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HomeMy WebLinkAboutPermit Plumbing 2014-1-6 • SPRINGFIELD 225 Fifth St t u=` 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-SPR2014-00022 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 01/06/2014 EXPIRES: 07/05/2014 STATUS DATE: 01/06/2014 APPLIED: 01/06/2014 SITE ADDRESS: 658 33RD ST,Springfield,OR 97478 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702312405300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Minimum permits to complete expired permit COM2008-00633 OWNER: HOGI LEGACY PROPERTIES LLC Phone Number: ADDRESS: 743 ASCOT DR EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone L INSPECTIONS REQUIRED Inspections 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. 6 Owner or Contractor Signature ■ate • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification in OAR 952-001 0010 through OAR 952f001- obtain copies of the rules by r.10TICE' 0090. You may THIS PERMIT SHALL EXPIRE IF THE WORK calling the censer. (Note: the telephone number for the Oregon Utility Notitication \UTHORIZED UNDER THIS PERMIT IS NOT Center is 1-600 332 2344)• COMME IS ABANDONED FOR • • ANY 1$0 NCED DAY PERIOD.OR Springfield Building Permit 1/6/2014 2:35:21PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD S..C1 `, TRANSACTION RECEIPT Springfield,OR 97477 a. • 225 Fifth St OREGON 541-726-3753 811-S P R2014-00022 www.springfield-or.gav 658 33RD ST permitcenter @springtield-or.goy RECEIPT NO: 2014000018 RECORD NO: 811-SPR2014-00022 DATE:01/06/2014 IDESCRIPTION`_ _� I ACCOUNT CODE/TRANS CODE_;._-_.,,;. ,AMOUNT.DUE.__; Hourly Plumbing Inspections Fee(not covered by sched) 224-00000-425603 1057 80.00 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 TOTAL DUE: 93.60 PAYMENTTYPE_ =.�... _PAYOR_ 0ASHIER:CGARPEhlTERu. _COMMENTS_,. _ AMOUNT PAID Credit Card Donald Bragg 93.60 02033c TOTAL PAID: 93.60 • Plumbing Permit Application DEPARTMENT USE ONLY . ° , ; x.,-.:--. 1.• s :cL,i T a x ,r , SPRINGFIELD CI OF�SI'RINGFIF,"LD OREG© t t ;d, Permit no _ —_ 2 " t:" 3 ..` tea : ,( / / 225 Filth Street • Springfield.OR 97477 • P11(541)726-3753 • FAA(5111726 3689 °i,' ,�ogicoN Date: / � / &/ This permit is issued tinder 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 clays of issuance or if work is suspended for 180 clays. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE • Zoning approval verified? ❑ Yes ❑ No Description Qty. east Total Sanitation approval verified? ❑ Yes ❑ No New residential CATEGORY OF CONSTRUCTION I bathroom/I kitchen(includes:first Residential ) 100 feel ofwater/se,rer lines, hose ❑ ❑Government ❑ Commercial hies. ice maker, rur<ler/lour/orr-poirrr $262.00 $ JOB SITE INFORMATION AND LOCATION drains and rain-drain packages) Job site address: 5'S" _` 3 rq S')-' 2 bathrooms/I kitchen $411.00 $ — • City: '7 3 bathrooms/I kitchen $483.00 $ Yy �(l Stanger_ ZIP: ��� r� 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) r ate/ �`�.�t1 Ctl�S-eni,k 0 to 2.000 square feet - .$80.00 $ 2.001 to 3.600 square leer $128.00 $ PROPERTY OWNER 3,601 to 7.200 square Feet $192.00 S Name: l�0��)) f 7.201 square feel and greater $255.00 $ otrL Address: 2q3____ Manufactured dwelling or pre-fah(circle one) S255.00 Connections to building sewer and /rti x �y water supply $60.00 City:! 'tom Stated/, ZIP : / 71/t'7 44 Commercial,industrial,and dwellings other than one-or Phone. i/391/ t V ___ Fax: - - two-family E-mail: Minimum lee $80.00 S 'this installation is being made on residential or farm property Each linurc _ - $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 S Signature: Each fixture,appurtenance,and piping $21.00 S CONTRACTOR INSTALLATION Storm water retention/detention facility $21.00 $ Business name: /J -try Irrigation systems $21.00 S m Piping or privale Storm drainage 521.00 S Address: 33rr� S�- syslens exceeding the first 100 feet _ ___ City c--,s nj O Staten„. zip:G17v2 ey Specialty fixtures $21.00 S • Reinspeetion(on. alms. N fee per hr.) $80.00 $ Phonet,Se/6677 Mk'3 Fax: - - Special reyuesled inspections(no. of $80.00 s E-mail: — o//ZZy_oite_ Ckt © . cc's hrs.x Ice per hr.) CCB license no.:/42935 BCD license no.: Each additional inspection: (I) / $80.00 _syo Plumbing license no.: hi& Medical gas piping Minimum fee S P � e% D Enter Value of installation and equipment$ . I Vint name: (p 03 Enter fee hosed on installation and equipment value. $ Signature: _ APPLICANT USE (A) Enter subtotal of above lees 1#-)--- u (Minimum Permit Fee$80.00) On Investigative lee(equal to iAl) $ (C)Enter 12%surcharge(.12 x IA+B]) $ ' Q (0)"Technology Fee(53< of lA1) $ 1 9 S✓v TOTAL fees and surcharges(A through U): 440-2500.(1/1/2013/COM)