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HomeMy WebLinkAboutPermit Plumbing 2014-1-24 SPRINGFIELD 225 Fifth St au_dimiiiiii 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-SPR2013-01442 www.springfield-or.gov permitcenter @spnngfield-or gov PROJECT STATUS: Issued ISSUED: 01/24/2014 EXPIRES: 07/23/2014 STATUS DATE: 01/24/2014 APPLIED: 06/27/2013 SITE ADDRESS: 5233 HIGH BANKS RD,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702283401000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM •New SFD-Lot 2 Thurston PI SAMEAS 5211 Lot 1 OWNER: CUMMINS INVESTMENTS LLC Phone Number: ADDRESS: 31221 OSPREY RD LEBANON OR 97355 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Elecincal Contractor EASTSIDE ELECTRIC INC CC8 117770 10/04/2015 541-741-1499 Plumbing Contractor JOHNS PRECISION PLUMBING LLC CCB 158279 02/04/2014 541-736-8690 General Contractor DAVIS CONSTRUCTION SERVICES LLC CCB 160347 08/14/2014 541-868.6294 Mechanical Contractor SUNSET HEATING 8 AIR INC CCB 171706 08/10/2014 541-554-2604 INSPECTIONS REQUIRED 1 Inspections 3130 Footing/Foundation Drains 3170 Underfloor Plumbing Underfloor Plumbing: Prior to Insulation or decking. 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 3315 Water Line 3400 Storm Sewer Storm Sewer Line: Prior to filling trench 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 Contrac or Signature"i i:1t il- Wit:. Date .- -iiLti .uL.:r THIS PERMIT IS NOT iN G E I S A G ,NDONED FOR i u R J DAY PERIOD. Springfield Building Permit 1/24/2014 1 57 02PM Page 1 of 1 4 SPRINGFIELD CITY OF SPRINGFIELD .....Latiiiaii 225 Fifth SI TRANSACTION RECEIPT Springfield.OR97477 1111100 REGON 541-726-3753 811-SPR2013-01442 www springfield-or goy 5233 HIGH BANKS RD permitcenter©springfield-or goy RECEIPT NO: 2014000162 RECORD NO: B11-SPR2013-01442 DATE:01/24/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE One or Two Family Dwelling with Two Bath 224-00000-425603 1005 411 00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 49.32 Technology fee(5%of permit total) 100-00000-425605 2099 20.55 TOTAL DUE: 480-87 PAYMENT TYPE PAYOR CASHIER:JLARSON COMMENTS AMOUNT PAID Check CUMMINS INVESTMENTS LLC 480.87 1030 TOTAL PAID: 480.87 Plumbing Permit Application DEPARTMENT USE ONLY SIPRINGFlELO - CITY OF SPRINGFIELD, OREGON - Permit no.: 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 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 Sanitation approval verified? ❑ Yes ❑No New residential CATEGORY OF CONSTRUCTION 1 bathroom/1 kitchen(includes:first 100 feet ojwater/sewer lines,hose $262.00 $ Q'�esidential ❑Government ❑Commercial bibs, ice maker, underfloor low point JOB SITE INFORMATION AND LOCATION • • drains and rain-drain packages) Job site address: 5-2 3 3 (4 4.,t-+ 14,..4c$ ,2J. 2 bathrooms/1 kitchen $411.00 $ 3 bathrooms/1 kitchen $483.00 $ Pl2 City: Sirr6 FI:5>) State: pR ZIP: 9-N-78 Each additional bathroom(over 3) $104.50 _ $ Reference: Taxlot.: Each additional kitchen(over 1) , $104.50 $ DESCRIPTION OF WORK Residential fire sprinklers(includes plan review) NFL 5 F-g 0 to 2,000 square feet $80.00 S 2,001-to 3,600 square feet $128.00 $ PROPERTY' OWNER • 3,601 to 7,200 square feet $192.00 $ 7,201 square feet and greater i $255.00 $ Name: CJM.44/N 5 /NV, /..4.C Manufactured dwelling or pre-fab(circle one) Address: 3122 I 05p4 i- L N. Connections to building sewer and $80.00 S water supply City: LF,$,trw�c,v State: 4� ZIP: 9i3 SS Commercial,industrial,and dwellings other than one-or Phone: 5'I/l2 r g 2 G co Fax: - - two-family Minimum fee $80.00 $ E-mail: l EG....r..rtrus a to--Gii r . N1,-r Each fixture _ $21.00 S This installation is being made on residential or farm property Miscellaneous fees owned by me or a member of my immediate family, and is - 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 Storm water retention/detention facility $21.00 S Business name: Plrfnsi a,v Pt..,...gl b u Irrigation systems 521.00 $ Piping or private storm drainage Address: systems exceeding the first 100 feet $21.00 $ $SL 3 5 N t a.o y,� LN. City: „ State: oft I ZIP: 97+/.5 Specialty fixtures 521.00 $ t}' e''{ Reinspection(no.of hrs.x fee per hr.) $80.00 S Phone: Sy 1 - 9 53 - 4 C,7 7 Fax: - - Special requested inspections(no.of $gO.OD $ E-mail: hrs.x fee per hr.) CCB license no.: 1 s$ 2-79 BCD license no.: Each additional inspection:(1) 580.00 S Plumbing license no.: Medical gas piping Minimum fee S PO/ Enter value of installation and equipment$ . Print name: TD MI-1 F tv F 2/4 Enter fee based on installation and equipment value. $ Signature: APPLICANT USE (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ (D)Technology Fee(5%of[A]) $ TOTAL fees and surcharges (A through D): $ 440-2500-J(411/2013/COM)