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HomeMy WebLinkAboutPermit Plumbing 2013-10-28 SPRINGFIELD • 225 Fifth St ,, ;At,. CITY OF SPRINGFIELD Springfield,OR 97477 • -.21-1-( c Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02395 www.springfield-or.gov permitcenter @springlield-or.gov PROJECT STATUS: Issued ISSUED: 10/28/2013 EXPIRES: 04/26/2014 STATUS DATE: 10/28/2013 APPLIED: 10/28/2013 SITE ADDRESS: 305 S 4TH ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703353407700 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: removing and adding new fixtures OWNER: TIMBER PRODUCTS CO Phone Number: ADDRESS: PO BOX 269 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor 1996 LLC CCB 114258 05/30/2015 541-687-9445 Plumbing Contractor BROTHERS PLUMBING INC CCB 198624 12/31/2014 541-937-2994 L INSPECTIONS REQUIRED Inspections 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 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 coL%Jd coon. /l / zg/lS Owner or Contract Signa re 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 COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 10/28/201 1:57:07PM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD it it 225 Fifth St O EGON TRANSACTION RECEIPT S pringtield.OR 97477 541-726-3753 811-SPR2013-02395 www.springfield-or.gov 305 S 4TH ST pennitcenter©springfield-or.gov RECEIPT NO: 2013002373 RECORD NO: 811-SPR2013-02395 DATE: 10/28/2013 DESCRIPTION = ACCOUNT CODE/TRANSCODE ' - - AMOUNT-DUE Fixture 224-00000-425603 1005 651.00 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 905.32 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 1,854.84 SDC:Total Sewer Administration Fee 719-00000-426604 1175 138.01 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 78.12 Technology fee(5%of permit total) 100-00000-425605 2099 32.55 TOTAL DUE: 3,659.84 " � - - AMOUNT PAID -- PAYMENT TYPE' PAYOR caslilER:.1LnRSOR - � COMMENT$- Check Timber Products Company 3,659.84 390449 TOTAL PAID: 3,659.84 • • Plumbing Permit Application • DEPARTMENT USE ONLY SPHbYGFIELD CI`IzY OF �SFI2IlVGi IELD� �REGO ° I t Permit no.: Sri`23. 5 u _, , , 225 Fifth Street• Springfield.OR 97477 • P14(541)726-3753 • FAX(541)725-3689 - OREGON Dale: /49/2{77,...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 APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑No Description Qty. Cost • Total ca. cost Sanitation approval verified? ❑ Yes ❑No New residential r 1 CATEGORY OF CONSTRUCTION I bathroom/I kitchen(includes:fires p,�/ 100 feel ofwater/sewer lines, hose ❑ Residential • ❑Government 11S Commercial bibs, ice maker, underfloor tole-pa/Hl $262.00 $ JOB SITE INFORMAT N AND LOCATION drains and rain-drain packages) Job site address: 3(�5 S7 2 bathrooms/I kitchen $411.00 $ 3 bathrooms/I kitchen $483.00 $ City:, 101 i.q,y �-�f� State: Q� %I P: Each additional bathroom(over 3 e •L1 ( 3) $104.50 4 Refe1'e ce: / to yr?� Taxlot.:077 Each additional kitchen(over I) $104.50 $ DESCRIPTION OF WORK Residential lire sprinklers(includes plan review) lifje-V/1-,-- '7"I-O r25 0 to 2.000 square feet $80.00 $ 2,001 to 3.600 square feet $128.00 $ PROPERTY OWNER 1601 to 7,200 square feet $192.00 $ / 7,201 square feel and greater $255.00 S Name: 6;71_ �D Z� _ � y g Manufactured dwelling or pre-far(circle one) Address: �/'-�'�-'C 'f' ( Connections to building sewer and $80.00 $ City: /' C�"'>CCC State:Oil_ ZIP.47�,7 water ommupply �� C� Commercial,industrial,and dwellings other than ore-or Phone: - - Fax: - - two-family E-mail: Minimum fee $80.00' $ This installation is being made on residential or farm property Each fixture �-I $21.00 owned by me or a member of my immediate family,and is Miscellaneous fees exempt from licensing requirements under OAR 918-695-0020. 100' storm,sewer,water line $83.50 $ Signature: Each fixture,appurtenance, and piping $21.00 $ CONTRACTOR INSTALLATION / SUMO water retention/detention facility $21.00 $ Business name: R.(d f hPrS A114b).�/C Irrigation systems $21.00 $ _. —�Y V �l Piping or private storm drainage $21.00 $ Address: Pe• no .�� systems exceeding the first 100 feet City: 2Ontiee ( State:01C ZIPS 7ys— Specialty fixtures $21.00 $ Reinspecliov(no.ul luxe x fee pct'hr.) $80.00 $ Phone_437- -29' Fax: -.2 _ — 97 57- !� Special requested inspections(no.of $80.00 $ G-nriil: itch Llro _h Pus L,�6/✓/�j cow, hrs.x fee per hc) CCB license no.: BCD license no.: ,-/ Each additional inspection:(I) $80.00 $ Plumbing licet, e nn,: Medical gas piping Minimum fee $ Print name: 1 Enter value of installation and equipment$ . -- - - — - — Enna r fee based on installation and equipment value. $ Signature: APPLICANT USE (A) Finer subtotal of above lees �� (Minimum Permit Fee 580.00) $ 5K 5 ' 22'° (B)Investigative fee(equal to[Al) $ (C)Enter 12%surcharge(.12 x[A+B]) $ 7J' /r (D)Technology Fee(5%of[AD $ .32'5..5- TOTAL fees and surcharges(A through U): $ 7(0l‘, 440-2500-J 11/1/2013/COM)