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HomeMy WebLinkAboutPermit Plumbing 2014-1-7 ., SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 "'� OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00029 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 01107/2014 EXPIRES: 07/06/2014 STATUS DATE: 01/07/2014 APPLIED: 01/07/2014 SITE ADDRESS: 105 37TH ST 3,Springfield,OR 97476 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702314202405 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace water heater OWNER: BRAZIEL, DAN AND SARAH Phone Number: 541-731-3770 ADDRESS: 3289 SAINT THOMAS ST EUGENE OR 97408 CONTRACTORINFORMATION• Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor OWNER CCB 000000 08/01/2025 • • 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. ew ti . 176-r /r 1 1 — ( L� Owner or Contractor Signature Date • • • ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT • in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by calling the center. (Note: the telephone ANY 180 DAY PERIOD. • number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 1/7/2014 12:57:48PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD • 225 Fifth St :S.61: TRANSACTION RECEIPT Springfield.OR97477 OREGON 541-726-3753 811-S PR2014-00029 www.springfield-or.gov 105 37TH ST 3 permitcenter©springfield-or.gov RECEIPT NO: 2014000025 RECORD NO: 811-SPR2014-00029 DATE:01/07/2014 (DESCRIPTION _ _ACCOUNT_CODE/TRANS,CODE AMOUNT 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 TOTAL DUE: 93.60 LPAYMENt TYPE - 'PAYOR CASHIER2CCARPENTER' - COMMENTS. `- • AMOUNT PAID —�__j Check Langevin Property Grp 93.60 1045 TOTAL PAID: 93.60 • • • • • • Plumbing Permit Application . DEPARTMENT USE ONLY .'7 AFtraW",.*:”,-,:gplt*:7;y:.;,Ifirtittfitovp#3.::tiral SPRINGFIELD CIS OF SPRINGEEED; REGO, J . - Permit 1o.: 9 Y -(290 7 / i .1! b i3 veg tii 4 rFM1 n4b "S- "'+Y ......0 ���/ ti - .- 225 Fifth Street ♦ Springfield.OR 97477 • PH(541)726 3753 • FA\(541)726 3689 ` OREGON Date: 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 ea. cost Sanitation approval verified? ❑ Yes ❑ No New residential CATEGORY OF CONSTRUCTION I bathroom/1 kitchen(includes:first 100 feet u/l water/sewer lines. hose ❑ Residential ❑Government ❑Commercial bibs, ice umker, underfloor low-point $262.00 $ JOB SITE INFORMATION AND LOCA�TION drains and rain-drain packages) Job site address: 1 0 6 31'x'' e.I.bee " ApHi 3 2 bathrooms/I kitchen $411.00 $ 3 bathrooms/1 kitchen $483.00 $ City:�j�,4, State: of ZIP:011e(� � it,,ch additional bathroom(over 3) $104.60 $ Reference: /7 7 (t/7 faxlot.270S Each additional kitchen(over I) $104.50 $ DESCRIPTION OF WORK Residential Fire sprinklers(includes plan review) k.A2ca - -V 0 10 2.000 square feet $80.00 $ 2.001 to 3.600 square feet $128.00 5 PROPERTY OWNER 3.601 to 7.200 square feet $192.00 $ Name: Dan of ecyle --1 ?wet 2.4;.e..4 7,201 square feet and greater 5255.00 Manufacturer/ dwelling or plc lab(circle one) Address: pi„ ao 1 irci 4 Connections to budding sewer and water supply 580.00 I $ City: SQn)%ssRe � state: 02 ZIP: 9`141 S Commercial,industrial,and dwellings other than one-or Phone. Ct{( - t j-l7a Fax two-family a -- --- E-mail: �, �G Minimum fee ---I-. $00.00 $ - - l �1 �}•• ` 4 1.ach tl.\llll'e $21.00 s This installation is Leine made on residentii of fattl property - owned by me or a member of my immediate family, and is Miscellaneous Ices exempt from licensing requirements under OAR 918-695-0020. 100` storm.sewer, water line $83.50 $ Signature: Each fixture, appurtenance; and piping $21.00 $ CONTR s CTOR INSTALLATION Sturm waterretention/detention facility' 521.00 $ Business name: Irrigation systems - $21.00 $ Piping or private storm drainage $21.00 $ Address: sysiems exceeding_the first 100 feet --____- _ City: State: ZIP: Specialty Ii.smros $21.00 $ Re inspect ion(no.of hrs.x fee per hr.) $80.00 $ PI10ne. - - Fax. - - Special requested inspections(no.of hrs. fee hr.) 580.00 $ x per E-mail: " CCB license no.: 1CD license no.: Each additional inspection: (I) $80.00 Plumbing license no.: Medical gas piping Nlinimunt fee $ Print name: - - Enter value of installation and equipment$ . Enter fee based on installation and equipment 'aloe. $ Signature: APPLICANT USE (A) Enter subtotal of above fees $ 6.1a (Minimum Permit Fee 580.00) (13) Investigative fee(equal to Al)1 $ (C) Enter 12%surcharge(.12 s IA+I3]) $ 70(f (D)Technology Fee(5%of IA1) 5 - TOTAL fees and surcharges (A through D): $ ‘77/� • • 440.2500-J(411/2013/COni)