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Home My WebLink AboutPermit Plumbing 2013-7-1 4 5?RINGFIELD 225 Fifth St ___,.. ... ieti Al .A.- CITY OF SPRINGFIELD Springfield,OR 97477 to Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR201 3-01 500 www.springfield-or.gov pormitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/01/2013 EXPIRES: 12/27/2013 STATUS DATE: 07/01/2013 APPLIED: 07/01/2013 SITE ADDRESS: 1033 F ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703351402100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Installing ten fixtures in new location OWNER: LANE COUNTY Phone Number: ADDRESS: PROPERTY MANAGEMENT EUGENE OR 97401 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor GLENN PRO INC GCB 189341 01/21/2014 541-345-2055 L INSPECTIONS REQUIRED . 1 • 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 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 .3TICE: ATTENTION: Oregon law requires you to HIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility I Notification Center. Those rules are set forth .'JTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- 'OidfMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephotto number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 7/1/2013 1:18:25PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD I:+ .aa- 225 Fitth St ' �CO OREGON TRANSACTION RECEIPT 225 Fitth SOR 97477 541-726-3753 811-SPR2013-01500 • www.springfield--or.gov 1033 F ST permitcenter @springfield-or.gov RECEIPT NO: 2013001403 RECORD NO: 811-SPR2013-01500 DATE:07/01/2013 [DESCRIPTION L- __ ACCOUNT CODEITRANSCODE__ "AMOUNTDUE_1 Fixture 224-00000-425603 1005 210.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 25.20 Technology fee(5%of permit total) 100-00000-425605 2099 10.50 TOTAL DUE: 245.70 l_ •PAYMENTTYPE : _PAYORCASHIER:cHUNT . COMMENTS • : • • AMOUNT PAID. - - _, Credit Card GLENN PRO INC 245.70 511071 TOTAL PAID: 245.70 • S r lit • ':t . . ' litsi.L.r. • • ' i 1 : :li ill.1;' ' , r.,•F. q"It: . iuril ,`_• 13 08:19a C2slann Pro inc. (541)345-5599 p 1 i • :,",,,,11;-4 - . .,_ • ,-. ,21:tir, riumbin2 Permit Application : .. I... .,DEPARTMENT USE ONLY . :I' .i;t1 := ' 'itc%7i. -5-$-Thlf :417"-- =-5S--':WA - .' .•:. ': ...II .1■:.:,'4.:ei.CIEVVIDIFISPiiThfCkfiELIF I,REGOW:.--,it fit;:ii",-;:::::17e.-[::t i'ir.:.'.'L Parmit no.: '67/7- 2013—07.-5;?6, ;. -'1:.SAPI'Litii9t-..V2I'''":4-:V.64--;".1-1.s1:54-#,,-•••- 7-is-blwraiffr.lri-17:-.- •n,-, -.:• Oa '...: 1 l'• •:',.; i_ ., 1.ie.,-:.i41•,, 2if.7'f:it SL-te. • Sptthfleid co:,cL77 • P-17c4I■72 -37H'if , :r.L::(3,11)727:-E 6E9 Date: 7 -/ -zo/3 : , .,ii,ifr:, -_________ J ,TI-,-;-,.- '". #' .n. --t •-; :fNI This permit is Ssued undet OAR 918-'7SO-0060. Perm:ta are issuesi nniy th the pershn r contractor doing the work. Permits 41401t,:lespire :1••,i'lmrin. is nut starred withio 1SC; days of Ls:snce nr if wok is stipendad lor t.Sf; IlayS. 1:,:1;.!! 0 - .....--. '].1.1 '•• 'LOCAL 'GOVERNMENT AF pRovAL ., ::';•- -•' : ii, .,-i---:,-• I:.• ••.'-'; ....7 FEE:;SCHEDULE- i::!.K7- . .- - r, xr,., 1.4:41:::It'„:Zoning approva. verif:.&.07 L_j Yf.:.• . .... :',':j.:/.*1,"-,0 •H•,.. ; ; r__„. :Ile, L. r„, • ,:- New residential -,.. t1.91:KII : . : c AT EGGE2.-`r C- •t..-ONS tR..11.:11. N „ •i :?••: ; I bathrconr./1 Icircheniteludes:fissr I I • , S:hlirl ' 1 : ii 00 Jae.t by wa['er,Se:vbr lbw s•hose ;:i;,[14.41,111;: [-' -•-'L'2 2[-IL-- i -2—Cnamme-rcEal I ;' bibs lee;slake:, :nide dr oc b lo[...-D;;;F:: $262.00 S : J08 :SITE INF o RMATio N AND LOCATION --„;:t 1 °Yuan:and rain-drartvacinagen:i .,.... „„.5: ii,,3 3 R 5,1_ + I 2 batinrcamsfi :Kitchen I 5111.00 1 s •• '' c,... ,..te. I 3 bathrooms/I kitchen . I S453.00 1 S • CilY: SP P. 0 i State:(e) 2., I ZIP: E3111 tional batltoom(n‘er 3) 1 S104.50 I S it!,-111:=,,tt•ri•*••.:-.1;.-::flex: I i aixich.: I Eadh additional kitchen(over 0 1 S-104,50 I S 0-',..i1P: . :'• t •' • DESCPIPT.10$1-OF...MORK. :::: ;[-:'',Jr.':-'''''''-: 1 Residential Ore sprinklers(includes plan reviesil 1 ; A..., 1 . a y,.•_ r { .,. - ip1.: , is. j Cl tn,2,000 square feet I 1 S80.00 : $ . •' 1-.. ....z Allig.24. ,.., ; • . . - 6 , , . -; , • , I J I 2,001 to 3,6t10 sante;eel ! 1 5128.00 5 h1,1.11:, _1'1..../- ". ._...'.±n•_____ CLU ,: i ' . „ _ • 7, 1 1 i,A„..,..„,;•,,,,,,,i . .,. .. 7,_. .:.• „....4, or...„..,.c..L4.0,,,,....,,,,,,,,,,, ,,,,.:. .,.: ..,::.:7-;F:;.::.::. ...11 i 3,601 to'7,200 square fxt , i $192.00 ; 5 . I -... 11,:ar,L,'_____._ .-L.,L.___...,.. Lf‘--15 ±1YilnI' .- •-____: ___•i : - .... . . . , - 1 r,..,0, square feel and gcater I • I $25500 i $ , ViitIPta\--1—• '-'--ne.'--:•..t..1 .c: '• • t•-'..... e•.J . Yam:Fact:wed dwelling or pre-fab(circle one) ,. • '.... 1:2 • ••■•::•..-..,•.,•k ,.-,:rc •- : Connections in building sewer and I •-rIllri,laV, . —stens:mph* I S80.00 I 3 • , rStata: C.C. I LrP : "- ' r• .) Commercial,industrial.and dwellings other than one or : • .; fn Y n_t /-”,, ;,.•,n. j Fax.: ,672.,,,/ -/-,••23 1,7(Lf I rwc-family . ii44$1.tiSit=7,1,•1:- MiRiM111.11 fee 1 1 $8000 S .111.1•4•;:-.ittkif1' c jr-t-A21=.1'.....•; ELki CZ., /. (.. 01"/ 1/'9 I $21.0C I SZt(aill • bp..,,,. , . Each fixtur"?... t&N■i:1:1113 mstailatiop is being made on residential or(arm property Nig,;4").■:,'Alisci by me or a rrember of rny immediate family and is Miscellaneous fees , ernpt Prom licensing requirements under OAR 918-695-0020_ I 100 storm,sewer,water line 1 1 $83.50 $ F.1.-.,throili 1, ■ 41 94.4-1T11:,',- -- I 1.-r.' saimanare: I Each fixture,appuratnance,and awing i 1 $21.0D I S :i[. •[ [. . 4 "q[22. ![;2211;14.[': ..2; .• ';:.[:. ••CONTRACTOR INSTALLATION " . : ::::::-.--1 Storm water retention/detention facility 1 $21,00 I S •_if, 1 ' (-7-- I 3"me"name '': C'IC I 4.--) r° PhjAAL A- ' mga lan.-''en' Sat G3 I S ! .; 'Thi.tii;1191,t1,, , - sziup i S :.• i 1 : Tint*LAdd:•ess: i cri LC C,0,)L-Jen _14 0 Ic„3 570, ; . . 1 LI--,...L" -E:=.2. c-ic.:`::r.c!ih..•;•-iiirft._.Q.c.f". ....__4---- ---L .. - • V.:,)Fi- 4 _-, Jfi [ : neat:sin I ...ii1 ,1,2:.--,r-'• 1.-11.•,,,,, c li. tAg41,7-••• -----t ' •------- -7--"----n------------'--'"- '-'-1 1 :( ..ir5 -/::.0 l.ne cif Ms -.•far,es, ii..•:. 1 Cte..(ict S ; '-''-zr•''?-:::1:: : R.- I ^1" 'c 2_,—cc. F:p::51.0- 1 - cic .55 c:i •,,,if 4,14H,::_______LL•_...,.L.1 - - ., , •• - • • ..;,--.s...c:c..,. cern:es:h.::rnrjrciicts I wi...c.f s ,siltirlitrt';-fif:LPL.__-9Ity.ia.-; -C3k-c) S., u.-1...%c - C p,.-, , ._.,, I • : I ; lii:pir iclitn.„-.-•• i Hifit.-4,01e;.-c-r7 ii°2flse :......--L:I E'; r , 'i . licern:t nc.: 7.,,C, -'‘pis Eaeh athjitnir."( 1'1'P - - - i8OOC S . •• ' •..!41 i•.i,_, . . BCD ., ! • - . • 1.1'•,rii ,L:fr, 2-1.1bIng licen,T.e ce.: 5 L.,Li-,-7 --z, p 1 G,iici,.1 .gs riinisig L -... n.„,•/:. ..; :.-i Minimum fee $ • I, ' olimr c__........_, _ . ______________ I Enter value of insialiatian and equipmenr I . 44,1 tel. .'--"Ii112:1-el_ ) \1•_•fr r‘A c.)).t,A.1./c) '31,411f4ipi _ . N„.....3/4 • I Enter fee hazed ,ni installatior and equipment t;alue. s • .,I .. fo,01it.)1-gnallje: (--..---)Q_.(11:__"--- •-‘4.-k2„-------- J . . _ . . .. . `?IlErir is 1 (A) Enter.subtotai zif above ft-22s S tine'i 'lin (Minimum Permit Fee$30M0) Plii SI. iiit,tfeeli (B)Inveszipahve fee f.eqaai To[AJ) $ Ar'-- 115-!' • I C'Er i2?4 surcharge(.I2 x(__B1 I 5 441 -nl, 0411lit i (D)Technology Fee(5%of:A.]) $ irilgt:tqn : TOTAL fees and surcharges(A through D): SZI1S-2H . ilil413141:. .. •, ' li.ci li-R,O. . • . -. zibalqr1 . ylti-,1 4,, • . •• • trPIIPI: .41-', iA9 . , . '. qb i4if. ,. . . . . kv oityy, . . 04 kt ittlyj . • • tae,:t IF:il,,, • .