HomeMy WebLinkAboutPermit Plumbing 2013-10-15 SPRINGFIELD—, 225 Fifth St
' CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01393
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Closed ISSUED: EXPIRES: 04/13/2014
STATUS DATE: 10/15/2013 APPLIED: 06/26/2013
SITE ADDRESS: 875 S ST,Springfield,OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1703261308100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Compliance perrmits for bathroom added without permits by previous owner
OWNER: BANNISTER JOHN Phone Number:
ADDRESS: 875 S ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
-
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Plumbing Contractor DON LEWIS PLUMBING SERVICE LLC CCB 167921 01/06/2014 541-688-1931
I, INSPECTIONS REQUIRED
Inspections .
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
td 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.
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Springfield Building Permit 10/15/201 8:40:22AM Page 1 of 1
SPRINGFIELD CITY 01:SPRINGFIELD
225 Fifth 5t
OREGON" TRANSACTION RECEIPT Springtield.OR97477
541-726-3753
811-SPR2013-01393
www.springfield-or.gov 875 S ST permitcenter@springtield-or.gov
RECEIPT NO: 2013002279 RECORD NO: 811-SPR2013-01393 DATE: 10/15/2013
;DESCRIPTION _ ".- _AACCOUNT,CODE/TRANS CODE; __ AMOUNT DUE-; ,i
Balance of Minimum Plumbing Permit Fees 224-00000-425603 1005 17.00
Shower/Shower pan 224-00000-425603 1005 21.00
Sink/basin/lavatory 224-00000-425603 1005 21.00
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
Water closet 224-00000-425603 1005 21.00
TOTAL DUE: 93.60
i .PAYMENT TYPE "` 'PAYOR• CASHIER:CCARPENTER - COMMENTS • - -' AMOUNT PAID
Credit Card BANNISTER JOHN 93.60
01538p
TOTAL PAID: 93.60
•
Plumbing Permit Application DEPARTMENT USE ONLY'
h t '�n�pn}� {SPRINGFIELD ^
4fN" d 'S, eu 46 ` 'S MV e.' %+.S.S,,,P:1,E:a,.'s' Vt�L.2lAtli '
CIt Y OF'SPRINGFIEL WORE4,N=GONc 4'1 Permit no So - /3 9 3
225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: .0'(241 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 APPROVALS iltIP,.r'`' 1 k+ a gr, t~- 22i nt ,'
. .N�.�,. FEE�,;SCHEDULE ,.�., '� - , _ �.�.�� . -R
Zoning approval verified? Yes No ' =¢zr f e nsz x a ?r 11,G q, r r,� jGost .To'ta1 t
g PP ❑ ❑ Descrlptlon i R Qty „ -
Sanitation approval verified? ❑ Yes "New r`iden� ' fit x' s ea , ,,ytiost
❑No ��New residential
;CATEGORY, OF 'CONSTRUCTION t r'? ' aI, '4 1 bathroom/1 kitchen(includes first 1
'•Residential ❑Government ❑Commercial
100 bibs, ice maker, underfloor low-point
:10B°SITE:INFORMATIONr`AND LOCATION rs°.�, x,, drains and rain-drain packages)
Job site address: ( "7j5 5 S7' - 2 bathrooms/1 kitchen $411.00 $
City: J '/A4'9'EL2 State: 62 , ZIP: 77777 3 bathrooms/] kitchen $483.00 $
Each additional bathroom(over 3) $104.50 $
Reference: Taxlot.: Each additional kitchen(over I) $104.50 $
tw7. '`t DESCRIPTION:.OF WORK i-i'? c't 1 x Residential fire sprinklers(includes plan review)
3q z/o4oa4' /5tJ/L T NU /c4 oil/'T 0 to 2,000 square feet $60.00 $
p0LL &z' By ,'gsv/aii O uiNs 2,001 to 3,600 square feet $128.00 $
'`l/ g '`flP,ROPER1"Y'OWNER sE *x` 21'ti'rt10 3,601 to 7,200 square feet $192.00 $
Name: /7-2-/9/1 /73/f/t1/(/(S 7&X 7,201 square feet and greater $255.00 $
Manufactured dwelling or pre-fab(circle one)
Address: 675- _ s _5 7 Connections to building sewer and
water supply $80.00 $
City: ...S�Ft-t� State: 0Z ZIP: ,7l�77 Commercial,industrial,and dwellings other than one-or
Phone: Sy 7 3.' /�So37 Fax: - - two-family -
E-mail: 73 YE t 5 c CD'/0ff--51- , /drt- Minimum fee $80.00 $
This installation is being made on residential or farm property Each fixture $21.00 $
owned by me or a member of my immediate family,and is Miscellaneous fees
exempt from licensing requireme der OAR 918-695-0020. 100' storm,sewer,water line -$83.50 $
Signature: O7 .. ��� -- Each fixture, appurtenance,and piping $21.00 $
` ' C TRACTOR:-INSTALLATION Storm water retention/detention facility $21.00 $
Business name: Irrigation systems $21.00 $
Piping or private storm drainage
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.: BCD license no.: Each additional inspection:(1) $80.00 $
Plumbing license no.: ';Medical gas,plpmg�dM'Sf!;v4 t;,'y +<,:c ,. Minimum fee $
Print name: Enter value of installation and equipment$ .
Enter fee based on installation and equipment value. $
Signature: jyAPPL"ICANTUSE4 MIXu""
(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]) $
(D)Technology Fee(5%of[A]) $
TOTAL fees and surcharges(A through D): $
440-2500-1(4/1/2013/COM)
SPRINGFIELD - 225 Fifth St
Springfield,OR 97477
CITY OF SPRINGFIELD
��( l Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01394
www.springfield-or.gay permitcenter @springfield-or.gov
PROJECT STATUS: Closed ISSUED: 10/15/2013 EXPIRES: 04/13/2014 •
STATUS DATE: 10/1512013 APPLIED: 06/26/2013
SITE ADDRESS: 875 S ST,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703261308100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Compliance perrmits for bathroom added without permits by previous owner
OWNER: BANNISTER JOHN Phone Number:
ADDRESS: 875 S ST •
SPRINGFIELD OR 97477
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor EASTSIDE ELECTRIC INC CCB 117770 10/04/2015 541-741-1499
I, INSPECTIONS REQUIRED
Inspections
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.
/ r _ , 0C-7` / s7 asl3
swner or Contractor Signature Date
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Springfield Building Permit 10/15/201 8:44:52AM Page 1 of 1
SPRINGFIELD '- CITY OF SPRINGFIELD
'-tit, .4s_ 225 Fitth St
OREGON
TRANSACTION RECEIPT Springfeld,OR 97477
Y. ` 541-726-3753
811-S PR2013-01394
www.springfield-ar.gov 875 S ST permitcenter @springfield-or.gov •
RECEIPT NO: 2013002281 RECORD NO:811-SPR2013-01394 DATE: 10/15/2013
DESCRIPTION : .. ACCOUNT CODE/TRANS CODE_ _-_ 1.,_ . ._AMOUNT DUE
Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 6.50
Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 60.50
Branch circuits without service or feeder-each additional 224-00000-426102 1004 13.00
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
i.' PAYMENT TYPE . PAYOR CASHIER:CCARPENTER,". COMMENTS . . ; `.AMOUNT,PAID _.1:2:;, j
Credit Card BANNISTER JOHN 93.60
01538p
TOTAL PAID: 93.60
•
•
Electrical Permit Application , -:. DEPARTMENT:USE ONLY, ',"';SPRINGFIELD
SiFat't-'7=Z,t‘i:51:". rFt;*'•th:ti*tic,;;c,;;r1:4a4s1-:vi,,,,,*:-,;:c4,,,,:.;: (,:c5,'s:.:utaiiit.:; :, . 4°
eITIPORSTRINGFIEED,q0REG-ON:=7; n -. '"•a.-kfte:Izt - ;(I - r3 9 Y
ie,sff.-,:tNvf-tf:t.i4-ase.4,:sie,.:9:"÷,,,440,,..- A::::,;31, '7440,L, -., Permit llo.:
225 Fifth Street•Springlield,OR 97477*PU(541)726-3753•FAX(541)726-3689
Date:
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
MENTrAPPROVAL.':;,11MW.' : `:=:i'`=475::W.OistAi',;FEE4SCHEPULEFelOMP.::4:r'fftt
1 Zoning approval verified? D Yes 0 No Y4--1-',4. 4.,i'aglla-7.:13.-N. 7. ;,r-mrati:N'T.:€Ese4,.;;...T661,7';
liNtinlbei--.131.111spestIons-plerinernOrtg,c Otv 41.t.
--i! --cerceir;S::?=.1-ccmIii
-Iiik:NATEGtiRYSO,friicoNsTRUcTioN:74NITta t-
Residential, per unit,service included:
Xg.Residential 0 Government 0 Commercial
1,000 sq.ft.or less(4) $147.50 $
T'r?-1011:;SITE;31NFORMATIOWANES5;10CATIDN'an4.'4
Each additional 500 sq.ft.or portion
Job site address: s 75 S .5-7-- thereof - $ 27.50 $
City: Se4(/1)6P7C-1-12 State: be ZIP: 1?'!?? Limited energy(2) $ 35.00 $
Reference: Taxlot.: Each manufactured home or modular
dwelling service or feeder(2) $ 69.00 $
117.1r4f1W1NAPai OES C R1 PTION;40FC‘WO FLK Xt'-41:MilletlaWa
7- 4)0 Pete/9/ Services or feeders: installation,alteration, relocation
. 7347-rilA ciofil Oil/4 - 7"
200 amps or less(2) $ 89.00 $
it.)1_t_cp 17 y peel/700J of.d N -7-1_
57C11:47::-:&-:-:119Sq4 PROPERTY4OWNERa,Z; ;:.?,n,or.4.,M3.,3 201 to 400 amps(2) $ 104.50 $
Name: c7cT/75.1i 0/11-0/WIS76L 401 to 600 amps(2) $174.00 $
Address: 875 5 jr 601 to 1,000 amps(2) $225.50 $
City: S PFLp State: Cl/e.- ZIP: 92V77 , Over 1,000 amps or volts(2) $516.00 $
Phone: ,..977- 3575032 Fax: - - . Reconnect only(2) $ 69.00 $
E-mail: Byr. .- Vir 6c-"y 01-S 71 'tit7 Temporary services or feeders: installation, alteration, relocation
200 amps or less(2)
This installation is being made on residential or farm property $ 69.00 , $
owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 96.00 $
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.5600). 401 to 600 amps(2) $138.50 $
Signature: .5-e-f"t ....--,---,,---c? -- Over 600 amps or 1,000 volts,see services or feeders section above
1. 1.Natf-FaZgONLIZTPFAIINSTALLATION :;:4' ..;Via, Branch circuits:new alteration, extension per panel
Business name: a. Fee for branch circuits with purchase of a service or feeder fee:
Address: Each branch circuit $ 6.50 $
City: I State: ZIP: b.Fee for branch circuits without purchase of a service or feeder fee:
Phone: - - Fax: - - First branch circuit(2) $ 60.50 $
E-mail: Each additional branch circuit $ 6.50 $
CCB license no.: BCD license no : Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: Each sign or outline lighting(2) $ 69.00 $
Signal circuit or a limited-energy panel,
Signature of signing supervisor: $ 80.00 $
alteration,or extension(2)
Each additional inspection:(1) $80.00 $
StiitetniniS:aTeANtra.§ERMAtilAara
(A) Enter subtotal of above fees
$
(Minimum Permit Fee$80.00)
(B)Enter 12%surcharge(.12 x[A]) $
(C)Technology Fee(5%of[A]) $
TOTAL fees and surcharges(A through C): $
440-2584-1(4/01/2013/COM)
;13- i393
Don Lewis Plumbing Service, LLC
2959 Dahlia Lane-Eugene, OR 97404 - Phone 541-688-1931
CCB#167921
June 7, 2013
To whom it may concern ,
we have been out to 875 S Street , Springfield , OR 97477 to look
at the bathroom located off the bonus room. The room in question
contained a lav, water closet and shower and as it looked to this
plumber was all done to code. This is not a guarantee by us as it is
looking at the finished room not the rough-in.
Sine ely your ,
AA
3u-tin D. Lewis
Don Lewis Plumbing Service, LLC
•
.5.13 -/3%9
Eastside Electric, Inc.
38253 Boscage Lane
Springfield, OR 97478
541-741-1499
CCB#117770
June 13, 2013
John Bannister
875 "S" St.
Springfield, OR 97477
To Whom it May Concern:
My name is Roger King, and I am the supervising electrician for Eastside Electric, Inc.
I inspected the electrical installed in the upstairs bathroom at the above address. It appears to
be installed according to national electrical codes in a safe working manner. Eastside Electric
did not do the installation and does not accept any liability.
If you have any questions, please feel free to contact our office.
Sincerely,
Roger King
Eastside Electric