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HomeMy WebLinkAboutPermit Plumbing 2014-4-9 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD, Springfeld,OR97477 K4 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00749 www.springfield-or.gov permitcenter@springfield-or.gov PROJECT STATUS: . Issued , ISSUED: 04/09/2014 EXPIRES: 10/06/2014 STATUS DATE: 04/09/2014 APPLIED: 04/08/2014 • SITE ADDRESS: 875 57TH ST,Springfield,OR 97478 SCOPE: Plumbing Only . ASSESOR'S PARCEL NO: 1702331100700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: P-Permits for addition built by prior owner without permits OWNER: SMITH JUDITH L Phone Number: ADDRESS: 875 57TH ST SPRINGFIELD OR 97478 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor REVOLUTION ELECTRIC INC CCB 179066 10/30/2015 541-505-8351 General Contractor KAMINSKI CONSTRUCTION LLC CCB 181022 03/22/2016 541-554-9465 Mechanical Contractor KAMINSKI CONSTRUCTION LLC CCB 181022 03/22/2016 541-554-9465 Plumbing Contractor • DUSTIN JACK DAWSON CCB 194394 06/28/2015 541-953-8760 INSPECTIONS REQUIRED i Inspections 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 Owner or Contractor Signature . D to NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK toliow rifles adopted by the Oregon Utility 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 ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 4/9/2014 11:03:45AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 11.4 - 225 Fifth St \o EGON TRANSACTION RECEIPT Springfield,OR97477 591-726-3753 811-SPR2014-00749 www.springfield-or.gov 875 57TH ST permitcenter©springfield-or.gov RECEIPT NO: 2014000765 RECORD NO: 811-SPR2014-00749 DATE:04/09/2014 ;DES.CRIPTION, ;'�._ _ . _ _ _ :...,.:. ACCOUNT CODE/TRANS CODE._ _ AMOUNT DUE,.,. Minimum Plumbing Fee(Three or Fewer Fixtures) 224-00000-425603 1057 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 i-_-PAYMENT TYPE_ ._ PAYOR, CASHIER:CCARPENTER COMMENTS __ „_AMOUNT PAID . i Credit Card KAMINSKI CONSTRUCTION LLC 93.60 05366j TOTAL PAID: 93.60 • • • l r . p� 272 west Anchor Ave. 3/30/14 Eugene, Or.97404 • I M B 1-N-G 541-953-8760 Property: 875 57th St. Springfield Or. 97477 Owner: Judy Smith General Contractor: Kaminski Construction To whom it may concern, The bathroom addition, at the address described above, has been inspected and in our opinion is up to the Oregon State Plumbing Code. We were able to verify the proper venting. The waste and waters where visible are the proper size and graded properly. The shower is properly trapped and all supply lines and tubular traps were water tight. Thank you, Dustin Dawson Plumbing CCB # 194394 -73 4'fSP • s sum twig 1 vg i-tppilcaisuu ! DEPARTMENT USE ONLY i -19 "^'`";Pari"S4'kxt,..wsrc..'S 7h 14!'tVirt" ;'tryWa0yl's"r SPRIeiGFIELD—• 1 aCI`Tu�:YPSYRSRRINGFIEED .E. RECOt� ? f Permit no.:S/�- 00 7t/ 2 225 Fifth Street•Springfield.OR 97477 • P14(5411726-3753 • FAX(54D726-3689 ' E'%. 0ilGoo Date: 7/7 /ti _ I 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? VI Yes ❑No Description Qty, Cost Total !Qty.! ca cost I Sanitation approval verified? Yes ❑No New residential CATEGORY OF CONSTRUCTION I hathroomll kitchen(brdudes:fr'sr ��yy Residential Government 100 feel of water seller'limes,hose $252.00 rp ❑ 0 bibs.ice looker, underfloor low-pol / JOB SITE INFORMATION AND LOCATION _ drninsandrain-drampackrrges) Job site address: 875 S 7'LA SI-. 2 bathrooms/I kitchen $411.00 $ - 3 bathrooms/I kitchen 5483.00 S City: SPt;^9 P,'ira Slate:OR ZIP:9 T•/77 Each additional bathroom ovcr 3 ( 3) 1 $104.50 .S Reference: Taxlot.: Each additional kitchen(over I) $104.50 $ DESCRIPTION OF WORK Residential Fire sprinklers(includes plan_review) Ritft toms. ouriet 17;irt L''a Lei., /sit,. 0 to 2.000 square feel $80.00 S ' LA n 2.001 to 3.600 square feet $128.00 $ PROPERTY OWNER 3.601 to 7:200 square feet $192.00 5 Name: Z chi Se417.4i 7,201 square feet and greater $255.00 $ Manufactured dwelling or pre-tab(circle one) Address: Sir g-7 rt., a)-, Connections to building sewer and water supply $80.00 5 City: Sft�S,F`t./c( I State: pR ZIP: 97`/7/ Commercial,industrial,mid dwellings other than one-or Phone: - - Fax: - two-family — E-mail: - Minimum fee j $80.00 S This insudlation is being mode on residential or farm property Each fixture _ _�, - S21.00 5 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 tisturc.appurtenance.and piping $21.00 $ CONTRACTOR INSTALLATION Storm water retention/detention facility _ $21.00 $ Business name: .hf/t„ DA u/Soce/tAs6„9 _Irrigation systems _ $21.00 S '- Piping or private storm drainage $21.00 $ Address: a 7 L hiesF /;-n eh°a /9✓-e- systems exceedine the first 100 feet ___ City: e ,e State: set ZIP: 9..7r/49 Specialty fixtures $21.00 $ Reinspect ion(no.of hrs.x lee per hr.) $80.00 S Phone:sql-963- 15760 Fax:9 i-(,i'6- yyri Special requested inspections(no.of $80.00 S E-mail: a wSon ZO � +5q. Gam/' h s.x f a he.) — __ __ _, CCB license no.: 19 4;94 BCD.license no.: /91439V Each additional inspection:(I) 580.00 $ Plumbing license no.: `z39N JP Medical gas piping Minimum fee S Print name: pi.,s47 n J OlvSo•'1 Enter value of installation and equipment$ Enter fee based on installation and equipment value. ! $ Signature: -� APPLICANT USE (A) Enter subtotal of above fees 00 (Minimum Permit Fee 580.00) (B)Investigative fee(equal to IAII $ Z on (C)Enter 12%surcharge(.12 x(A+BI) $ AS oe (Di Technolog> Fee(5%of[AD Si .! we-0 TOT.AI,fees and surcharges(A through B): S 59q S 45 440.2500-1(411/2013/COT13