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Home My WebLink AboutPermit Plumbing 2014-2-25 SPRINGFIELD 225 Fifth St ' - CITY OF SPRINGFIELD Springfield,OR 97477 t . Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00406 www.springfieldor.gov permitcenter@springfeld-or.gov PROJECT STATUS: Issued ISSUED: 02/25/2014 EXPIRES: 08/24/2014 STATUS DATE: 02/25/2014 APPLIED: 02/25/2014 SITE ADDRESS: 332 D ST,Springfield,OR 97477 - SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703352406600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Tankless water heater conversion-Elect/Mech by separate contractors OWNER: STRICKLAND MARLENE D Phone Number: ADDRESS: 332 D ST SPRINGFIELD OR 97477 OWNER: STRICKLAND MICHELLE D Phone Number: ADDRESS: 332 D ST SPRINGFIELD OR 97477 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone • Plumbing Contractor' OWNER COB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections _ _ 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 3999 Final Plumbing Final Plumbing: Wien 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 p .•eyme.-that each address is readable from the street, that the permit card is located at the front of the p erty --• e -.proved s t of ppl ns ill remain on the site at all times during construct!,7 n. t �` j. //// /im C;7A)15/1��/ i� (i �i�' 1 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 Nn n Those n otificatioOAR 952-001 Ce -0010 ter. through rules OAR are 952-001 setforth- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. - number Conte eiOregon Utility Notification Springfield Building Permit 2/25/2014 8:11:10AM Page 1 of 1 SPRINGFIELD`--- CITY OF SPRINGFIELD 225 Fifth S 'COR TRANSACTION RECEIPT Spnngfield1OR97477 +" OREGON 541-726-3753 811-SPR2014-00406 • www.springfeldorgov 332 D ST permitcenter©spnngfield-or.gov RECEIPT NO: 2014000400 RECORD NO:8115PR2014-00406 DATE:02/25/2014 DESCRIPTION nr' _. . '.._1_?_ o o o a : : o o f -d t. ,AMOUNT. N9 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 IIn�s • TOTAL DUE: 93.60 PirmyMENTiTNPE PAYOR cnSNiE ccnRPENTER COMMENTS AMOUNTjulD _ - Credit Card STRICKLAND MICHELLE D 93.60 025789 TOTAL PAID: 93.60 • • • • Plumbing Permit Application DEPARTMENT USE ONLY 'M Y� SPRINGFIELD S5...x?,:1. su , Y t Permit no.: �CITI�OF SPRINGFIEL��QREGON� ` '"�'°' ,"�"� 51(4-- y06,. >s .M i`alitt'r ."A.n. rrkt;�4tAfai..: " �a_ ]:]7], ..?i * . O/ $. 2--/2- 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 - Date: s // Y - 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 JGOVERNM ENT, •APPROUAL^4, ' s k 1 ., ii±;,,i4.::I_ .,,^,,FEESCHEDUL'E ,x?,`` ;y t:F i ': Zoning approval verified? ❑ Yes ❑No ?Description° C 1 2 Qty +Cost T tai t. ;%:t_'tt057ii�+s. �* _: `^u:l".. ,s,.:. -ea ,v -jeost...::? Sanitation approval verified? ❑ Yes ❑No New residential - •'' .',.CATEGORY OF.-'CONSTRUCTION nt'1WW- 1 bathroom/1 kitchen(includes:first Residential ❑Government ❑Commercial 100 feet of water/sewer lines, hose $262.00 $ bibs, ice maker, underfloor low point ::A':: . -,J,OBli'SITE=INFORMATIONI=AND', LOCATIONzv :1 drains and rain-drain packages) Job site address: 3 O JJ , 2 bathrooms/I kitchen $411.00 $ 3 bathrooms/1 kitchen $483.00 $ City: `J'Imo} State:0,� ZIP:.93— 77 Each additional bathroom(over 3) - $104.50 $ Reference: ' Taxlot.: Each additional kitchen(over 1) $104.50 $ ,tt3* y r+`,, , =ADESCRIPTION':0T-IYVORMillEttalla Residential fire sprinklers(includes plan review) bc}yv/4 -5/ mss?- f-7(___/91/4 &7-__ Cep,-l/_ 0 to 2,000 square feet $80.00 $ 2,001 to 3,600 square feet $128.00 $ W y,I `' e `.°t'PROPERTYs OWNER"^". `r "V ef,": ?7M 3,601 to 7,200 square feet $192.00 $ Name -I)]' ,het Le Sf y l'ch�j� 7,201 square feet and greater $255.00 $ 3 � Manufactured dwelling or pre-fab(circle one) Address: 3 3 Z. I J . 5f Connections to building sewer and City: SQ(y-'((i State:OL. ZIP:g7C(77 water supply $80.00 -$ Commercial,industrial,and dwellings other than one-or Phone:5q/ ags en 5_5 Fax: - two-family E-mail: inc//L Li [ ' I ii 9© cf ;,t no. '-c(�V Minimum fee • , $80.00 $ n js Each fixture $21.00 $ This installation is be made on res a-ntipa or farm ro owned by me or a me er o- ••. ,i ediAtt .•i 1 is Miscellaneous fees exempt"119254 r i - r una- hA! 9 8- 5=0D20. 100' storm,sewer,water line $83.50 $ �® Signattl: / f% (I g A I „, - Each fixture,appurtenance,and piping , $21.00 $ i4 ' .`i:CONTRACT,OR?`IN',rALLATION '+: r n'>?:. t Storm water retention/detention facility - $21.00 $ Business name: t ate��_ Irrigation systems $21.00 $ 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.) 580.00 $ CCB license no.: BCD license no.: Each additional inspection:(I) $80.00 $ Plumbing license no ti ed cal g s pipmg e 'zs^;'ixar.`'cl Minimum fee $ Print name: Enter value of installation and equipment$ . Enter fee based on installation and equipment value. $ Signature: - • 'fist.'J.i-w ' n+' APPL""ICANTr'.tUSE a;,`-7;Sr"..rd'-arf .+„r,: (A) Enter subtotal of above fees v cp • (Minimum Permit Fee$80.00) $ (3 (B)Investigative fee(equal to[A]) I - $ (C)Enter 12%surcharge(.12 x[A+B]) $ 5ee° (D)Technology Fee(5%of[A]) $ O° TOTAL fees and surcharges(A through D): $ J�-- 440-2500-1(4/1/20t3/COM) .