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HomeMy WebLinkAboutPermit Plumbing 2014-5-8 • SPRINGFIELD 225 Fifth St �s CITY OF SPRINGFIELD Springfield,OR9747777 J� ;'�i� Phone: 541-726-3753 ,�Ilp®�1� OREGON Building I Commercial Permit Inspection Phone: 541-726-3769'49 Fax: 541-726-3676 • ���EEEE66"'''' PERMIT NO: 811-SPR2014-00976 www.springfield-or.gov permitcenter©springfield-orgov PROJECT STATUS: Issued ISSUED: 05108/2014 EXPIRES: 11/03/2014 STATUS DATE: 05/08/2014 APPLIED: 05/02/2014 SITE ADDRESS: 400 S 32ND ST,Springfield,OR 97478 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702310000503 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Plumbing-Soccer field addition OWNER: WILLAMALANE PARK 8 RECREATION DISTRICT Phone Number: ADDRESS: 250 S 32ND ST SPRINGFIELD OR 97478 • OWNER: WILLAMALANE PARK 8 REC DIST Phone Number: ADDRESS: 250 S 32ND ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name - Lic Type Lic No Lic Exp Phone Plumbing Contractor TWIN RIVERS PLUMBING INC CCB 17695 03/11/2015 541-688-1444 DELTA CONSTRUCTION CO (PB)Plumbing Co' PB563 07/01/2014 541-688-2233 INSPECTIONS REQUIRED II Inspections 3315 Water Line 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 3411 Perimeter Rain Drains 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 3620 Backflow Device Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 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. ��CE: ' s AU NTION: Oregon law requires F�Jdoo�ffgrW/ les adopted b the Ore you to v f�Rp ;/-- r= rya'%f� utl'cation Center. Those rules are set forth AUTHO• Lt 1a 6r� s.01`� S NOT D OAR 952-001-0010 through e rules 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 5/8/2014 11:09:06AM Page 1 of 1 SPRINGFIELD CFI OF SPRINGFIELD •f I area._ 225 Fifth St `tf OREGON TRANSACTION RECEIPT springfield,oR97477 541-726-3753 811-SPR2014-00976 www.springfield-or.gov 400 S 32ND ST permitcenter @ springfteld-or.gov RECEIPT NO: 2014001014 RECORD NO:811-5PR2014-00976 DATE:05/08/2014 DESCRIPTION _ _._r .ACCOUNT CODE/TRANS CODE-_ _ .,,AMOUNT DUE r . Backflow preventer 224-00000-425603 1005 21.00 Drinking fountain 224-00000-425603 1005 42.00 Hose bibb 224-00000-425603 1005 84.00 Perimeter foundation drain 224-00000-425603 1005 83.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 93.06 Storm Sewer 224-00000-425603 1005 83.50 Storm Sewer- Each additional 100 feet or portion of 224-00000-425603 1005 84.00 Technology fee(5%of permit total) 100-00000-425605 2099 38.78 Water Line 224-00000-425603 1005 83.50 Water Line-Each additional 100 feet or portion of 224-00000-425603 1005 294.00 TOTAL DUE: 907.34 LPAYMENTJYPE • PAYOR' CASHIER:CCARPENTER � COMMENTS . m- • AMOUNT PAD 'J -heck_.._......_._.._,,.__ _ __ _ _ Check WILLAMALANE PARK& RECREATIOI 907.34 98724 DISTRICT TOTAL PAID: 907.34 • I. Plumbin g Permit Application DEPARTMENT USE ONLY F . v --.1 SPRINGFIELD CITY OF SPRINGFIELD, OREGON Permit no.: S/L( - J ?Co 225 Fifth Street t• Springfield,OR97477 • PH(541)726-3753 • FAX(541)726-3689 OREGON Date: 7Z/ / ti 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 Total ea. cost Sanitation approval verified? ❑ Yes ❑No New residential CATEGORY OF CONSTRUCTION I bathroom/1 kitchen(includes:first ❑ Residential ❑Government ❑Commercial I bibs, ice ofu•a/er/setrer lines, hose $262.00 $ bibs, ice maker. underfloor low-point JOB SITE INFORMATION AND LOCATION drains and rain-drain packages) Job site address: / 00 S Z2-/-40 t q S / 2 bathrooms/I kitchen $411.00 $ Cit I 'C State: (9 IL ZIP: �/9 75 3 bathrooms/I kitchen $483.00 $ y S R1r14 f n y 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) OC( e 11— T-16-0) A,0 mi/o rt 0 to 2,000 square feet $80.00 $ 2,001 to 3,600 square feet $128.00 $ PROPERTY OWNER 3,601 to 7,200 square feet $192.00 $ Name: ', 7,201 square feet and greater $255.00 $ wl ] I /}/`r■ P LA-,-It ?' )2/l 4- Rt C /64: Manufactured dwelling or pre-fob(circle one) Address: 2.3° j 31145\ s-r Connections to building sewer and City: JcRi).14 Fiat) State: CD-X— ZIP: 9 777 water supply $80.00 $ Commercial,industrial,and dwellings other than one-or Phone: - - Fax: - - two-family E-mail: Minimum fee $80.00 $ This installation is being made on residential or farm property Each fixture $21.00 $ 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 $ Signature: Each fixture,appurtenance,and piping $21.00 $ CONTRACTOR INSTALLATION Storm water retention/detention facility $21.00 $ Business name: r[.v-I/-I )t Vtits pi_um NA/4 Irrigation systems $21.00 $ Piping or private storm drainage $21.00 $ Address: Pa f 0-x. y u 3 9 7 systems exceeding the first 100 feet City: 4-till 6NE State: OIL ZIP: 9.--71,4 if Specialty fixtures $21.00 $ Reinspection(no.of hrs.x fee per hr.) $80.00 $ Phone: Sy/ / S Iy V y Fax: - p Special requested inspections(no.of $80.00 $ E-mail: G hrs.x fee per hr.) CCB license no.: I 11 76 BCD license no.: Each additional inspection:(1) $80.00 $ Plumbing license no.: 211-ii‘ pi; Medical gas piping Minimum fee $ Enter value of installation and equipment$_. V Print name: 1 p2.{ S S✓tf --- 1 gy,------------.- Enter fee based on installation and equipment value. $ Signature: APPLICANT USE (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ (D)Technology Fee(5%of[A]) $ TOTAL fees and surcharges(A through D): $ 440-2500-1(4/1/2013/COM)