HomeMy WebLinkAboutPermit Plumbing 2014-3-13 •
SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
. ry Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00545
www.springfield-or.goy permitcenter @spri ngfield-or.gov ,
PROJECT STATUS: • Issued ISSUED: 03/13/2014 EXPIRES: 09/09/2014
STATUS DATE: 03/13/2014 APPLIED: 03/13/2014
•
SITE ADDRESS: 423 D ST,Springfield,OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1703352409600 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Add bath,water line and replumb moved house •
OWNER: JENKINS HOUSE LLC Phone Number:
ADDRESS: 40063 LITTLE FALL CREEK RD
FALL CREEK OR 97438
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Plumbing Contractor JOHN THE PLUMBER INC CCB 107810 07/24/2015 541-6864888
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. •
3650 Shower Pan Shower Pan. Prior to covering and including required testing. •
3999 Final Plumbing Final Plumbing: Wien all plumbing work is complete.
3315 Water Line
•
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 fro• •f the •erty,and the approved set of plans will remain on the site at all times during
• constr ction.
Gt (A. War 11
Owner or Contractor Signature Date - •
•
•
ATTENTION: Oregon law requires you to
OTICE:
follow rules adopted by the Oregon Utility • THIS PERMIT SHALL EXPIRE IF THE WORK
• Notification Center. Those rules are set forth . AUTHORIZED UNDER THIS PERMIT IS NOT
in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone ANY 180 DAY PERIOD.
number for the Oregon Utility Notification
1-800-332-2344).
Center i
Springfield Building Permit is 3/13/2014 11:02:40AM Page 1 of 1
•
SPRINGFIELD • CITY OF SPRINGFIELD
ha, 225 Fifth St
{ I TRANSACTION RECEIPT Sphngfield,OR 97477
'�'y'� 541-726-3753
OREGON 811-SPR2014-00545
wv w.springfield-or.gov 423 D ST permitcenter@sphngfield-or.gov
RECEIPT NO: 2014000556 RECORD NO:811-SPR2014-00545 DATE:03/13/2014
DESCRIPTION+ I3'L a c1_rai z01 . ai4t. _* 5- L ACCOUNTCODELTRANSiCODE r_'_. r'AMOUNT'DUE ir:
Bathtub 224-00000-425603 1005 21.00
Clothes washer 224-00000-425603 1005 21.00
Hose bibb 224-00000425603 1005 63.00
Shower/Shower pan 224-00000-425603 1005 21.00
Sink/basin/lavatory 224-00000-425603 1005 21.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 32.70
Technology fee(5%of permit total) 100-00000-425605 2099 13.63
Water Line - 224-00000-425603 1005 83.50
Water closet 224-00000-425603 1005 21.00
Water heater 224-00000-425603 1005 21.00
TOTAL DUE: 318.83
PIRPAYMENTst mE P,AYOR cnsNiER:,.l'�1/710N COMMENTS IMWriar-° 9MOUNTPAID ,¢ . , _,;
Credit Card fames porter 318.83
193979
TOTAL PAID: 318.83
•
Plumbing Permit Application DEPARTMENT USE ONLY
A- fi �-..- - SPRINGFIELD
�.+I Y SPRING 1 4P.00KEtyckN Permit n°.:
225 Fifth Street • Springfield.OR 97477 • PH(541)726-3753 • FAX(54I)726-3639 '*----5- OR£CON 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.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE .
Zoning approval verified? ❑ Yes ❑ No Description Qty, Cost j Total
❑ ea. cost
Sanitation approval verified? ❑ Yes No New residential
CATEGORY OF CONSTRUCTION I bathroom/1 kitchen (inclncles:first
��� lOQft�er o(n'aler;!veu�er lines, hose
``` ❑Government 0 csidentisl bibs. ice maker. untied loor low-point $262.00 $
•JOB SITE INFORMATION AND LOCATION drains and rain-drain packages)
Job site address: 2 bathrooms/I kitchen $411.00 $
3 bathrooms/I kitchen $483.00 $
City: State: ZIP:
Each additional bathroom(over 3) $104.50 $
Reference: Taxlot.: Each additional kitchen(over I) $104.50 $
DESCRIPTION OF WORK Residential fire sprinklers(includes plan review)
0 to 2.000 square leer $80.00 $
2.001 to 3.600 square Feet $128.00 $
PROPERTY OWNER 3.601 to 7.200 square feet $192.00 $
�P,Vl..11ti 5 f lca Q az--� 7,201 square feet and gro;iter $255.00 $
Name: jJ L
Nlanufaclured dwelling or pre-fah(circle one)
Address: 42-3 Connections In building sewer and --
scaler supply $80.00 $
City: Still' State : 012— ZI �.:
Commercial, industrial,and dwellings other than one-or
Phone: - - Fax: - - two-family
--
E-mail: Minimum lee $80.001 5
-- -- Each fixture $21.00 S
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 S.
Signature: Each fixture, appurtenance,and piping $21.00 $
CONTRACTOR I TALLATION Storm water retention/detention facility $21.00 S
Business name: .� OCA, t q far Irrigation systems $21.00 S
�._ Piping or private stone drainage $21.00 $
Address: systems exceeding the first 100 feet _
City: State: ZIP:
Specialty fixtures $21.00 $
Reinspeclian(nn. of hrs. x lee per hr.) $80.00 $
Phone: - - Fax: - - Special requested inspections(no.of
hrs. tee hr.) $80.00 $
E-mail: x per
CCB license no.: _BCD license no.: Each additional inspection: (I) $80.00 $
Plumbing license no.: Medical gas piping Minimum fee $
Print omega Enter value of installation and equipment$ .
Enter tie based on installation and equipment value. $
Signature. APPLICANT USE
(A) linter subtotal of above fees $
(Mininuun Permit Fee$80.00)
(Ii) Investigative fee(equal to(Al) $
(C) Enter 12%surcharge(.12 x [A+13]) 5
(D)Technology Fee(5%of[Al) S
TOTAL fees and surcharges(A through D): ,�j $/I
•
440-2500-3(4/1/2013/COI)