HomeMy WebLinkAboutPermit Miscellaneous 2013-7-19 SPRINGFIELD • 225 Fifth St
CITY OF SPRINGFIELD Spdngfield,OR 97477
• ty Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01648
www.springfeld-er.gev permitcenter@spdngfield-or.gov
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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: Miscellaneous
ASSESOR'S PARCEL NO: 1703363200100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Rerouting plumbing pipes through wall for washing machine and faucet
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
General Contractor BARNES HIGH TECH PLUMBING INC COB 83311 02/17/2014 541-726-9854
INSPECTIONS REQUIRED
Inspections
1999 Final Building Final Building: After all required inspections have been requested and approved and
the building 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
co .- -..
41/4/A ie; 779_43
Owner or Contractor Signature • Date •
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• ATTENTION: Oregon law requires you to
NOTICE: follow rules adopted by the Oregon Utility
THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952- 001 0010 through OAR 952-001-
UTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by
1^4MENCED OR IS ABANDONED FOR calling the center. (Note: the telephc:flo
it "n DAY PERIOD. number for the Oregon Utility Notification
Center is 1-800-332-2344).
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Springfield Building Permit 7/19/2013 2:27:25PM Page 1 of 1
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• SPRINGFIELD-- CITY OF SPRINGFIELD
° t..•,,,.;, 225 Fifth St
O EGON TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
811-S PR2013-01648
www.springfield-or.gov 1544 A ST permitcenter@spdngfield-ar.gov
RECEIPT NO: 2013001582 RECORD NO:811SPR2013.01648 DATE:07/19/2013
Is..t ..a1S- ri„_.f_.e 1 Caktelt?"."ACCOUNT CODE/TRANS CODE. _ ` ” "J' rAMOUNTADUE.'_
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60
Structural Building Permit Fee 224-00000-425602 1002 80.00
Technology fee(5%of permit total) 100-00000-425605 2099 4.00
TOTAL DUE: 93.60
KPAYMENTert E P.AV,DW asweR' s it ' COMMENTS ,7AMOUNTgPAID .. °';a,�
6
Credit Card BARNES HIGH TECH PLUMBING INC 93.60
123285
TOTAL PAID: 93.60
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' Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
.1_
CITY OF SPRINGFIELD, OREGON OREGON Permit no.:e( ze)G( '77pt
0-C C&
225 Fifth Street♦Springfield,OR 97477 PH(541)726-3753 FAX(541)726-3689
I Date: 74-%7/3
This permit is issued under OAR 918-460-0030. 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 _
This project has final land-use approval. -1.Valuation-information
Signature: Date: (a)lob description:
This project has DEQ approval. Occupancy
Signature: Date:
Zoning approval verified: ❑Yes El No Construction type:
Property is within flood plain: ❑Yes ❑No Square feet:
CATEGORY OF CONSTRUCTION Cost per square foot:
Residential ❑Government ❑Commercial Other information:
JOB SITE E-IrNFORMATION AND LOCATION Type of Heat:
Job site address: qq .A S ep,,,�/- Energy Path:
City: 47rme e,f eV State: mil- ZIP:TP(77 ❑new ❑alteration ❑addition
Subdivisicn: Lot no.: (b)Foundation-only permit? ❑Yes ❑No
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Reference: I Tax lot: Total valuation: $
_ - �^ ,� � JI_PRO�PQE�RTY :OWNER_ _ 2 'Buildmg,fees -
Name: leki( 4j 1"L l� (a)Permit fee(use valuation table): $ •
Address: 1�J•-(qt (4r y (b)Investigative fee(equal to[2a]): $
City: ,Jryy vvii gig State: �L ZIP:9-5177 (c)Reinspection(S per hour):
\ ,(` 1„ 7 !Ue' (number of hours x fee per hour) S
Phone: "J'7 7 C/ Fax: - -
�.< v-n (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $
E-mail: hew ricer;
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: 3.Plan review fees
�,� (a)Plan review(65%x permit fee[2a]): $$
Sign here: (b)Fire and life safety(40%x permit fee[2a]): S
AI This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): •
me or a member of my immediate family,and is exempt from licensing 4.Miscellatieoijfees
requirements under ORS 701.010. - - - - -
_ (a)Seismic fee,1%(.01 x permit fee[2a]): $
.CON TRACTOR INSTALLATION -
(b)Technolo gy fee,5%(.05 x permit fee 2a]):
Business name: r7 „ eS
S
TOTAL fees and surcharges(2e+3c+4a+4b): $
Address:
City: State: ZIP:
Phone: - - Fax: - -
E-mail:
CCB license no.: $3 7 \
Print name:
Signature:
21W SUB CONTRACTOR'INF,ORMATIONI I j k_” ,i-;_
Name CCB License# Phone Number
Electrical •
Plumbing •
Mechanical