Spc-NoiLify,..wr. al---5-(et-, Each fixture,appurtenance,and piping $21.00 $ n.:•:U:Elt;R:.=:CONTRACTOR;:71NSTALLATIONIWearge Storm water retention/detention facility $21.00 $ Irrigation systate ems Business name: C Thook.w.a, esnskrux,(5-9,‘ Piping or priv storrn drainage $21.00 , $ Address: Lp5 6 rArp c.)611/4„nit. wOrit I-41u € systems exceeding the fith 100 feet $21.00 $ City: C-...0 cz As I State: ag._ 1 ZIP:CO(41 Specialty fixtures $21.00 $ Reinspection(no of hrs x fee per hr.) $80.00 $ PhoneekEIN- (0-7 Fax: - - Special requested inspections(no.of $80.00 $ E-mail: , hrs.x fee per hr.) CCB license no.: h(AtA b ti. BCD license no.: Each additional inspection:(I) $80.00 $ v-:.'tafitr:T.C.7.1zvx!:91:Wt::-.4”; • • Plumbing license no.: laTediCafkas pwingrean.,,„e_ss.1.,—.: Minimum fee $ Enter value of installation and equipment$ . Print name: . Enter fee based on installation and equipment value. $ Signature: ErateggIlTaKti eAVIAI nktinat.' . (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]) $ 77 Gii-ILPIP TOTAL fees and surcharges(A through D): 13(i 7 2.e- 440-2500-3(4/1/2013/COM)