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Home My WebLink AboutPermit Plumbing 2013-9-25 SPRINGFIELD 225 Fifth St `` CITY OF SPRINGFIELD Springfield,OR 97477 • r1'`L Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02155 wwws pringfiel d-or,gov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 09/25/2013 EXPIRES: 03/24/2014 STATUS DATE: 09125/2013 APPLIED: 09/25/2013 SITE ADDRESS: 1530 WALNUT RD,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703342303200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Irrigation Install. OWNER: SALVATION ARMY Phone Number: ADDRESS: PO BOX 1472 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Landscape Contractor GREEN ACRES LANDSCAPE INC CCB 198925 02/05/2015 503-399-8066 INSPECTIONS REQUIRED Inspections 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 3620 Backflow Device Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 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 trei e)� ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK in Notification Center. Those rules are set OAR 952-001 0010 th ough OAR 952 forth AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 9/25/2013 10:28:17AM Page 1 of 1 SPRINGFIELD - - CITY OF SPRINGFIELD 225 Fifth St � ; TRANSACTION RECEIPT Springfleld,OR97477 ' OREGON 541-726-3753 811-S PR2013-02155 www.springfield-or.gov 1530 WALNUT RD permitcentero @springfield-ar.gov RECEIPT NO: 2013002131 RECORD NO: 811-SPR2013.02155 DATE:09/25/2013 !DESCRIPTION_ . w_ _ACCOUNT_CODEITRANS;CODE 1 AMOUNT DUE Backflow preventer 224-00000-425603 1005 21.00 Balance of Minimum Plumbing Permit Fees 224-00000-425603 1005 59.00 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 L PAYMENT TYPE, PAYOR -- :CASHIER:JLARSON COMMENTS __. -'AMOUNT PAID' •. I Credit Card GREEN ACRES LANDSCAPE INC 93.60 04711G TOTAL PAID: 93.60 • Sep. 24. 2013 4: 11PM Green Acres Landscape Inc No. 0557 P. 1 Plumbing Permit Application DEPARTMENT USE ONLY SPRINGFIELD — CITY OF SPRINGFIELD, OREGON l 11110 Pennitno.: b I I Zo a ntf 5s 225 Pifih Street• Springfield,OR 97477 • P11041)726-3753 •Pa(541)726-3689 aos Date: / /z.c// This permit Is Issued under OAR 918-780-0060,Permits see Issued only to the person or contractor doing the work Permits expire if work Is not started within 180 drys of issuance or If work Is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? El Yes ❑No Description QIY Cost Total cost Sanitation approval verified? ❑Yes ❑No , New residential CATEGORY OF CONSTRUCTION I bathroom/1 kitchen(Includes:first - 100 feet of water/sewer?Ines,hose ❑Residential I ❑Government I ❑Commercial bibs,fee maker,underfbor/ow-polal $282.00 f JOB SITE INFORMATION AND LOCATION drains ardtnia-drarnpackages) • Job site address:LS)'.. .\- " 2 bathrooms/1 kitchen $411.00 $ City:S 1i1C+14 c J Stale:CI IP: 3 bathrooms/1 kitchen $483.00 S .. Each additional bathroom(over 3) 5104.60 S Reference: I Taxlot.: Each additional kitchen(over I) $104.60 $ DESCRIPTION OF WORK Residential lire sprinklers(includes plan review) I ITIThatC6-1 k_- 5\--a k LID-a 0 to 2,000 square fed SO0.o0 $ 2,001 to 3,600 square feet 5128.00 S — PROPERTY OWNER 3,6111 to 7,200 square feet $192.00 S (( 7,201 square feet and Brenner $266.00 S Name; c,Ak),Scce„� (.�v-.,-. I Manufactured dwelling or pre-fnb(circle one Address: e O , ( ` 2- 5 G 1 Connections to building sewer and If 580.00 $ City: C20l L I�State: cry I ZIP; water supply Commercial,Industrial,and dwellings other than one-or Phone: - - I Fax: - - two-fnmily E-mail: Minimum fcc $80.00 $ • This installation is being made on residential or farm property Each fixture $21.00 S owned by me or a member of my Immediate family,and is Miscellaneous fees .I exempt from licensing requirements under OAR 918-695-0020. 100'storm,scwer, water lint 583.60 S Signature: Each fixture,appurtenance,and piping $21.00 S CONTRACTOR-INSTALLATION-'- —-Sror rnrc etenti5Wdctenttonfacillfy 2t.6o —S Business name: Cm:——7\tAc-7 Cy,, l,---3T,IciG[ Irdgnlion systems / $21.00 j Piping or private storm drainage Address:- .I )tti� systems exceeding the first 100 feet S21.00 S City6'-,� h1- Stale: lj?_ IZIP } SpcciullyIxlnres $21.00 $ Reinspcciion(lb .of hrs.x fee per hr.) 500,00 S Phone;--�i`il. .pLe I Fax']S'cyE 9,L05% ml requested inspections(no.of $80.00 j• • E•mall: inc— ^7rrst.x fce per hr.) t∎-t c tc ir(cc��r* ccc- .k art sr e � license no,:', c-jr.N. I BCD license no.: Each additional Inspection;(I) Sa0,00 S Plumbing license no,; Medical gas piping Minimum fee $ Enter value of Installation and equipment$ . Print name: - . - 1 n Baler fee based on Installation and equipment value. 1 S signature: V V^` f�`' APPLICANT USE `l (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $ `' _ (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $":7S.C.D (D)'I'echnology Fee(5%of(A)) S Z ` . TOTAL fees and surcharges(A through D): Sr—NS r V r3 - 440-2500-1(4/112013/COM)