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HomeMy WebLinkAboutPermit Plumbing 2014-2-20 • ■ SPRINGFIELD 225 Fifth St ' CITY OF SPRINGFIELD Springfield,OR 97477 ( fi Phone: 541-726-3753 \OREGON Building / Residential Permit • Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00376 www.springfield-ar.gov permitcenter @springfield-or.gav PROJECT STATUS: Issued ISSUED: 02/20/2014 EXPIRES: 08/19/2014 STATUS DATE: 02/20/2014 APPLIED: 02/20/2014 SITE ADDRESS: 455 23RD ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703361407900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: p-Bathroom/laundry remodel OWNER: CREATIVE REAL ESTATE SOLUTIONS LLC _ Phone Number: ADDRESS: 505 SW MILL VIEW WAY STE 250 BEND OR 97702 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER COB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. • 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 re• -- -Heat the proper time, that each address is readable from the street, that the permit card is located at the front of th- : operty, and the approved set of plans will remain on the site at all times during construction. Owner o • ontractor Signature *0(274±4_ • • • • ATTENTIO : Oregon lawhrP ofires Util ty NOTICE: foilow tule:No adopted b) THIS PERMIT SHALL EXPIRE IF THE WORK Notification enter. Those rules are set forth in CO:: 01-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You ay obtain copies of the rules by COMMENCED OR IS ABANDONED FOR alling th center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification • Center is 1-800-332-2344). Springfield Building Permit 2/20/2014 9:52:19AM Page 1 of 1 • • SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 iii (`elf Phone: 541-726-3753 4'''` OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00376 • www.springfield-or.gov - perm itcenter @springfield-or.gav • PROJECT STATUS: Issued ISSUED: 02/20/2014 EXPIRES: 08/19/2014 STATUS DATE: 02/20/2014 APPLIED: 02/20/2014 SITE ADDRESS: 455 23RD ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703361407900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: p-Bathroom/laundry remodel OWNER: CREATIVE REAL ESTATE SOLUTIONS LLC Phone Number: ADDRESS: 505 SW MILL VIEW WAY STE 250 , BEND OR 97702 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor SHAD CHASAN SURRETT CCB 158295 01/15/2016 541-741-3553 • INSPECTIONS REQUIRED Inspections 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 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 Contractor Signature Date WO -.iliOlkir NOTICE: • I/ ATTENTION. Cre9on law requires Utlty THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Greg re set AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules 952OO forth COMMENCED OR IS ABANDONED FOR in OAR 952 001-0010 n Cop1es of the rules by ANY 180 DAY PERIOD. 0090. You may Note'. the telephone calling the center.number tog --reiss 1- 00 332-2344)rflcation Springfield Building Permit 2/20/2014 2:40:58PM Page 1 of 1 • ;-; • • SPRINGFIELD on/QF SPRINGFIELD 225-Fifth St _7t t TRANSACTION RECEIPT Springfield,OR 97477 OREGON 811-SPR2014-00376 541-726-3753 www.springfield-or gov 455 23RD ST permitcenter@springfield-or.gov RECEIPT NO: 2014000362 RECORD NO:811-SPR2014-00376 DATE:02/20/2014 tOESCRIPTION ' ACCOUNT CDDE/TRANSCODEL AMOUNT DUE Bathtub 224-00000-425603 1005 21.00 Clothes washer 224-00000-425603 1005 21.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.08 • Technology fee(5%of permit total) 100-00000-425605 2099 4.20 Water closet 224-00000-425603 1005 21.00 Water heater 224-00000-425603 1005 21.00 TOTAL DUE: 98.28 1 PAYMENT TYPE• • PAYOR CASHIER:CDARPERTER COMMENTS_, ;, AMOUNT PAID Credit Card GLENDA BROWN ' 98.28 00203c TOTAL PAID: 98.28 • • • • • Plumbing Permit Application DEPARTMENT USE ONLY ' ,1` 6 .? ny SPRINGFIELD ^T?9�u6 +ri , CITYjOFSPRGIELWOEG Permit no: Cll -37. 'iaf f4t. vat..' `s z - 4,46 Vic, S /�O�j 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: `f 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,PROVALr, r Aa"YC4x:{, `_ 1.4iT li- ,kr FEE. SCHEDULFE1 ro 4-`t'. Zoning approval verified? El Yes ❑No : s , r .` < a . 14Gstl htal rDecrl tton < `Z Qty oy. I To ni r ,-r .0 r _'it 4. ai'N, .-4),,,K.°'ea ,r„cost.;: Sanitation approval verified? ❑ Yes ❑No New residential ;^ CATEGORYy OF^CONSTRUCTION } '.1'"?. I bathroom/1 kitchen(includes:first esidential ['Government ❑ Commercial 100 feet of water/sewer lines, hose $262.00 $ bibs, ice maker, underfloor low-point ..'.`,`? JOB:'SITE';INFORMATION ,AND LOCATION > tAj;^;?;] drains and rain-drain packages) Job site address: h/51"_ ;'� 2 bathrooms/1 kitchen $411.00 $ City c iv&cy Ffeb State: rot ZIP: 3 bathrooms/1 kitchen $483.00 $ Each additional bathroom(over 3) $104.50 $ Referente: Taxlot.: Each additional kitchen(over 1) $104.50 $ ,l;: '1 5, ESCRIPTION 'OF;WORK'?” „�>?,`,t ', .x :`. Residential fire sprinklers(includes plan review) 1 /,o t,q ,J Er^O < 0 to 2,000 square feet _ $80.00 $ -'f'7 a 2,001 to 3,600 square feet $128.00 $ '"ri'- ,''="[:a,a,•Nk.:PROPERTY y.OWNER'. )+ ve lr n "e<ax a 3,601 to 7,200 square feet $192.00 $ �� 7,201 square feet and greater $255.00 $ Name: iCdA ne /�/`e7(y.,,) ///' Manufactured dwelling or pre-fab(circle one) Address: 'Vf'e6-.4 Connections to building sewer and $80.00 $ City:�J F- State: oe ZIP: j water supply � _ Commercial,industrial,and dwellings other than one-or Phone,3-` 7-7 4.76706 Fax: two-family r /_ I Minimum fee E-mail: 7 vrP2/r�eJ.) /(© rbr, �9(re A/Cr $80.00 $ L , This installation is being made on residential or farm property Each fixture 0} $21.00 $ a owned by me or a member of 1 mediate family,and is Miscellaneous fees J exempt from livens'••a re. -ments under OAR 918-695-0020. 100' storm,sewer,water line '$83.50 $ Signature: Ar Each fixture, appurtenance,and piping $21.00 $ ..`'`. I' . ..`!C•I.TRACTOWANSTALL"ATION ..y t_= +"'zi ' Storm water retention/detention facility $21.00 $ Business . e: /�e>�_ . Irrigation systems $21.00 $ LL/ 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.: BCD license no.: Each additional inspection:(I) $80.00 $ Plumbing license no '111edi al ga's;ptpmgir!-, ,_ ' a'f't; .:a^-` Minimum fee $ ' Print name: - • Enter value of installation and equipment$ . Enter fee based on installation and equipment value. $ Signature: „rh-,,, •fnwAPPLICANT`USEw -,u (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]) -$RES- (D)Technology Fee(5%of[A]) $ TOTAL fees and surcharges (A through D): $4S?)..-- 440-2500-1(4/12013/COM)