HomeMy WebLinkAboutPermit Plumbing 2014-1-31 SPRINGFIELD 225 Fifth St
•
jI
• CITY OF SPRINGFIELD Springfeld,OR 97477
ti: Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811SPR2013-01469
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 01/31/2014 EXPIRES: 07/30/2014
STATUS DATE: 01/31/2014 APPLIED: 06/28/2013 •
SITE ADDRESS: 6428 Dogwood ST,Springfield,OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1702344301100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: PLM-Single family residence
OWNER: THOMAS WALTER CUSTOM HOMES LLC Phone Number: 541-683-6355
ADDRESS: 2863 RIVERWALK LOOP
EUGENE OR 97401
CONTRACTOR INFORMATION
-
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone •Electrical Contractor STEVEN EDWARD HAUCK II CCB 147618 04/30/2015 541-221-2665
Plumbing Contractor T 8 5 PLUMBING INC CCB 186903 06/01/2015 541-915-1000 •
General Contractor THOMAS WALTER CUSTOM HOMES INC CCB 192984 02/02/2015 541-683-6355
Mechanical Contractor THOMAS WALTER CUSTOM HOMES INC CCB 192984 02/02/2015 541-683-6355
INSPECTIONS REQUIRED I
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.
/ I
` (3 (44 -„`LNTION: Oregon law requires you to
Owner or Contractor Signature Date follow rules adopted by the Oregon Utility
NOTICE: • ' . Notification Center. Those rules are set forth
THIS PERMIT SHALL EXPIRE IF THE WORK rules GOW 952-001-0010 through OAR 001-
0090. You may obtain copies of the rules by •
AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone
COMMENCED OR IS ABANDONED FOR • number for the Oregon Utility Notification
ANY 180 DAY PERIOD. Center is 1-800-332-2344y
Springfield Building Permit 1/31/2014 11:35:23AM Page 1 of 1
•
•
SPRINGFIELD -- CITY OF SPRINGFIELD
225 Fifth St
,�,�, TRANSACTION RECEIPT Spnngfield,OR 97477
'� FOR 541-726-3753
OREGON 811-SPR2013-01469
www.springfield.or.got/ 6428 Doawood ST permitcenter @spdngfield-or.goy
RECEIPT NO: 2014000205 RECORD NO: 811-SPR2013-01469 DATE:01/31/2014
•f ..f., tut 'ACCOUNT COD TRANS n o " .1111 .'AMOUNT.DUE_
One or Two Family Dwelling with Three Bath 224-00000-425603 1005 483.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 57.96
Technology fee(5%of permit total) 100-00000-425605 2099 24.15
TOTAL DUE: 565.11
OPAYMENriYPE -It .PAYOR cASHIEN:,ccARP.ENTER 731 COMMENTSWPWIMentONMPLNNFI.41DWarid
Check THOMAS WALTER CUSTOM HOMES _ 565.11
11828
TOTAL PAID: 565.11
Plumbing Permit Application DEPARTMENT USE ONLY
.* 1 rriy };15 ryy y�c SPRINGFIELD $ -
CI :YOF$SPRINGFIELIFOREGON,M:� 1 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.
L N,<ac l Mt r ie- 1 _� . a+r:t _ - 1 3'; ' .
LOCAL';GOYERNMENT APPROVAL. +.,, . FEE=, CHEDULE'r ,>,' M�� - "
Zoning approval verified? ❑ Yes ❑No *Desenptlon ' Wit£ Qty 1Cost t Total-9
Sanitation approval verified? ❑ Yes cost_;t
❑No New residential
;CATEGORY,_CE-CONSTRUCTION i "'e4 "'rr} 1 bathroom/] kitchen(includes:first
100 feet of water/sewer lines, hose
esidential ❑Government ❑Commercial $262.00 $
bibs, ice maker, underfloor low-point
Y ;n JOB"SITEiINFORMATION: AND •LOCATION4:?;a5r',', drains and rain-drain packages)
Job site address: 64zS y� r�c� 2 bathrooms/1 kitchen $41100 $
City: S p� State: O-� ZIP: 3 bathrooms/1 kitchen $483.00 $
1 Each additional bathroom(over 3) $104.50 $
Reference: Taxlot.: Each additional kitchen(over 1) $104.50 $
:? * !'='?DESCRIPTION;'OF WORK.1 4p "w"asaa Residential fire sprinklers(includes plan review)
0 to 2,000 square feet $80.00 $
�""l� 2,001 to 3,600 square feet $128.00 $
A;? P:r x•x,:_„ i 1.:1:.ROPERTYkiOWNER ["1i ZWS-1= 3,601 to 7,200 square feet $192.00 $
Name: W�`.J t ki-c-s9" S 7,201 square feet and greater $255.00 $
Manufactured dwelling or pre-fah(circle one)
Address: p_a:.3 ue,r LV�`L< tI', Connections to building sewer and
water supply $80.00 $
City: aLeo State: u-IL ZIP: l 1
Commercial,industrial,and dwellings other than one-or
Phone:SiH 6'3 6355 Fax:S11 683 33?3 two-family
E-mail: '-I-t op u>v,' }.Q r C-..`snt-Am y..�5, - 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 family,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 $
CONTRACTORC;,INSTALLATION 2'�1474"W'`, : Storm water retention/detention facility $21.00 $
Business name: 7-4 Irrigation systems $21.00 $
1 t"^��� Piping or private storm drainage
Address: systems exceeding the first 100 feet $21.00 $
City: State: ZIP: Specialty fixtures $21.00 $
Reinspection(no.of hrs.x fee per hr.) $80.00 $
Phone: ,tj' 194S I Fax: - - Special requested inspections(no.of $80.00 $
E-mail: hrs.x fee per hr.)
CCB license no.: BCD license no.: Each additional inspection:(I) $80.00 $
Plumbing license no :'Medical gas pipmgi, `,F ' a:6 ;y`; Minimum fee $
Print name:
Enter value of installation and equipment$ ,
Enter fee based on installation and equipment value. $
Signature: �; '€r,.- r .,1 :- r
CSC' te -; ,�;,.��APPLICANT�USE '�-;,u ,a+.°�a4��_,-::
(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): $
440-2500-1(4/1/2013/COM)