HomeMy WebLinkAboutPermit Plumbing 2014-2-26 SPRINGFIELD 225 Fifth St
' y CITY OF SPRINGFIELD Springfeld,OR 97477
• tl Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone:541=726-3769 •
Fax: 541-726-3676
• PERMIT NO: 811-SPR2014-00431
www.springfieldor.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: 1342 L ST,Springfield,OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1703253304500 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: 60' Private Sewer
OWNER: HUTCHINSON RYAN D Phone Number:
ADDRESS: 1342 L ST
SPRINGFIELD OR 97477
OWNER: STALEY KRISTEN R Phone Number: •
ADDRESS: 1342 L ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Plumbing Contractor PACIFIC PLUMBING&ROOTER INC • CCB 199420 03/26/2015 541-337-4701
INSPECTIONS REQUIRED 1
•
Inspections
3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing.
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.
A, 0 ..,r:Oren you to
_ v the O aon tillt
— �—(/�
IVIIVW o �� -r 'NOTICE:Olrwnerl Qr4Contra^ctontsigna lcese rules are set torth Date
in OAR 952-001-0010 through OAR 9rules b- THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT
number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR
Center is 1-300-332-2344). ANY 180 DAY PERIOD.
•
•
Springfield Building Permit 2/26/2014 2:48:21PM Page 1 of 1
•
SPRINGFIELD..owe CITY OF SPRINGFIELD
'I'- 225 Fifth St
iOREGON TRANSACTION RECEIPT Spdngfih St 97477
541-726-3753
811-SPR2014-00431
www.springfeld-or.gov 1342 L ST - permitcenter @springfield-or.gov
RECEIPT NO: 2014000429 RECORD NO: 811-SPR2014-00431 DATE:02/26/2014
1e1 -Ye1:1IJ1 1'lr#.r ,. "" ± ' :: f'nx t.:c,:_'"a _`ACCOUNT CODE/TRANS CODE qSS; LJt AMOUNT I rtu
Sanitary sewer 224-00000-425603 1005 83.50
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.02
Technology fee(5%of permit total) 100-00000-425605 2099 4.18
TOTAL DUE: 97.70
PPA`/MEN'fi;TYPE PAYOR c481-i-w i.ngria,.:
vGOMMENTSWANTakrall AMQUNTLIMIDA . , ,"�,' f�,rl
Credit Card PACIFIC PLUMBING&ROOTER INC 97.70
04824C
TOTAL PAID: 97.70
•
Plumbing Permit Application ;:,..;‘ipEPARTMENT USE ONLY::: ‘-.
TO;10a-frelliniWt'n4nairtaWlta- aPW1811 13 -i - _, ,
Mitc4GITNT1;OPSPRINGFIELWOREG_ON:17 .3- 1,,ty- b
''C'snstc- - iiii Permit no.:SI\ 24_9(1 (0(.3);C
aleriltaaliattlAtiMaita74374S214,5,1011111-N -3-1,-.4117-?.: S -7
225 Fifth Street• Springfield,OR 97477 • PH(54l)726-3753 • FAX(541)726-3689 _ Date: 2-/Z 7/
•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.
•
•.:',',•-•';:::•':'.:AOCAlitLGOVERNMENT...APPROVALQ4Wil*S ,NNE5tili.WROAFEE,IISCHEDLIIITERIINki,MMal
iP, ; ,iPcitei,.V-TS", ,,,■-':; ,.311-Yr-P. ,14C-icif.v1.1 17,Tatal,---4,
Zoning approval verified? fl Yes 0 No 4D9scriptio :;,?.T. :rw, ...:.--.4s Qty:-1•:,v-•..ve•.4:- - ••••:•
••:,•,:•.,,?,..:•,,,‘ tya-o:tX1fv: •-•:::flx147•-„..:tiftt,v, .,.• P:f.:11:300..1•;.::".•I•tz.30ost::,..)
Sanitation approval verified? Ill Yes III No New residential
''f:•7':1;:":77kiCATEGORY}TOF,';;CONSTRUCTION:-':34:(1C± C I bathroom/I kitchen(includes:first
100 feet of water/sewer lines, hose
ID Residential 0 Government 0 Commercial $262.00 $
bibs, ice maker, underfloor low-point
-4108SITEl'INIECIRMATION;AND:LOCATIONWei4 drains and rain drain packages)
Job site address: j 3q? t. sr 2 bathrooms/I kitchen $411.00 $
3 bathrooms/1 kitchen $483.00 $
CitY:5/9rif,- )1e*/4 State: 0 ZIP: 9/?(-/7 2
Each additional bathroom(over 3) $104.50 $
_ Reference: , Taxlot.: Each additional kitchen(over 1) $104.50 $
CI!.;.':4•:$, •:.]C,1;•.it'AiDESt RIPTION':'0F•::),IVORK;; ;;Mlegrfrs.X Residential fire sprinklers(includes plan review)
' c2/c"-'C _.. .e..-1.."_,e--( 0 to 2,000 square feet $80.00 $
2,001 to 3,600 square feet $128.00 $
41#4611951f*Vi:t;WAPROPERtY4OWNEIR':;:11:-Wrti•,R745411: 3,601 to 7,200 square feet $192.00 $
7,201 square feet and-greater $255.00 $
Name:? /74_72 4,,5,,,-,
tv\- Manufactured dwelling or pre-fab(circle one)
Address: /3y? Z. _c7; Connections to building sewer and
$80.00 $ •
water supply
City: -icle/J State: 07? ZIP: ?2 /7.,,,
Commercial,industrial,and dwellings other than one-or
Phone: - - Fax: - - two-family
E-mail: 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 $
ht.'/:.•''12•:;I:lit••:ItCONTRACTOW:INSTAILEATION:1-73M;rilgte Storm water retention/detention facility $21.00 $
Irrigation systems a pv x- /5
Business name: c.,.c,S.c,re. / 4,' I Poo7, - frter
c--, ,. .
, 49
1
Piping or private storm drainage $21.00 , $
Address:
systems exceeding the first 100 feet $21.00 $
City:
State: 6).a ZIP: 9/10 ci/ Specialty fixtures $21.00 $
Reinspection(no of hrs x fee per hr.) $80.00 $
Phone:Sy- Se 5-93/L Fax:S c/7 sos—,7?/v . Special requested inspections(no.of
580.00 $
E-mail:-Pe,ce`C/ pkri■6-1,--apTerej.' I,cotin hrs.hrs x fee per hr.)
CCB license no.: i/V/20 -t CD license no.: Each additional inspection:(I) $80.00 $
Plumbing license no ,Medicatgas.pipinggA))I%,.$,t,uM Minimum fee $
Enter value of installation and equipment$ .
Print name: 7204e-r-r 11\-
Enter fee based on installation and equipment value. $
Sianature: 71--g-Ka
-..--- ,PN:41.1-t-tWilI".L.WA:ITh LIIORritli$EgaelOrkirR1Mr
(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]) s
TOTAL fees and surcharges(A through D): I $ 77 ----
440-2500-1(4/1/2013/COM)