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HomeMy WebLinkAboutPermit Plumbing 2014-3-21 • SPRINGFIELD' 225 Fifth St -`' CITY OF SPRINGFIELD Springfield,OR 97477 ,} `tji Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00594 www.springfield-or.gov permitcenter@springtield-or.gov PROJECT STATUS: Issued ISSUED: 03/21/2014 EXPIRES: 09/17/2014 STATUS DATE: 03/21/2014 • APPLIED: 03/20/2014 SITE ADDRESS: 2470 G ST 1,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703361106700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace kitchen sink, bath sink,overflow on tub,provide proper venting OWNER: BASARABA DANIEL Phone Number: ADDRESS: • 1233 KENRAY LOOP SPRINGFIELD OR 97477 CONTRACTOR INFORMATION i • - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 ' 08/01/2025 Electrical Contractor HAROLD 8 MADISON INC . CCB 168164 01/20/2016 541-688-3648 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. or Co or Co tnature Dal / 9 ' Owner Ou tO �ITION' Oregon law requireon Utility • NOTICE: A"`'' adopted b)• the ores follow rules ante THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Thhro rules OAR 952-001- rules t- nOAR 952-001 obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT poop, You may COMMENCED OR IS ABANDONED FOR calling the center. (ontUtility Notipcation ANY 180 DAY PERIOD, number for the Oreg Center is 1-800 332 2344). Springfield Building Permit 3/21/2014 6146:06AM Page 1 of 1 SPRINGFIELD CFFy OF SPRINGFIELD ac : TRANSACTION RECEIPT 225 Fifth St Springfield,OR 97477 OREGON 541-726-3763 811-SPR2014-00594 www.springfield-or.gov 2470 G ST.1 permitcenter@springfield-or.gov RECEIPT NO: 2014000604 RECORD NO:811-SPR2014-00594 DATE:03/21/2014 ;DESCRIPTION_ ACCOUNTCODE/TRANS,CODE`.- AMOUNT DUE_ Fixture 224-00000-425603 1005 84.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10-08 Technology fee(5%of permit total) 100-00000-425605 2099 4.20 — — TOTAL DUE: 98.28 1--PAYMENT TYPE _:_PAYOR,_CARRIER CCARPENTER --.COMMENTS__ :__ - 'AMOUNT PAID ' - 1 Check HAROLD&MADISON INC 98 28 5080 r TOTAL PAID: 98.28 • 1 Plumbing Permit Application DEPARTMENT USE ONLY SPRINGFIELD _ GTTY O PR,' Flail VOREGO ± Permit no.: S/l�^QO ‘S--79 225 Pilh Street • Springfield.OR 97477 • P11(541026-3753 • FA\(541)726-3639 -+' OREGON 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 clays of issuance or if work is suspended for 180 clays. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes No 1 Cost Total ❑ Description Qb'• ea cost Sanitation approval verified? ❑ Yes ❑ No New residential CATEGORY OF CONSTRUCTION I Itathroom/I kitchen (includes:prsr VIkesidential ❑Government ❑ Commercial /00Ther maker. underr/ores,hose $282.00 $ l bibs. ice maker. nndeilloor loin-point JOB SITE INFORMATION AND LOCATION drains and rain-drain packages) Job site address: 2'/?O 1/,Z G Ski (- 2 bathrooms/I kitchen $411.00 $ //�� 3 bathrooms/I kitchen $483.00 $ City: S'Jr. F.0(e( SIaIw:oR z1P:9 yO Z J Each additional bathroom(over 3) $104.50 $ Reference: / 70 3 3 ( ( Taxlot :06700 Each additional kitchen(over I) $104.50 $ DESCRIPTION OF WORK Residential fire sprinklers•(includes plan review) Iet J7ieCC IE, }v(r, s- t (),ft, sZ.JC/ 0 to 2.000 square feel $80.00 $ /� r 'LW / 2.001 to 3,600 square feet $128.00 $ (..l f- Ow oz."--f to—...r evN, prov : LS_ - (-),.0 p-c, v<...LRRQPERTY OWNER 3.601 to 7.200 square reef $192.00 $ Name: 6 l t J}�C t¢S / , 7,201 square feet and greater $255.00 S V ( Manufactured dwelling or pre-fob(circle one) Address: 2d se /1 oOst ue_l {- L3 (uaf Connections to building sewer and ,. water supply $80.00 S City: er tk�� State: IL ZIP: �YOZ � Commercial,industrial.and dwellings other than one-or Phone!$d I- 955t-/ - .-?-o j Fax: - - two-family E-mail: ( 11 1 Minimum lee $80.00 $ ikaw c e 6,2,,Lc.,..�_co-.. 3-•.c 1- 4-- _ tb•-.s 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 re ireinet , t tide-•AR 918-695-0020. 100' storm. sewer. water line $83.50 --$ y Signature: „se, Each lixuue,appurtenance, and piping $21.00 $if ONTRACTOR INSTALLATION Storm water retention/detention facility $21.00 S Business name: Irrigation systems $21.00 $ (� = Piping or private storm drainage $21.00 $ Address: systems exceeding the first 100 Ref _ City: State: ZIP: Specialty fixtures $21.00 $ Reinspectiun(no,Miffs. x tee per hr.) $80.00 $ Phone: - - Fax: - - Special requested inspections(no. of $80.00 $ [-mail: hrs.x fee per hr.) CCI3 license no.: ,[BCD license no.: Each additional inspection: (I) $80.00 $ Plumbing license no.: Medical gas piping Minimum lee $ Print name: Enter value of installation and equipment$ Enter lie based on installation and equipment value. $ Signature: APPLICANT USE (A) Enter subtotal of above Zees $ 8C( (Minimtnn Permit Fee$80.00) (13) Investigative fee(equal to /Al) S ,�-C? (C) Enter 12%surcharge(.12 x [A+131) $ (V (D)Technology Fee(5%of[AJ) $ TOTAL fees and surcharges(A through D): $ ! i 440-2500:I(4/1/2013/CONI) '