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Home My WebLink AboutPermit Plumbing 2014-1-9 • SPRINGFIELD 225 Fifth St `1, 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-SPR2014-00045 www.springfieldor.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 01/09/2014 EXPIRES: 07/08/2014 STATUS DATE: - 01/09/2014 APPLIED: 01/09/2014 SITE ADDRESS: 546 5TH ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703352405500 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: PLM-Replace gas water heater OWNER: BESWICK JULIA ANN&RICHARD Phone Number: . ADDRESS: 546 N 5TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name • Lic Type Lic No Lic Exp Phone Plumbing Contractor - JOHN THE PLUMBER INC CCB 107810 07/24/2015 541-886-4888 Mechanical Contractor JOHN THE PLUMBER INC CCB 107810 07/24/2015 541-686-4888 INSPECTIONS REQUIRED 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 furtheragree to ensure that all required inspections are requested at the proper time,that each address is readable from the street,that the permit ca 's located at the front of the property, and the approved set of plans will remain on the site at all times during constr tion. • • Owner or Contractor Signature • Date • • ou to NOTICE: a . . ATTENTION: Oregon law requireon Utility THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oreg AUTHORIZED UNDER THIS PERMIT IS NOT • Notification Center. Those fules are set forth COMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 obta n crop es ofAR 962e ObY ANY 1.80 DAY PERIOD. 0090. You may Note. the telephone calling the center. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 1/9/2014 9:20:22AM Page 1 of 1 • SPRINGFIELD -- CITY OF SPRINGFIELD .225 Fifth St �` E�a� TRANSACTION RECEIPT Spnngfield,OR97477 541-726-3753 811-SPR2014-00045 www.spnngfield-or.gov 546 5TH ST permitcenter©spnngfield-or.gov RECEIPT NO: 2014000042 RECORD NO:811-SPR2014-00045 DATE:01/09/2014 )off .Yt>f:71:AiNil Er.'..,<4ux' -m..s ' i.\ifi;.:Z,..J _11 "`d`tt'SACCOUNTCODERRANS.CODE&Li_1;atti AMO NT DUE 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 6. TOTAL DUE: 93.60 in - P,AY.OR CASwER::oeowLSer -COMMENTS AMOUNTjIP,AID '+ Check BESWICK JULIA ANN &RICHARD 93.60 4175 TOTAL PAID: 93.60 • Plumbing Permit Application DEPARTMENT USE ONLY SPRINGF1EL0 o � vii:; = sr 4 "' t r .::2ax:1:1 s - 1 # u SC OHO ter aaie n OF4iSPRINGFIELD COREGON a ' Y sj Permit no e�. } t` T l au e r MP .� ... , / c y 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: I � / 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'AP.PROVALi t`' ..i t t"',,si`nii, q r:: „ z F.EE,?SCFIEDULUEY , 2 _ , a. m'3 „'; ❑No D se crlpt(on ?�"i> Pk E-b1' ?east i costl`j Zoning approval verified? Ill Yes f ` ^ dv ti , Sanitation approval verified? ❑ Yes ❑No y ide. t � New residential IT:, `';CATEGORY,.OF. CONSTRUCTION . 'F;$ 1 bathroom/1 kitchen(includes:first 100 feet of water/sewer lines, hose Residential ❑Government 1:1 Commercial $262.00 $ bibs, ice maker, underfloor low-point Pl JOB`SITE=INF„ORMATION,. AND, LOCATION4'> ;-?' drains and rain-drain packages) Job site address: 514(0 5 €H 54 • 2 bathrooms/1 kitchen $411.00 $ City: Y t. n {-i j3 State: oe ZIP: 4)"f 7 3 bathrooms/1 kitchen $483.00 $ Each additional bathroom(over 3) $104.50 $ Reference �X33 2 Taxlo[ O S-s Each additional kitchen(over I Y Q� ( I) $104.50 $ ?' ';U r , :;ctiZ:DESCRIPTION."OF< WORK!,;3 x ,a ; ;3,(F",z`' Residential fire sprinklers(includes plan review) es 0 - e _A N 'vt 0 + (AP,— 0 to 2,000 square feet $80.00 $ Vk . Ct'i r 2,001 to 3,600 square feet $128.00 $ ,rfr ,l },, :il xPROP\ 1..5c3 ().)ERT OWNEFe :) ta` r,g( 6:1 3,601 to 7,200 square feet $192.00 $ C C+' Name: c21 U U y- 5 I c L - 7,201 square feet and greater $255.00 $ Manufactured dwelling or pre-fab(circle one) Address: S 01C0 S[_h 5 "f - Connections to building sewer and $80.00 $ water supply City: 'S e y-i y [ pl State:OR ZIP:C(JY77 Commercial,industrial nd dwellings other than one-or Phone: -, 1{t 2(03924 Fax: - - two-family 6° E-mail: reS�C 11n;11� e (ft . aC _ Minimum feel.iA' � f $80.00 —This installation is being made on residential or farm property Each fixture FP/ $21.00 $ owned by me a member of my immediate family, and is Miscellaneous fees exempt:fro lic mg r$quir nt9 under AR 918-695-0020. 100' storm,sewer,water line $83.50 $ Signature: ( vf� Each fixture, appurtenance,and piping $21.00 $ CONTRACTOR"INSTALLAT ON k 'Nt ti; Storm water retention/detention facility $21.00 $ Business name: 3¢'t�l.�, --\� ��k WL_,_}s" Irrigation systems $21.00 $ Piping or private storm drainage $21.00 $ Address: systems exceeding the first 100 feet 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.: 10.7 2'J O BCD license no.: Each additional inspection:(I) $80.00 $ Plumbing license no 'Medical gasplpmg , i''it'v + M .;<a Minimum feel $ Print name: Enter value of installation and equipment$ . Enter fee based on installation and equipment value. $ Signature: sr .n r - w Fr. �a1 � U,s ��* ° �APPLICANT�'USE� attgASI�«-tom,„ (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) sac (B)Investigative fee(equal to[A]) .$ b� (C)Enter 12%surcharge(.12 x[A+B]) $ S (D)Technology Fee(5%of[A]) $ U' TOTAL fees and surcharges(A through 0): $?3 /,�_ 440-2500-1(4/1/2013/COM)