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HomeMy WebLinkAboutPermit Plumbing 2013-10-18 SPRINGFIELD 225 Fifth St 1 CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 (l `OREGON Building I Residential Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02327 www.springfield-or.gov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/18/2013 EXPIRES: 04/16/2014 STATUS DATE: 10/18/2013 APPLIED: 10/18/2013 SITE ADDRESS: 1094 ISLAND ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703342100313 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: replace downspout • OWNER: OWNER UNKNOWN Phone Number: ADDRESS: 1735 W 2ND AVE EUGENE OR 97404 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. • 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. At/An.6. 99e4A 04/t 10/18713 Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 10/18/201 2:01:21PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Frith St :`�, ; TRANSACTION RECEIPT Springgeld,OR97477 OREGON 541-726-3753 811-SPR2013-02327 www.springfield-or.gov 1094 ISLAND ST permitcenter©springfield-or gov RECEIPT NO: 2013002310 RECORD NO:811-SPR2013-02327 DATE: 10/18/2013 IDESCRIPTION - ACCOUNT_CODE/TRANS CODE J.,---- ;___AMOUNT-DUE_1 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.02 Storm Sewer 224-00000-425603 1005 83.50 Technology fee(5%of permit total) 100-00000-425605 2099 4.18 TOTAL DUE: 97.70 ;;PAYMENT TYPE PAYOR -CASHIER:JLARSON ' . `-1 -rCOMMENTS''-, r1--'1-.`= e; AMOUNT PAID ", • ;:; I Check Marcia Pendleton 97.70 2341 TOTAL PAID: 97.70 Plumbing Permit Application DEPARTMENT USE ONLY t (< s .4 as- 1,'::,...,,,:..t." fir t., r = '" 1,y ,.. SPRINGFIELD -.. In'CITY OE�SPRINGFIEL*d OREGONS l Permit no.: (f zm7 02322 225 Filth Street • Springfield,OR 97477 • PNp41)726-3753 • FAX(541)726-3689 J1.- f0RiGON Elite: 69/(f3 This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if wort: is not started within 180 clays of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑ No Description Qtf,, Cast Total Sanitation approval verified? ❑ Yes ❑No New residential CATEGORY OF CONSTRUCTION I bathroom/1 kitchen(Includes.first I 100 feel of mater/seiner lines, hose ,1 Residential ❑Government 0 Commercial Gibs, ice maker, ruvlerpoor low-point $262.00 S JOB SITE INFORMATION AND LOCATION drains and rain-drain packages) Job site address: I oar( =shod S} 2 bathrooms/I kitchen $411.00 $ City: S' prim.r.l'1.� St ate:O� ZIP:Q1y� 3'radii kitchen $483.00 $ 1 -LS—�x Each additional bathroom(over 3) $104.50 $ Reference: Taxlot.: Each additional kitchen(over I) $104.50 $ DESCRIPTION OF WORK Residential lire sprinklers(includes plan review) 0 to 2.000 squat feet $80.00 $ 2.001 to 3.600 square feet $128.00 $ PROPERTY OWNER 3.601 to 7.200 square feet $192.00 $ R [ L _ 7 201 square feel and greater $255.00 $ Name:- � 4- (`(�rP.v1 lJE.in 1 Manufactured dwelling or pre-fob(circle one) Address: ICI SslaYd S�- Connections to building sewer and $80.00 $ City: ,r[ ♦�� ♦-� State: 0E_ ZIP: CnCI1� Bauer supply � Commercial,industrial,and dwellings other than one-or Phone.' I`-1 --1001 Fax: - - two-family E-mail: GI I(22l 5 C'cnmtio.._ne-f- Minimum fate $80.00 $ This installation is Being made on residential or farm property Each fixture 521.00 $ owned by me or a member of my immediate family, and is Miscellaneous fees exempt from licensing.requirements un ter )AR 918-695-0020. 100'storm.sewer.water line I $83.50 $ Signature A(,A GA4 Each fixture.appurtenance.and piping $21.00 $ CONTRACTOR INSTALLATION Storms water retention/detention facility 521.00 5 Business name: Irrigation systems $21.00 $ Piping or private storm drainage $21.00 $ Address: systems exceedine the first 100 feet City: I State: ZIP: Specialty fixtures $21.00 S Rei nspection(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:(I) $80.00 $ Plumbing license no.: Medical gas piping Minimum fee $ Print name: Enter value of installation and equipment$ . Enter fee based on installation and equipment value. $ Signature: APPLICANT USE (A) Enter subtotal of above fees $ (Minimum Permit Fee 580.00) (13)Investigaive fee(equal to[Al) .$ ' (C) Enter 12%surcharge(.12 x[A+B)) $ (D)Technology Fee(5%of[A]) $ TOTAL fees and surcharges(A through D): $ 9 2 70 440-2500-1 1411/2013/CONil