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HomeMy WebLinkAboutPermit Plumbing 2014-2-26 • SPRINGFIELD 225 Fifth St ' S CITY OF SPRINGFIELD Springfiield,OR 97477 t„e+- Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2014-00423 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 02/26/2014 EXPIRES: 08/25/2014 STATUS DATE: 02/26/2014 APPLIED: 02/26/2014 SITE ADDRESS: 3170 ORIOLE ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703221312100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: P-Relocate sink and water heater OWNER: DECKER LAURA J • Phone Number: ADDRESS: 3170 ORIOLE ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB • 000000 08/01/2025 Electrical Contractor OWNER - CCB • 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 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 • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification ..yjTIICE: Center is 1-800-332-2344). -HIS PERMIT SHALL EXPIRE IF THE WORK :HINDERED UNDER PHIS PERMIT IS NOT COMMEmN7CED OR IS ABANDONED FOR . . Springfield Building Permit ANY26(0rI1 r q:� RIOD. • Page 1 of 1 SPRINGFIELD -- - CITY OF SPRINGFIELD • TRANSACTION RECEIPT Spnngfield`OR97477 �"`I ‘oREGON 541-726-3753 811-SPR2014-00423 www.springfield-or-gov 3170 ORIOLE ST permitcentera@springfield-or.gov RECEIPT NO: 2014000419 RECORD NO: 811SPR2014-00423 DATE:02/26/2014 D O';1_7:=S-_- _?` :f-t HtI E4-.1"? ACCOU NIL 0DE TRANS Malin�t°vim ==AMOUNT+DUE'. Minimum Plumbing Fee(Three or Fewer Fixtures) 224-00000-425603 1057 80.00 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 TOTAL DUE: 93.60 WI AYMENTot YPe PAYOR. cAsTaiii daRP-ENTER 'COMMENTS - AMOUN„T PAID . 4 Check RICK TURNER 93.60 1507 TOTAL PAID: 93.60 • • , Plumbing Permit Application DEPARTMENT USE ONLY hA,-,,cgt7CiSfne.:Waktiti :rjaialWalifagYirin;;=-Y.214.1V.Z. ANet ? intITY-OtaSPRINGFIELWIJREGON Permit no.: • . 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(54I)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. Ni:';', :LOCAlfLOOVERNMENT'ARPROVAL7RfiXtazfl '."-Ilfai?..?),40',.%::1-MOAFEEISCHEDULiERVAki:;$1a:igiWgZ.? Zoning approval verified? El Yes El No 0":1:37' CO-See nreiri. Qtys .ilif•1.c4:::;:A cost , Sanitation approval verified? n Yes fl No New residential r111.X.:i:::•111:1T7-itATEGQR1Yi'CIF:1;CONSTRUCTION±.:,1`1111 ;'' 1 bathroom/1 kitchen(includes.first 100 feet of water/sewer lines, hose 0 Residential 0 Government 0 Commercial $262.00 $ bibs, ice maker, underfloor low-point JOBISITEI•INFORMATIONPAND LOCATIONAfior2 drains and rain-drain packages) Job site address: 2 bathrooms/1 kitchen • $411.00 $ 3 bathrooms/1 kitchen $483.00 $ City: State: ZIP: - Each additional bathroom(over 3) $104.50 $ Reference: • Taxlot.: Each additional kitchen(over I) ' $104.50 $ '11.:(:54*,-::!;::t.:7].i.:7.TPIDESCRIPTIOIslic05:AYVORICAAtint Residential fire sprinklers(includes plan review) 0 to 2,000 square feet $80.00 $ 2,001 to 3,600 square feet $128.00 $ pROPERTYCOVVNER': 3,601 to 7,200 square feet $192.00 $ 7,201 square feet and greater $255.00 $ Name: Manufactured dwelling or pre-fab(circle one) Address: Connections to building sewer and $80.00 $ water supply City: State: ZIP: Commercial,industrial,and dwellings other than one-or Phone: - - Fax: - - two-family E-mail: Minimum fee $80.00 $ Each fixture $21.00 $ This installation is being made on residential or farm property 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 $ tONTRACTOW:INSTALLATION17Wittinvet Storm water retention/detention facility $21.00 $ Business name: Irrigation systems $21.00 $ 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: - - Fax: - - Special requested inspections(no.of $80.00 $ E-mail: hrs x fee per hr.) CCB license no.: BCD license no.: Each additional inspection:(1) $80.00 $ Plumbing license no ciSliialg1 l'613iiifi;T,4 tiV,igiaca ',4 Minimum fee $ . . Enter value of installation and equipment$ Print name: Enter fee based on installation and equipment value. Signature: • 14141,1lIPP211010:0, 'XN-.7r3-0.$101itenktfiteN (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)