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HomeMy WebLinkAboutPermit Plumbing 2014-3-28 SPRINGFIELD - 225 Fifth St . CITY OF SPRINGFIELD Springfield,OR 97477 1.-cat /'? Phone: 541-726-3753 DREG°" Building / Residential Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00671 www.springfield-cr.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 03/28/2014 EXPIRES: 09/24/2014 STATUS DATE: 03/28/2014 - APPLIED: 03/28/2014 SITE ADDRESS: 2741 MANOR DR,Springfield,OR 97477 SCOPE: Plumbing Only -ASSESOR'S PARCEL NO: 1703233300500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 100'Water Service OWNER: YENTZ JOHN F&MARY LEE Phone Number: ADDRESS: 2741 MANOR DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION • Contractor Type Contractor Name Lic Type - Lic No Lic Exp Phone Plumbing Contractor READY ROOTER DRAIN CLEANING&REPAIR SERVICE I CCB 92524 02/18/2015 541-744-7991 INSPECTIONS REQUIRED h Inspections • 3315 Water Line 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 strudture 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 on. constructi C 2V.2 ( Owner or Contractor Signature • Date • ATTENTION: Oregon law requires you to NOTICE; follow rules adopted Those by the rules are set THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- • AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by DOA/MENDED 013.1S ABANDONED FOR calling the center. (Note:the telephone number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). • Springfield Building Permit 3/28/2014 1:09:36PM Page 1 of 1 SPRINGFIELD --- CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 a?.fi 541-726-3753 'OREGON 811-SPR2014-00671 www.springfield-ar.gov 2741 MANOR DR permitcentera©springfield-or.gov RECEIPT NO: 2014000681 RECORD NO: 811SPR2014-00671 DATE:03/28/2014 o R P.TION ,.G r ;T iga-liE �t- ' it _::atat ;*'ACCOUNTCODE/TRANS'CODE ;.„s__ ... _ AMOUNT DUE 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 Water Line 224-00000-425603 1005 83.50 TOTAL DUE: 97.70 :PAYMENr1WP.E :'--'-m.•X•_ . ;7`7R .-__MM r,�:_. s = AMOUNTPAID`:.'_. is:.: ,a- PAYOR �s�:'caswER:.ILnRSoN�._,;,."?�u:PCOMMENTS �_ �':z''�.:. -. _. � Credit Card READY ROOTER DRAIN CLEANING i 97.70 00838D REPAIR SERVICE INC TOTAL PAID: 97.70 • Plumbing Permit Application DEPARTMENT USE ONLY ftkii ., rte is SP,IGFIELD ' ` 'CITY OE 1J,PRINGEIE LD 4OREG�:e�U r r r Permit no.: fQ Zo(R-0°6) I 225 Fitih Street • Springfield.OR 97477 • PI1(541)726-3753 • FAS(541)726-3689 _ , '-\ OREGON Date: 7 I 'Flits permit is issued tinder OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within ISO clays of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑ No Description Qty. cast Total Sanitation approval verified? ❑ Yes ❑ No New residential CATEGORY OF CONSTRUCTION I bathroom/I kitchen (includes:firs) 100 Peet of Water:'sewer lines, hose ❑ Residential ❑Government ❑ Commercial bits. lee maker. nudes/lnor/on-point $262.00 $ JOB SITE INFORMATION AND LOCATION </wins and rain-drain packages) Job site address: V 2 bathrooms/I kitchen $411.00 $ �/ 3 bathrooms/1 kitchen $483.00 $ City: �y7 � SIate:�T Y ZIP: I Sack additional bathroom(over 3) $104.50 $ _ Relerc1 tce!` -II tivlot.: Each additional kitchen(over I) $104.50 $ DESCRIPTION OF WORK Residential Fire sprinklers(includes plan review) e-//kce f )� -Q _`-cu C'• 0 to 2.000 square feet $80.00 $ • 1 ( �J�--tom 2.001 to 3.600 square feel $128.00 $ PROPERTY OWNER 3.601 to 7,200 square feel $192.00 $ Name: .;) �� y�,�-;-? 7,201 square feet and greater $255.00 $ 6 Manufactured dwelling or pre-fab(circle one) Address: e1711 f ,_,-,,e r Connections to building sewer and hater supply L $80.00 $ City: C c') _ State: O(, ZIP : - B Commercial, industrial,and dwellings other than one- or Phone: - - I Fax: - - two-family E-mail: Minimum lee $80.00 S $ This installation is being made on residential or farm property • Each fixture $21.00 owned by me or a member of niy immediate family, and is Miscellaneous fees exempt from licensing requirements under OAR 918-695-0020. 100' storm. sewer, water line _I� $83.50 $ Signature: Each fixture,appurtenance,and piping $21.00 $ CONTRACTOR INSTALLATION Storm water retention/detention facility $21.00 $ • Business name: y/,,,� Irrigation systems $21.00 $ 7`-"") Piping or private storm drainage $21.00 $ Address: (L�i �jf svacros exeeedin2 the firs!...100 feet Specialty fixtures $21.00 $ City: -f,,.St�2— State: ZIP: d Reinspeclion(no. or hrs. s fee per hr.) $80.00 $ Phone: - - a •as Pax: - - Special requested inspections(no.of $80.00 $ E-mail: hrs. x fee per hr.) --- CCB license no.: BCD license no.: Each additional inspection: (I) $80.00 Plumbing license no.:�1 $.79 _ J P Medical gas piping Minimum fee $ Print name: ` M ' `y-� Enter value ulinslallalion and equipment$ . CS^i Enter fee based on installation and equipment value. $ Signature: i_- APPLICANT USE (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) ---__. (1i) Investigative fee(equal to CAI) $ (C)Enter 12%surcharge(.12 x [A+B]) $ (D)Technology Fee(5%of(A1) S TOTAL fees and surcharges(A through 0): S (q 7 Zl - 440-2500-J(4/1/2013/COM1)