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HomeMy WebLinkAboutPermit Plumbing 2013-10-24 SPRINGFIELD 225 Fifth St • `_ CITY OF SPRINGFIELD Springfield,OR 97477 t Phone: 541-726-3753 '' OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02370 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/24/2013 EXPIRES: 04/22/2014 STATUS DATE: 10/24/2013 APPLIED: 10/24/2013 SITE ADDRESS: 1816 SWANK CT,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703264205700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replacing Elec.Water Heater with Gas Water Heater OWNER: ANDERSON JUDITH M Phone Number: ADDRESS: 1816 SWANK CRT SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor KEVIN COHEN PLUMBING INC CCB 176311 05/30/2015 541-607-9208 L INSPECTIONS REQUIRED i 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. Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE 1F THE WORK 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT callirg the cent<'1 (:0:...1,t: the telephone COMMENCED OR IS ABANDONED FOR nip, ::.,r '.,• I;.- n c of • •' Noii ication ,NY 180 DAY PERIOD art \`P evAnit Springfield Building Permit 10/24/201 1:31:21PM pi/ `,` a• Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 66,4 a 225 Fifth St ` ; TRANSACTION RECEIPT Springfield.OR 97477 OREGON 541-726-3753 811-SPR2013-02370 www.springfield-or.gov 1816 SWANK CT pennitcenter©springfield-or.gov RECEIPT NO: 2013002351 RECORD NO: 811-SPR2013-02370 DATE: 10/24/2013 ?DESCRIPTION____, >,', ,_: :- •• `ACCOUNTCODE/TRANS;CODE_..; ,. 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 Water heater 224-00000-425603 1005 21.00 TOTAL DUE: 93.60 L;mPAYMENT TYPE r. PAYOR - CASHIER:uiARSON ?: COMMENTS,:.' ''-` AMOUNT PAID . '. Credit Card KEVIN COHEN PLUMBING INC 93.60 . 293035 TOTAL PAID: 93.60 Plumbing Permit Application DEPARTMENT USE ONLY 'VF t _.s r f7,�y : ,ye t € '1s �, SVRINGFIELO 4 CITY,OF SPR[NGFyg,:-I.ELD, OREGON t Permit no.: f /z�•3 o23� 225 Fifth Street • Springfield,OR 97477 • P11(541)726-3753 • FAX(541)726-3689 ,OREGON Date: to,4. !(< ' This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire iiwork 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 Qty.. Cost Total ea. cost Sanitation approval verified? ❑ Yes ❑No New residential CATEGORY OF CONSTRUCTION I bathroomll kitchen(includes:first • /01)feet of wyater sewer lines. lose - . ❑ Residential ❑Government ❑Commercial Gibs, ice ranker, undcii oat low-point $ JOB SITE INFORMATION AND LOCATION drains and raln-drain packages) Job site address: /i�6 ��4 y/L 2 bathrooms/I kitchen $411.00 $ City: /Q (CJ State: p "LIP: 3 bathrooms/I kitchen $483.00 $ y' sl/" �� -1- ----�^ --- 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) {reww\ i(ee- Cock, (A -R-er n to 2.000 square Feet $80.00 $ _ /n5/ r/ Cl �5 (�1 r _�_ 2,001 to 3.6(10 square Ref $128.00 S Year rF'JfRO RTY OWNER 3.601 to 7,200 square Ret 5192.00 $ �. \ 1 1 /( tl� 7,201 square lief and greater 5255.00 $ Name: t +'\ f-1 hianufachtred dwelling or pre-fah(circle one) Address: 78/a _Coq y k Connections to building sewer and seater supply $60.00 $ City: Sp6'/'j State:ofe ZIP: 97ci07 Commercial,industrial,and dwellings other than one-nr Phone: - - —1 Fax: - - iwo-family E-mail: 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 Ptiscellaneous fees exempt front licensing requirements under OAR 918-695-0020. IOW storm,sewer,water line $83.50 $ Signature: Each fixture, appurtenance.and piping ,t $21.00 $ CONTRACTOR INSTALLATION Storm water retention/detention facility $21.00 $ Business name: )k4 Irrigation systems $21.00 $ — "" . 0 -LA � �w`a Piping or private storm drainage Address: 4,7 "?� y-,� systems exceedine the first 100 feet $21.00 $ City: .2 L I State: ZIP: Specialty fixtures $21.00 $ b' Reinspeclion(no.of hrs,x fee per hr.) $80.00 $ Phone:cif 9/3 69/Y Fax: - - Special requested inspections(no.u( t l E-mail: [ 7(c�7 hrs.x fee per hr.) $80.00 $ CCB license no.: l BCD license no.: Each additional inspection: (I) $80.00 S Plumbing license no.: Medical gas piping Minimum fee $ Print name: Enter value of installation and equipment$ . — — -- Finer fee based on installation and equipment value. $ Signature: APPLICANT USE (A) Enter subtotal of above fees $ • (NI ininnun Permit Fee$80.00) (13)Investigative fee(equal to[Al) $ - . (C)Enter 12%surcharge(.12 x[A+6I) . $ (D)Technology Fee(5%of[A]) $ TOTAL fees and surcharges(A through D): $ 440-2500.1 MI1/2013/0Ob1)