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HomeMy WebLinkAboutPermit Building 2013-6-24 (2) SPRINGFIELD 225 Fifth St - - CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 ' ' `ONEGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01367 www.sprinfield-or.gov • pennitcenter©springfielo-or.gov • PROJECT STATUS: Issued ISSUED: 06/24/2013 EXPIRES: 12/20/2013 STATUS DATE: 06/24/2013 APPLIED: 06/24/2013 SITE ADDRESS: 1438 9TH ST,Springfield,OR 97477 SCOPE: Kitchen ASSESOR'S PARCEL NO: 1703264304600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-Kitchen remodel and WH install OWNER: KATHLEEN MCCARTY REVOCABLE LIVING TRUST Phone Number: ADDRESS: 1438 9TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor J LOGUE GAS WORKS INC CCB 147111 03/06/2015 541-345-7599 General Contractor SIGNATURE KITCHEN&DESIGN INC CCB 180485 02/11/2014 541-686-3356 SIGNATURE KITCHEN&DESIGN.INC (PB)Plumbing Cm PB1043 07/01/2014 541-686-3356 INSPECTIONS REQUIRED Inspections 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 r= •nt of the property, and the approved set of plans will remain on the site at all times during construction. t.0 _C7-7 _> me_Os-U�a�l C-2€1 - I3 Owner or Contractor Si „!!e�J`e OCe9se set DOt Date e9d'b ltre teeet # e'0`I CEN..to s°pee eves °9e 0\ e eP�a„°P s `' Prs �N �Ge opt .�00Y AD ,A0D �p� N°�E�CP AO ��e\ l��`��3�23Na1 �� �R �O 2 b e( �t o R 02A ‘00( sc\ Ra . Ol" Ck ,- �So � -$..- �p \ -\c � S QtP � Springfield Building Permit 6/24/2013 11:55:15AM • Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD =f a ..ate. 225 Fifth St `��,; TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2013-01367 www.springfield-or.gov 1438 9TH ST pennitcenter©springfield-or.gov RECEIPT NO: 2013001327 RECORD NO:811-SPR2013-01367 DATE:06/24/2013 ;DESCRIPTION , - '' ; AC000NTCODE/TRANS CODE__ _-___AMOUNTDUE__I Balance of Minimum Plumbing Permit Fees 224-00000-425603 1005 17.00 Fixture 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 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 Water heater 224-00000-425603 1005 21.00 TOTAL DUE: 93.60 I PAYMENT TYPE - PAYOR .CASHIER:JLARSOri- .= - -.COMMENTS - . AMOUNT PAID ' 1 Credit Card adam arowcavage 93.60 028318 TOTAL PAID: 93.60 Pi11I11b1I1g Permit Application DEPARTMENT,USE ONLY SPRINGFIELD - ' .:as Tr f lalli*S `" `"1'{ te= 9 a • u > - CITxoI SPRNGFLELoEGON Permit no.: 5( 3 -0(3 6 7 S r Amcivi i wm-3 :kilif4kft:ii aFs joy, 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: 6/Z•113 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. t r:. .,,,.r' , x ^EEEf,'SCI EOULE '' ?:LOCALS;GOVERNMENT AP..P..ROVQL„ ,{ `A .,zgrF Zoning approval verified? ❑ Yes ❑No ';Deserlptlort' `� ;F Qty Cost, -:,,,,, •"- Sanitation approval verified? ❑Yes ❑No esid `` ' ,F" = .3w_ .;'ea ,<cost ,' New residential '" :;:CATEGORY OF.°CONSTRUCTION s 'y4'' "'k 1 bathroom/1 kitchen(includes:first Residential ❑Government ❑ Commercial 1 bibs, ice makers/sewer, lines,hose $262.00 $ bibs, ice maker, underfloor low-point } JOB;SITE"IINFORMATION,'AND• L`OCATIONn, Z` 3 drains and rain-drain packages) 3 % n Job site address: (' 4. �7 p 9 c, ? r , 2 bathrooms/1 kitchen $411.00 $ r 't.. I / 3 bathrooms/1 kitchen $483.00 $ City I\ ..kel State: ZIP: Q7u7_ 7'y\� `^ Each additional bathroom(over 3) $104.50 $ Referent 1 7V 3 z 1 f 3 Taxlot Oy W 0 Each additional kitchen(over 1) �. DESCRIPTION['OF,WORK 4. '+ p.: ( ) 8)0aso $ 'i'.�°f tti Y � r i�i MO nt4 r._t pp a�..;,�sr r�,.?t Residential fire sprinklers(includes plan review) If' \ - c 'as/ o dJ e.( am 0-'- S \ 0 to 2,000 square feet $80.00 $ Cm N a -�.A h(s( c 3 U a-'c ZC kc �1 ci--- 2,001 to 3,600 square feet $128.00 $ f;,,('tra.v:'i? c, `1'&'PROPPqEpRT2C(/,:�,OWNER- 4.15.:.f^�" �r E ( w 3,601 to 7,200 square feet $192.00 $ Name: Lon T W L* l=- q,r 7,201 square feet and greater $255.00 $ 7 Manufactured dwelling or pre-fab(circle one) Address: ( (-� Gi-1-. 1+ - Connections to building sewer and I supply $80.00 $ City:S c' -Y `� State: (,$ k ZIP: ? 7 7 Commercial,industrial,and dwellings other than one-or Phone:$4 L -72 Cu - / 10-2 Fax: - - two-family c E-mail: Minimum fee 51,411- j(,s0� /i.�,/ / $80.00 $ This installation is being made on residential or farm property Each fixture // y� $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 $ [`A . rCONTRACTOR.`INSTALL"ATION a• :;t"".,a'','+. 4wa Storm water retention/detention facility $21.00 $ Business name: S t to eLi-�1/4tw ht, }C�t�l f-,�c St it Irrigation systems $21.00 $ p- J Piping or private storm drainage $21.00 $ Addres 008 ,.e nvr 5 a�k systems exceeding the first 100 feet City: th L �C U State: C F� ZIP:q 742. Specialty fixtures $21.00 $ ,. Reinspection(no.of hrs.x fee per hr.) $80.00 $ Phone: 5�l - 3( 3 n LK;Fax: - - Special requested inspections(no.of $80.00 $ E-mail: hrs.x fee per hr.) CCB license no.:` YO k$ 5- BCD license no.: Each additional inspection:(1) $80.00 $ Plumbing license n?.: {D o ( d 14 1 "?Medtcal.gasiptpmg 4 ?y t k' } ;;-r? Minimum fee $ Print name: c+�y (U VJ C 4 xl[1 Q �-- Enter value of installation and equipment$ " �� J Enter fee based on installation and equipment value. $ Signature: L/ >X ,,,i" qs'? t ; AP?LICA LP I SE }h°fi:�"agRIw`WI < (A) Enter subtotal of above fees O (Minimum Permit Fee$80.00) $ (B)Investigative fee(equal to[A]) $ (C)Enterl2%surcharge(.12 x[A+B]) $ P 6° �,/ (D)Technology Fee(5%of[A]) $ / TOTAL fees and surcharges(A through D): $ G 66 3 440-2500-J(4/1/2013/COM)