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HomeMy WebLinkAboutPermit Plumbing 2014-3-28 • • SPRINGFIELD 225 Fifth St <i CITY OF SPRINGFIELD Springfield,OR 97477 .:,���ecar+ Phone: 541-726-3753 Building / Residential Permit Inspection Phone:541-726-3769 • Fax:.541-726-3676 • PERMIT NO: 811-SPR2014-00669 • www.springfield-or.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: 2120 G ST,Springfield, OR 97477 SCOPE: Plumbing Only • ASSESOR'S PARCEL NO: 1703361207200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Water Service OWNER: BARRY SHEILA Phone Number: ADDRESS: 2120 G ST • 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 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 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 locat-• at the front of the • ••erty, and th approved set of plans will remain on the site at all times during construction. 40p -ere /zf// •wner or Contractor Signature Date • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: , in OAR 952-001-0010 through OAR 952-001- 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 1-800-332-2344). ANY 180 DAY PERIOD. • Springfield Building Permit 3/28/2014 1:13:14PM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD • 225 Fifth St `�o OREGON TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 811-SPR2014-00669 www.springfield-or.gov 2120 G ST permitcenter©springfield-or.gov RECEIPT NO: 2014000683 RECORD NO:811-SPR2014-00669 DATE:03/28/2014 DESCRIPTION :'. �Li a' ; PACCOUNT CODEflRANSECODE i.'<' , is `"AMOUNT.DUEt s 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 4:5 AYMENTTYPE tia BAYORa CASHIER:JLARSON x--.�txa.:COlig ENTS� tl ie 2 41 . :AMOUNT'PAID;.:.-c Credit Card READY ROOTER DRAIN CLEANING t 97.70 00838D REPAIR SERVICE INC TOTAL PAID: 97.70 • Plumbing Permit Application DEPARTMENT USE ONLY SPRINGFIELD 0ITYSOF SPR NGPIE . dRE t O kt ' Permt no.:7e2.o '- _ co66 225 Fifth Steel 1 Springfield.OR 97477 • P11(541)726 3753 • I AAU41)726 3689 set OREGON Date: 3/Ze/) `-( 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 clays of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑ No Description Qty. Cost Total ea. cost Sanitation approval verified? ❑ Yes ❑ No New residential CATEGORY OF CONSTRUCTION I bathroom/I kitchen(inchtdes:frsl /00 feet gjmaterbewer lines,hose El Residential ❑ Government ❑ Commercial bibs, heat nicker. curler/lour tan-point $262.00 $ JOB SITE INFORMATION AND LOCATION drains and rain-drain packages) Job site address: _ —74 • 2 bathrooms/1 kitchen $411.00 $ ; / 3 bathrooms/I kitchen $483.00 $ City: 13 se 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) • P1,CL -'k h� Su C 0 to?,000 square feet $80.00 $ 2.001 l0 3.600 square feet $128.00 $ PROPERTY OWNER 3.601 to 7.200 square feet $192.00 $ r/ / e`1 7.201 square feet and greater $255.00 $ Name: I .r 7 —.. Manufactured dwelling or pre-tilt(circle one) Address: Z ( 7_ G - Connections to building sewer and I $ 0.00 City: SPtc 1 L Rate: Qt- ZIP: wnler supply �_.__L_ Commercial,industrial,and dwellings other than one-or . Phone: - - Fax: - - two-fancily E-mail: Minimum fee $80.00 $ This installation is being made on residential or farm property Each fixture $21.00 S owned by me or a member of my immediate family, and is Miscellaneous Rees exempt from licensing requirements under OAR 918-695-0020. 100' storm,sewer, water line /00 $83.50 $ Signature: Each fixture, appurtenance,and piping 521.00 $ CONTRA TOR INSTALLATION Storm water retentionldetention Facility $21.00 $ Business name: p,,� / ✓ Irrigation systems _ $21.00 S Piping or private smnn drainage $21.00 $ Address: �Iw1 P e-7 systems exceeding the first 100 fret City: f.�C...q,x-.� State: CK ZIP: _ Specialty Fixtures 521,00 $ �� ��� Special requested(no. ufhrs. x fee per hr.) $80.00 $ Phone: - Fax: - - Special requested inspections(no.of hrs.x fee per hr.) $80.00 s E-mail: _ CCB license no.77a Z`( BCD license no.: Each additional inspection: (I) $80.00 $ Plumbing license no.: g/� Medical gas piping iIvlininwm lee S Print name: ✓✓✓p���� Enter value of installation and equipment$ SignaLLc Enter lee based on installation and equipment value. $ -- _.._.-__----- APPLICANT USE . (A) Enter subtotal of above fees (Minimum Permit lee$80.00) $ (B) Investigative lee(equal to IAl) $ • '(C)Eniter 12%surcharge(.12 x[A+B]) $ (D)Technology Fee(5%of[Al) $ TOTAL fees and surcharges(A through D): $ 7?--7S- . 440-2500-J(4/1/2013/COM)