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HomeMy WebLinkAboutPermit Plumbing 2013-6-14 SPRINGFIELD 225 Fifth St " CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01282 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/14/2013 EXPIRES: 12/10/2013 STATUS DATE: 06/14/2013 APPLIED: 06/14/2013 SITE ADDRESS: 126 W OLYMPIC ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703274106700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PL-Interior alterations to one duplex unit and exterior flatwork for full wheelchair accessibility OWNER: HOUSING AUTHORITY&URBAN Phone Number: ADDRESS: 300 W FAIRVIEW DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor JACKO PLUMBING INC CCB 169047 03/14/2014 541-683-7535 L 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. 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 constructio. Air —Lest 61 G�1, wner or Contractor Si Wre Date ATTENTION: Oregon law requires you to • follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the teleph-i. number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). • Springfield Building Permit 6/14/2013 910:53AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 4t d - 225 Fifth St � ; TRANSACTION RECEIPT Springfield,OR97477 ,: OREGON 541-726-3753 811-SPR2013-01282 www.springfield-or.gov 126 W OLYMPIC ST permitcenter©springfield-or.gov RECEIPT NO: 2013001237 RECORD NO: 811-SPR2013-01282 DATE:06/14/2013 DESCRIPTION ;' __ _ . . -..ACCOUNT.CODEIT.RANS_CODE_:_,_;_ AMOUNTDUE,,,_. Clothes washer ~�� 224-00000-425603 1005 21.00 Shower/Shower pan 224-00000-425603 1005 21.00 Sink/basin/lavatory 224-00000-425603 1005 21.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 12.60 Technology fee(5%of permit total) 100-00000-425605 2099 5.25 Water closet 224-00000-425603 1005 21.00 Water heater 224-00000-425603 1005 21.00 TOTAL DUE: 122.85 LPAYMENT TYPE_ --- PAYOR__CASHIER:CCARPENTER- ___COMMENTS_e � � ___. AMOUNT PAID' 'I I Credit Card Brandt-Drury 122.85 442992 TOTAL PAID: 122.85 _. ... . Plumbing Permit Application ia:0741..„LaMicgair.,,ZiLtatfii4M2MINIZ4GOCin;TAInggiati sart,s1 CALUITY PF4SPRITNOITELig_tittEGONVO ' - ..s."`-t '4 - / i-72F2- Permit no.: 5, / . Pig'StiageattiticUrgti/TnW74;iglyAir.fitri:Viiiraga ..0..,&:. Sb 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: g2'o7/10 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. • ::". .";:fiti...1":::LOCALT:GOVERN M ENT.:AP P ROVALTOMZia til.".7.0,4"g-AaerhIV4i.*FEESONEDLILEfAW14.44"::Pia:21.it"?. Zoning approval verified? 111 Yes E No r: !.*Ki4.4,1-"if-,-'nl 3°76h' tAC6"e;;- ;,=-TalicF; lOescrO -sd Qtir, ,,..,„.... ,,,:;.f:,..,„ _ ,31.4J.§,:.-4.7"--X-5:a1-: Sanitation approval verified? 0 Yes EiNo New residential cATEGORYIQF4:CONSTRUCTIONXIT:11.1144 I bathroom/1 kitchen(includes:first . ---e 100 feet of water/sewer lines,hose ' Residential 9 Government 9 Commercial $262.00 $ bibs, ice maker, underfloor low-point P1Q3'.%10BriSITE'UNFORMATIONJAND "LO,OATIONWer drains and rain-drain packages) Job site address: /2.-5 C./ ./6.41.41, l C-- 2 bathrooms/1 kitchen $411.00 $ 3 bathrooms/1 kitchen $483.00 $ City: 5-4),--;,t pi, (c,..) State:0,--- ZIP:4127-7;2 Each additional bathroom(over 3) $104.50 $ Reference: Taxlot.: Each additional kitchen(over I) $104.50 $ kl.g;',;;11,1::Ita :r41DESCRIPTION'LOF::-.WORK;nala Residential fire sprinklers(includes plan review) A2.6o4-Te- q g, 74/w- a2,..- izev-,d.pc.c- 0 to 2,000 square feet $80.00 $ 2,001 to 3,600 square feet $128.00 $ inAtietMilh.t.f44,iRoPERTY4OWNERVINWelailiM " 3,601 to 7,200 square feet $192.00 $ Name H,9-c 7,201 square feet and greater $255.00 $ : _c;A Manufactured dwelling or pre-fab(circle one) Addre5530-c utetqAfFPFpa+C- Fa(v-it/f.e"i Connections to building sewer and $80.00 $ , ,. water supply City: 9.1 is e- (c-i State:Or ZIP./co 2y.7,7 . Commercial,industrial,and dwellings other than one-or Phone:c yi-M67._ 3735-- Fax: - - two-family , E-mail: Minimum fee .r, $ao.00 $ Each fixture $21.00 Vac This installation is being made on resi 91°dential 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 $ t1,6•2411111'1[!.CONTRACTOI:nNSTALLATION:2 ;We,,Ze: Storm water retention/detention facility $21.00 $ Business name:N.)644-0 P//,/,v‘/1.--‘ '7 Irrigation systems $21.00 $ Piping or private storm drainage Address:3-(p 1-? 441IPP Z.4) systems exceeding the first 100 feet $21.00 $ City:fidaryi--rer /../(B._ State: ZIP: 72elfj Specialty fixtures $21.00 $ Reinspection(no of hrs x fee per hr.) $80.00 $ Phone: -$2') , r)_2- / Fax: - - Special requested inspections(no.of $80.00 $ E-mail: hrs x fee per hr.) CCB license no.:air& 77)V71 BCD license no.: Each additional inspection:(1) $80.00 $ Plumbing license no 7midim!:gis pmingc,,,Tyt,c, , .,,.-4,..A4 Minimum fee $ Enter value of installation and equipment$ . Print name: Enter fee based on installation and equipment value. $ Signature: . • ragalMinigtkikleatt)8Eint1itgaitg (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $ (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+13]) $ (D)Technology Technology Fee(5%of[A]) $ TOTAL fees fees and surcharges(A through D): 8/2.2,V.-- 440-2500-J(4/1/2013/COM)