Loading...
HomeMy WebLinkAboutPermit Plumbing 2013-11-5 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-SPR2013-02450 www.spnngfield-or.gov permitcenter @spnngfield-or.gov PROJECT STATUS: Issued ISSUED:' 11/05/2013 EXPIRES: 05/04/2014 STATUS DATE: 11/05/2013 APPLIED: 11/05/2013 SITE ADDRESS: 719 F ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703351301900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Installation of water service using underground boring OWNER: OGLESBY TIG Phone Number: ADDRESS: PO BOX 1732 SPRINGFIELD OR 97477 • OWNER: WEILEPP SUZANNE Phone Number ADDRESS: PO BOX 1732 SPRINGFIELD OR 97477 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor BAXTER PLUMBING&ROOTER INC CCB 194034 06/14/2015 541-334-6696 INSPECTIONS REQUIRED - Inspections 3315 Water Line 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 I tiv titul`+S.gniacuyron law requires you to Date foilow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- • WORK 0090. You may obtain copies of the rules by t EXPIRE IF THE calling the center. (Note: the telephone THIS PERMIT SHAT THIS PERMIT 1S NOT number for the Oregon Utility Notification Center is 1-800-332 72344). • AUTHORIZED NOR ES ABANDONED FOB COMMENCED ANY 180 DAY PERIOD. Springfield Building Permit 11/5/2013 1:35:37PM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 41' 225 Fifth St `ice TRANSACTION RECEIPT Spnngeld,OR97477 OREGON 541-726-3753 811-SPR2013-02450 wvnv.spnngfieldor.gov 719 F ST permitcenter @spnngleld-or.gov • RECEIPT NO: 2013002432 RECORD NO:811-SPR2013-02450 DATE: 11/05/2013 • C- 1. 10 '_. i'# 1. a ? :'. .__ ACGOUNTzCODEFFRANSCODE=°'r-77T-TAMOUNTDUEi State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.02 Technology fee(5%of permit total) 100-00000-425605 2099 4.18 Water Line 224-00000-425603 1005 83.50 y� TOTAL DUE: 97.70 Or AYMENSp.T•,YPE ' P.AYOR CASNIERmJLARSON COMMENTS AMO,UNTIPAID._ Credit Card BAXTER PLUMBING 8 ROOTER INC 97.70 037255 TOTAL PAID: 97.70 • Plumbing Permit Application DEPARTMENT USE ONLY -�,.. .� '- SPRINGFIELD C1TY, SPRINGFTE TORE O Permit no.: iii((r lo/30 Zlso Isilm jivii:A S _ £ ? sf s "$n P '13's :f ` � 225 Fifth Street• Springfield.OR 97477 • P11(541)726-3753 • F x(541)726 3689 \ OaEGON Date: //C//2 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 ISO 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 --- ea. Cost Sanitation approval verified? ❑ Yes ❑ No New residential CATEGORY OF CONSTRUCTION I bathroom/1 kitchen(includes:first �tf,I, 100 feet of ua(er?sewer lines, hose Residential l ❑Government I ❑Commercial bibs, ice maker, underfloor lots-poba $262.00 S JOB SITE INFORMATION AND LOCATION drains and rain-drain packages) Job site address: 7 I q p - 2 bathrooms/1 kitchen $411.00 $ • 3 bathrooms/I kitchen $483.00 $ City: Spr.;, ittc)'s State:OP\ ZIP: - 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) T$4..,164--C-AA, c-1' U cr 3a-u o . 0 to 2.000 square feet $80.00 $ V s n¢s n r A 1 6 ' 2.001 to 3.600 square feet S128.00 $ PROPERTY OW ER 3,601 to 7,200 square feet $192.00 $ 7,201 square feet and greater $255.00 $ Name: T',3 Oglesby Manufactured dwelling or pre-lab(circle one) Address: is C7,ly_ 17 3 Z Connections to building sewer and water supple' $80.00 $ City: 69,C/� JState0‹ ZIP : 5 Commercial,industrial,and dwellings other than one-or Phone: - - l Fax: - - two-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 fancily,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 Sturnt water retention/detention facility $21.00 $ Business name: g,,k{y t' ?L, Iirign(on systems _ $21.00 $ '� Piping or private storm drainage Address: PO ..5.,,, o 7 systems exceeding the fir-st 100 leer $21.00 $ Specially fixtures $21.00 $ City: elr,Y Slate:©K ZIP: Q-743-1 - Reinspeetion(no.of hrs, x fee per hr.) $80.00 $ Phone:5yl 331 -6696 Fax: -AI 93r 65700 - Special requested inspections(nu.of $80.00 $ E-mail: Iprr.if (a bnci-r 0Ir442.'3 ,e_.n-� hrs,x fee per hr.) CCB license no.: 19i07-i BCD license no.: Each additional inspection:(I) $80.00 $ Plumbing license no.: 90 QZ V P Medical gas piping Minimum fee $ Print name: legit [.r,k, Enter value of installation and equipment$ rr� ,p �,�.""(, Enter fee based on installation and equipment value. $ Signature: /1 (l APPLICANT USE (A) Enter subtotal of above fees (Minimum Permit Fee 580.00) $ (13)Investigative fee(equal to lAl) • $ (C)Enter 12%surcharge(.12 x[A+Bi) $ (D)Technology Fee(5%of[AD $ TOTAL fees and surcharges(A through U): S,/2 7 v -14u-2500J(4/1/2013/COuAp