HomeMy WebLinkAboutPermit Plumbing 2013-6-10 r SPRINGFIELD 225 Fikh St
''r`'" CITY OF SPRINGFIELD Springfeld,OR 97477
1t Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone:541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01198
wvrw.springfield-or.gov • permitcenter @springfield-or.gov
• PROJECT STATUS: Issued ISSUED: 06/10/2013 EXPIRES: 12/06/2013
STATUS DATE: 06/10/2013 APPLIED: 06/07/2013 .
•
SITE ADDRESS: 1173 DIAMOND ST,Springfield,OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1703342400214 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: PL-Addition to existing bathrooms-septic
OWNER: THOMAS KENNETH R&SHARON Phone Number:
ADDRESS: 1173 DIAMOND CRT
SPRINGFIELD OR 97477
_ CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type Lic No Lic Exp Phone
General Contractor MORONI MANAGEMENT INC CCB .197322 07/25/2014 541-746-7757
Electrical Contractor K 8 K ELECTRIC INC CCB 87202 04/30/2014 541-741-2663 "
_ INSPECTIONS REQUIRED
Inspections
3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking.
3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing.
3650 Shower Pan Shower Pan. Prior to covering 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. �—/�
i�f^631—:-.
L.cjJ1 — /t. GA. /l3
� �/ / /
Owner or Contractor Signature Date
ATTENTION: Oregon law requires you to
•NOTICE: Notification rules adopted by the Oregon Utility
• Notification Center. Those rules are set forth
THIS PERMIT SHALL EXPIRE IF THE WORK In OAR 952-001-0010 through OAR 952-001-
\UTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by
1)MMENCED OR IS ABANDONED FOR calling the center. (Note: the teleph:�r�:
1 E DAY PERIOD. number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 6/10/2013 1:03:52PM Page 1 of 1
• SPRINGFIELD
225
CITY OF SPRINGFIELD
TRANSACTION RECEIPT ngFlfth ieldS,l
OR97477
'"'` 'OREGON 541-726-3753
811-SPR2013-01198
www.springfieldocgov 1173 DIAMOND ST permitcenter @springfield-or.gov
RECEIPT NO: 2013001175 RECORD NO:811SPR2013-01198 DATE:06/10/2013
D S .-TION",s.,,.. ; -`w a=i1__311: .1.,,.. `_ fir; ACCOUNT CODE/TRANS'CODEr"L.,_T L� i AMOU T DUE::
Fixture 224-00000-425603 1005 147.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 17.64
Technology.fee(5%of permit total) 100-00000-425605 2099 7.35
TOTAL DUE: 171.99
P,AXMENTTYP-E P.AY.ORITcaswEruasoR .COMMENTS AMOUNlie,61D
Check Moroni Mngt Inc. 171.99
1700
TOTAL PAID: 171.99
SPRINGFIELD -- • 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR97477
Phone: 541-726-3753
kOREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01069 .
www.spring8eld-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/10/2013 EXPIRES: 12/06/2013
STATUS DATE: 06/10/2013 APPLIED: 05/28/2013
SITE ADDRESS: 1173 DIAMOND ST,Springfield,OR 97477 SCOPE: Bathroom
ASSESOR'S PARCEL NO: 1703342400214 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: ST-Addition to existing bathrooms-septic
•
OWNER: THOMAS KENNETH R B.SHARON Phone Number:
ADDRESS: 1173 DIAMOND CRT
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor MORONI MANAGEMENT INC COB 197322 07/25/2014 541-746-7757
Electrical Contractor K 8 K ELECTRIC INC COB 87202 04/30/2014 541-741-2663
INSPECTIONS REQUIRED
Inspections
1020 Zoning Setbacks •
1110 Footing Footing: After trenches are excavated.
1120 Foundation Foundation: After forms are erected but prior to concrete placement.
1220 Underfloor framing
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
14101,t.aaI esulation
1420 ITIOlaffaktrleSkleiLL EXPIRE IF THE WUKK
6d> U UNUER TNiS PERMIT 4%a'
follow rules adopted Those ose the
rues are Utility
n l l t r / k! V �.
1430 Insulati a su atlon: Prior to cover. Notification Center. Tf'lose ru es are torth
CD DIl In ABANDONED . _. • 0010 through AQ °co-nn1_
U V'NNII V J +�v� ,I vru, v...� v..
14401nsulatiou eli i gy prPinn Ceiling Insulation: Prior to cover. 0090. You may obtain copies of the rules by
n ivy 1530 Exterior Shearwall calling the center. (Note: me telepr:....
Binh, t.lnt,finorinn
1999 Final Building Final Building: After all required inspectionsshave,been req}:est .3dd'gpproyed and
the building 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.
Q;00:Li •
Owner or Contractor Signature date
•
Springfield Building Permit 6/10/2013 1:05:54PM Page 1 of 1
•
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
� TRANSACTION RECEIPT Spdngfeld,OR97477
OREGON 541-726-3753
811-SPR2013-01069
www.spnngfield-orgov 1173 DIAMOND ST permitcenter @spnngfield-or.gov
RECEIPT NO: 2013001176 RECORD NO: 811SPR2013-01069 DATE:06/10/2013
SX !, ILL€ ' .:...�+` ACCOUNT'CODEITRANS CODE •-'ttT.-,-. MI , AMOUNT4DUE'.`'_
Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 4.55
SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 27.69
SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 19.01
SDC:Total Storm Administration Fee 719-00000-426604 1180 2.33
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 38.10
Structural Building Permit Fee 224-00000-425602 1002 317.50
Technology fee(5%of permit total) 100-00000-425605 2099 15.88
TOTAL DUE: 425.06
r PA IRTItoerti'i AYO irdlRSO OMMENTS _ ITOUNTOMID -
ld
Check Moroni Mngt Inc. 425.06
1700
TOTAL PAID: 425.06
SPRINGFIELD CITY OF SPRINGFIELD
7• 225 Fifth St
"
TRANSACTION RECEIPT Spnngfield,OR 97477
'OREGON 541-726-3753
811-SPR2013-01069
www.spnngfield-or.gov 1173 DIAMOND ST permitcenter @spnngfleld-or.gov
RECEIPT NO: 2013001040 RECORD NO:811-SPR2013-01069 DATE:05/28/2013
e •RI: 0'2'; "- ? 7 :z "''��# , :7•_- ACCOUNT CODE/TRANS CODE I _22`:AMOUNT!DUE
Structural Plan Review Fee Residential 224-00000-425602 1061 206.38
TOTAL DUE: 206.38
VIWCAENT�eTYPES P•AYOR SieR:;ccn" NCR COMMENTS, _ -_'AMQUN L340
&• Check MORONI MANAGEMENT INC 206.38
1695
TOTAL PAID: 206.38
•
n
Structural Permit Application SPRINGFIELD•..+ DEPARTMENT USE ONLY.:
pt t,i . c tLfi t.l2 4 R:..rar y icsiir ^ t pKrxs ly,,.L' r r fit r $ 'i''i t I .:o-
tt..o. CITY�0.FTOPRINGFtIELD iOREGOI e r. ht-" '' 't n. fri Permit no.:S(3 - /app(
�a i` S .tr -
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON
Date: s/2Z-(/
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
W"a• -. LOCAL'TGOVERNME T',
N _APPROVAL„ , ?rsi ,° scr ),.rF.,_,,.+-s si ;;:g, , FEE SCHEDULE '",,> 1- .afeif..,"
This project has final land-use approval. 1 -Valuation nformahoii'y"3.r,;"eriMIW;, _ ;ks; 's.. ;-,`.'.
Signature: Date: S/2EJ"13 NEy'�{ Adj71-no gn (a)Job description:
This project has DEQ approval.
Signature: Date: Occupancy Stsid_ u I C^
AsmaLI
Zoning approval verified: ❑Yes E[No Construction type: 5-t3
Property is within flood plain: ❑Yes X No Square feet: q 1 50,.. FE..I
-r, ti "` " "' a . ..N" *d .`` '• Cost.per square foot * .�.
;:;p „ ,,�`�"''�CATEGORY OFa CONSTRUCTION,w--,�;n P �1 2•,'-�Q �- �/ Z 7 C:YX,
si Residential ❑Government ❑Commercial Other information:
fs 41%JOBi451TE RJEORMATION•'AND LOCATION x`.`=if Type of Heat-. Fpj2LED A III/a .G[QJL
Job site address: 1173 D IAMQ^{O Ce -T Energy Path: N/A
City: SPR1✓1/4I6cFIELD State: OR I ZIP:r.i7477 ❑new ❑alteration IXT addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes A No
Reference:J 70 33 c12.31 Taxlot: CO al (( Total valuation:c.+ . $2-5, �U
"
4)Y s r x PROPERT Y 'OWNER .l . a i i,�' �2 'Budd3gete r r .._ b . �. y ,4
Name: T OhtkS 1 KE+-+-4Fc4 (a)Permit fee(use valuation table): $ ? 7
A'
Address: 117,3 D I AMO t-Jr Call?T (b)Investigative fee(equal to[2a]): $
City: 5pRIN Ca F11=L-f) State: OR ZIP:9-2477 (c)Reinspection($ per hour): $
Phone: 54) -71-7 - Cf 9(o Fax: - - (number of hours x fee per hour)
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ tiT V
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: '3'Plan"re`vie w;fees d ;, °-x i ?r _ ; ` n _.em n
(a)Plan review(65%x permit fee[2a]): $2047(
Sign here: , `. _ (b)Fire and life safety(40%x permit fee[2a]): $
❑This installation is bein de on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $
me or a member of my immediate family,and is exempt from licensin g 4e;�Mlscllaeous fees ; r„ r� a r "-�
tt 4i`
requirements under ORS 701.010. (a)Seismic fee, 1%(.01 x permit fee[2a]): $
`} '� . 3 :;CONTRACTOR INSTALLATION 'a"-, ' ie '
-r-v - + - n' '” "" (b)Technology fee,5%(.05 x permit fee[2a]): $ 1`) j
Business name: M(2RON I Net NIA- TN 0• TOTAL fees and surcharges(2e+3c-4a+4b): $ (7 2 ?Sr-
Address: I Zy-3 f7 S
I T
City: SPRI NA I Elf] State:
OR z1P:92477
Phone:541 -74-Co -7757 Fax:
SA/ c " '
E-mail: LL,KEIcS1 GMS e MA C. . r.OQ-4
CCB license no.: 4 ]97322 Pciu
Print name: 1\.A 01.4,71 C, . ,,..
KE In C 11^
Signature: {✓ (_ IV v
1 �
.SUBCO�TRACLORyINFORMATIow e
Name CCB License# Phone Number
Electrical 7ZoZ
I< c I< LL-tGTJ2t(- �Ul L
Plumbing
•
JgKa PLnv1431/ c(:
Mechanical
N/A