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Home My WebLink AboutPermit Plumbing 2013-7-18 - SPRINGFIELD 225 Fifth St hit CITY OF SPRINGFIELD 225 Fifth St R 97477 ___Laiii _r�l� Phone: 541-726-3753 .OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01626 www.springfield-or,gov permitcenter@springfield-ar.gov PROJECT STATUS: Issued ISSUED: 07/18/2013 EXPIRES: 01/13/2014 STATUS DATE: 07/18/2013 APPLIED: 07/18/2013 SITE ADDRESS: 205 DORRIS ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1803020000802 TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Water and sewer lines for park bathroom OWNER: WILLAMALANE PARK 8 REC DIST Phone Number: ADDRESS: 250 S 32ND ST SPRINGFIELD OR 97478 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor TWIN RIVERS PLUMBING INC CCB 17695 03/11/2015 541-688-1444 LINSPECTIONS REQUIRED Inspections 3315 Water Line • 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 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. OF 0 " Ii 7/i y/i3 Owner or Contractor SigTeo. Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility ' Notification Center. Those rules are set forth NOTICE: in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by AUTHORI EID UNDER THPS PERM 7E IS NOT WORK . calling the center. (Note: the tele h::1 r� number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR . Center is 1-800-332-2344). ANY 180 DAY PERIOD. Springfield Building Permit 7/18/2013 11:12:53AM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St r. et, TRANSACTION RECEIPT Springfield1DR 97477 OREGON 811-SPR2013-01626 www.springfield-or.gov 205 DORRIS ST permitcenter©springfield-or.gov RECEIPT NO: 2013001563 RECORD NO:811-SPR2013.01626 DATE:07/18/2013 DESCRIPTION ! ACCOUNT CODE/TRANS-CODE AMOUNT DUE Sanitary sewer 224-00000-425603 1005 83.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 25.08 Technology fee(5%of permit total) 100-00000-425605 2099 10.45 Water Line 224-00000-425603 1005 83.50 Water Line-Each additional 100 feet or portion of 224-00000-425603 1005 42.00 TOTAL DUE: 244.53 PAYMENT TYPE PAYOR: CASHIER:CCARPENTER _COMMENTS : "' _AMOUNT PAID . ' ' -; Credit Card Robert Cooper Jr. 244.53 018066 TOTAL PAID: 244.53 • . Plumbing Permit Application t`0 \,,'S DEPARTMENT USE ONLY • SPRINGFIELD c CITY OF SPRINGFIELD, OREGON Permit no.: 57 3 —162 225 Fifth Street• Springfield,OR 97477 P14(5 41)72 6-3 75 3 FAX(541)726-3689 LOREGON Date: 7 I y--/ 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. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑No Description Qty, Cost Total Sanitation approval verified? ❑Yes ea. cost ' 9 ❑NO New residential I CATEGORY OF CONSTRUCTION I bathroom/I kitchen(includes:first 100 feet of water/sewer lines,hose Ell Residential Government ❑Commercial bibs, ice maker, underfloor lots-point $262.00 $ JOB SITE INFORMATION AND LOCATION drains and rain-drain packages) Job site address: 2 of h o F.a..1 S S T 2 bathrooms/I kitchen $411.00 $ City: (t� 3 bathrooms/I kitchen $483.00 $ Y 51 R Ir l L- I State: Oil_ ZIP: 7'1 Each additional bathroom(over 3) $104.50 $ Reference: T. I ' try 3.4 It, 2. 3 V,t Taxlot.: Each additional kitchen(over I) $104.50 $ DESCRIPTION OF WORK Residential fire sprinklers(includes plan review) _NM ate •v-A I C It, ?lee C P 1 frjN(t j 0 to 2,000 square feet $80.00 $ St/VILt C.Hpi Et f!cN 2,001 to 3,600 square feet $128.00 $ PROPERTY OWNER ' 3,601 to 7,200 square feet $192.00 $ Name:'Will ti 7,201 square feet and greater $255.00 $ rtir.lhnr- Manufactured dwelling or pre-fob(circle one) Address: 2.CO S.'32,$) S I Connections to building sewer and e water supply $80.00 $ City: SI'�l,.(e,`/a0 State: 02 ZIP: 77Y7t Commercial,industrial,and dwellings other than one-or Phone:Syt-73E 5/S VI/ Fax: - - two-family E-mail: - Minimum fee $80.00 $ .)P Y.�, V EuQELL(0 Wit I ar`h.- 1,,A t,ors Each fixture $21.00 $ This installation is being 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 ,t 2 i $83.50 $/67/ Signature: Each fixture,appurtenance,and piping $21.00 $ CONTRACTOR INSTALLATION Storm water retention/detention facility $21.00 $ Business name: fir/pf 'ZIvrM1) ?Lu}n(]lN(1 INC. Irrigation systems $21.00 $ Piping or private storm drainage 2- $21.00 $y2 Address: p.o, (.02, 401 1( systems exceeding the first 100 feet l City: E v l,ENc" State: 0Ik ZIP: 77 go Specialty fixtures $21.00 $ - - Reinspection(no.of hrs.x fee per hr.) $80.00 $ Phone:541-6n /q 4 4 Fax: - - Special requested inspections(no.of $80.00 $ E-mail: aaHh1 e 2t r1 N ilQ. Co •r\ hrs.x fee per hr.) CCB license no.: ('l 6 el S I BCD license no.: Z0-76-pig Each additional inspection:(I) $80.00 $ Plumbing license no.: G/,2 7,3 I� Medical gas piping Minimum fee $ Print name:/. 6 v` 'g--- �to o/ Enter value of installation and equipment$ Enter fee based on installation and equipment value. $ •�, Signature:09"/" _ a! — APPLICANT USE / (A) Enter subtotal of above fees $ !�i (Minimum Permit Fee$80.00) (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $Zs°r (D)Technology Fee(5%of[AB $ /Q‘4 _ TOTAL fees and surcharges(A through D): $ ,L1l 5-L--. 440-2500-1(4/I/2013/COM)