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Home My WebLink AboutPermit Plumbing 2013-7-19 • SPRINGFIELD'S 225 Fifth St • '` - CITY OF SPRINGFIELD Springfeld,OR 97477 Lyf. Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01647 www.springfield-or.gov permitcenter(ojspringfielci-or.gov PROJECT STATUS: Issued ISSUED: 07/19/2013 EXPIRES: 01/14/2014 . STATUS DATE: 07/19/2013 APPLIED: 07/19/2013 SITE ADDRESS: 1544 A ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703363200100 TYPE OF STRUCTURE: -Residential PROJECT DESCRIPTION: Replacing washroom plumbing and fixtures OWNER: PEARMAN RHONDA L Phone Number: ADDRESS: 1544 A ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name - Lic Type Lic No Lic Exp Phone •.04 t1 \ Tvr�. ctrl A33t\ a/ni, svy-726--sa91 INSPECTIONS REQUIRED II 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. 4z! Owner or Contractor Signature - Date ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by - COMMENCED OR IS ABANDONED FOR calling the center. (Note: the teleph-t ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 7/19/2013 2:31:17PM Page 1 of 1 • SPRINGFIELD -°n CITY OF SPRINGFIELD rt•. ._ a 225 Fifth St `�`O OREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-01647 www.spnngfield-or.gov 1544 A ST permitcenter©spnngfield-or.gov RECEIPT NO: 2013001583 RECORD NO:811SPR2013-01647 . DATE:07/19/2013 I- ON ''4a.. 'c,_`' t ': ' u` e. CODEJTRANS CODE:AtUVATTAMOUNThDUCti9. Balance of Minimum Plumbing Permit Fees 224-00000-425603 1005 17.00 Fixture 224-00000-425603 1005 63.00 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 TOTAL DUE: 93.60 IIP, YMENTtTYP,E P-AYOR CASHIER:KARSON -, COMMENTS x. :AMQUNT?PAID Credit Card PEARMAN RHONDA L 93.60 123285 TOTAL PAID: 93.60 Plumbing Permit Application :-pEPARTMENT USE:ONLY: - ‘ :,(;:lgtilrythT26.1.W'E-F&E.41;t70;12..?,14,7:420.r.ncali.W,Y:Prja.;'4;144V11444.-, ra,,,,:t,:a\ 47.1.,....„.11 ifeAGITWORSPRINGFIEUPOREGOW&E: n Permit no at ( to\3 01 aiatight:CAMAI-Manitgthi.47ata.:;:sititttatitsvg. k....,L•rs Ot 1 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FA((541)726-3689 Date: 7/I ?)13 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. ;,', ,:,--11,;Hci'LOCALG OVE RN M ENT •A P P RoVAIii.,,,';',N4.gilg Meig?.:4V.M19Al2.F.E 5::,!'sip H ED Li LTE 5-12?;;V:MligY4g..1 Zoning approval verified? 0 Yes n No fll'OlF,i'Vlls1-71:lcVVlf11111;.f7l1qS1l1:11-=g1l/Il31 -11 1lriC6StT/kitaar.l.11` iDescription -,,,P -,'.rk,.:F:th.: :,-1 Qty.: ■.,,t v ■■3.):lar.', '- ..$• 4t.trta'ar41,?■147 ,',?:-.4:-:.;:t:::^',4LE41.:,!:,,, %, ,,..,^7,1". .`cX',‘,;;":, AcqSt1.1* Sanitation approval verified? n Yes 0 No New residential CATEGORY! OF.';;CONSTRUCTIOW l'}W1:;R:#,11,E., 1 bathroom/1 kitchen(includes first r lines, hose Residential 0 Government 0 Commercial b(gsfeice ice omf:kaelrerulsnedwere underfloor low-point - $262.00 $ JC)13”::SITE 2 I N FO RMATIO N.';AN D. LOCATIONg.:iVA511:t drains and rain-drain packages) . Job site address: (5414 A E (-. 2 bathrooms/1 kitchen $411.00 $ 3 bathrooms/1 kitchen $483.00 $ City: f ' 1 g e id' ,n State:ug— , ZIP: 974-77 Each additional bathroom(over 3) Reference. Taxlot.: Each additional kitchen(over 1) $104.50 $ ;VI-Y-I,k1.,:tt:::511:T5ND ES CRI PTIO N"0 F1;0010.( kini,ta Residential fire sprinklers(includes plan review) i 1 , i . p rslyr:1 colz rvah',tom flivirivi .S. -cylptitzi 0 to 2,000 square feet $80.00 $ 6 di ViloYie-, 2,001 to 3,600 square feet $128.00 $ ilf:$46,421,:tsZII'Ik-'7: 7PPROPERPNOWNER:c:5wtmi44 3,601 to 7,200 square feet $19200 $ 7,201 square feet and greater $255.00 $ Name: Zlf/Ylda (- le 0-- Manufactured dwelling or pre-fab(circle one) Address: 15q l-j. A--S4- , Connections to building sewer and $80.00 $ City: Se r i in I-161 J State: CIV— I ZIP: 974(77 v1/4Commercial,industrial,and dwellings other than one-or Phone: fl - Fax: - - two-family Minimum fee $80.00 $ E-mail: idoinh — nee g.,,, ern Each fixture $21.00 $ This installation is being made on reside tial or farm property owned by me or a member of my immediate family, and is Miscellaneous fees exemptfr_øm1tsing requireme ts under OAR 918-695-0020. 100' storm,sewer,water line $83.50 $ Signature: azef - Each fixture,appurtenance,and piping $21.00 $ ONTRACTO ,,INSTALLATION- :,=:,g;,--0-tna Storm water retention/detention facility $21.00 $ Business name: Zotyri Es fitibrt,, /41 Irrigation drainage private s Address: systems exceeding the first 100 feet $21.00 $ City: State: ZIP: Specialty fixtures $21.00 $ - Reinspection(no of hrs x fee per hr.) $80.00 $ Phone: - - Fax: - - Special requested inspections(no.of E-mail: hrs.x fee per hr.) $80.00 $ CCB license no.: 6.). 31 / BCD license no.: Each additional inspection:(1) $80.00 $ Plumbing license no PMedrcal gas,pipinv;x2*,:,-.1i.c... ...„:4;j4. Minimum fee $ Enter value of installation and equipment$ . Print name: , Enter fee based on installation and equipment value. $ Signature: raWattlYme).00'.ANAW.agr:W.!Salta (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 Fee(5%of[A]) $ TOTAL fees and surcharges(A through D): $ 7 3.±2..._ 440-2500-J(4/I/20I3/COM)