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Home My WebLink AboutPermit Plumbing 2014-5-20 • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 v = Phone: 541-726-3753 OREGON • Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01111 www.springfeld-or.gav permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/20/2014 EXPIRES: 11/15/2014 STATUS DATE: 05/20/2014 APPLIED: 05/20/2014 SITE ADDRESS: 1003 S 69TH ST,Springfield,OR 97478 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1802022307800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: P-Finish basement,add bathroom OWNER: DEMERS LOUIS R&JANET A Phone Number: ADDRESS: 1003 S 69TH ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION i • Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor MICHAEL ALAN BROWN CCB 164093 04/07/2015 541-536-7960 General Contractor LOWES WEATHERIZATION INC CCB 176741 06/19/2015 541-485-2282 Mechanical Contractor LOWES WEATHERIZATION INC CCB 176741 06/19/2015 541-485-2282 BC ELECTRIC CO 'CCB 66799 06/04/2016 541-998-3736 INSPECTIONS REQUIRED 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. • Oar r or Contractor Signature Date • ATTENTION: Oregon law requires you to NOTICE: follow rides adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT 0090.OAR You may 0010 through copis OAR 952es by 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon.Utility Notification Center is 1-800-332-2344). Springfield Building Permit 5/20/2014 11:47:55AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD iq .se. 225 Fifth St -Kett TRANSACTION RECEIPT 225 Fifth St 97477 OREGON 541-726-3753 811-S PR2014-01111 www.springfield-ar.gov 1003 S 69TH ST permitcenter @springfield-ar.gov RECEIPT NO: 2014001103 RECORD NO: 811-SPR2014-01111 DATE:05/20/2014 {DESCRIPTION _ ACCOUNT CODE/TRANS CODE-____ °- ;._L;AMOUNT DUE.`. Shower/Shower pan 224-00000-425603 1005 21.00 Sink/basin/lavatory 224-00000-425603 1005 42.00 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 Water closet 224-00000-425603 1005 21.00 TOTAL DUE: 98.28 I. PAYMENTTYPE ,; PAYOR CASHIER.CCARPENTER : ' L ,. COMMENTS W ,AMOUNT PAID " " .1 Check _ --' Bent Nail Enterprises 98.28 2043 TOTAL PAID: 98.28 • Plumbing Permit Application DEPARTMENT USE ONLY SPRINGFIELD " '€6LT� . OF�SPRI- Gf"'FIELD; , REGOY7` } t ,,... g .1 permit no.: 5/ £7— 7 / 7 / 225 Fifth Street ♦ Springfield.OR 97477 • FB(541)726-3753. 1A\(541)7263689 �` ° 08cGON Date: 5720/ I Y 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. east Iota os Sanitation approval verified? ❑Yes ❑ No New residential CATEGORY OF CONSTRUCTION I bathroom/I kitchen(includes::first 100 feet a!iraleniseirer lines. hose Residential ❑ Government ❑Commercial $262.00 $ Gibs, ice maker, underfloor lorrpoiu! JOB SITE INFORMATION AND LOCATION drains and rain-drain packages) Job site address: /003 S 6Qfie _52/14.- 2 bathrooms/I kitchen $411.00 $ J / / / : : rme 3 balhroomsll kitchen $483.00 $ Ciq�:f/j;/G t/G( State. ZIP. Bach additional bathroom(over 3) $104.50 $ Reference: Taxlot.: Each additional kitchen(over I) 5104.50 $ DESCRIPTION OF WORK Residential lire sprinklers(includes plan review) LM Six f D etreti6/✓74- 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: stvew`J eit siam0"s 7,201 square and greater $255.00 $ Manufactured d d dwelling or pre-fah(circle one) Address:Ao03 5 e r Connections to building sewer and llI water supply _.-1.— $80.00 $ City: Sd;;Fcl� State:OL ZIP:92978 rci 111 �/ / Commercial, industrial,and dwellings other than one-or Phone: 57/734"—/577 _I Fax: - - Iwo-Gamily. - E-mail: Minim m fee $80.00 S This installation is being made on residential or farm property Each fixture_ I I S21.00 $ owned by me or a member of my immediate family, and is NIiscellaneous fees exempt from licensing requirements under OAR.918-695-0020. 100' storm, sewer, water line $83.50 S Signature: Each fixture, appurtenance,and piping V $21.00 $ CONTRACTOR INSTALLATION Storm water retention/detention facility _ $21.00 S Business name: Irrigation systems $21.00 $ .�G C � oO? hCit�� Piping or private storm drainage 39/f a/ (J_ ystems exceeding the first Io0 Rel $21.00 $ Address: Jr r �, Specially fixtures $21.00 $ City: pi„✓.#t(� State: ZII : y7�7 7e$g 36 Special sied of pee s tae per hr.) $60.00 $ Phone: Fax: - - Special requested.inspeetions(no.of fu's. x ice per hr.) $80.00 s E-mail: l CCB license no./65/0Q3 BCD license no.: Each additional inspection:(I) 580.00 $ Plumbing license no.: Medical gas piping Minimum ice $ . Enter value of installation and equipment$ . Print name: .._.- Enter fee based on installation and equipment value. $ Signature: -------- APPLICANT USE (A) Enter subtotal of above Ices $ (Minimum Permit Fee$80.00) (13) Investigative fee(equal to(Al) $ (C) Enter 12%surcharge(.12 x IA+B]) $ /o� Of �i (D)Technology Fee(5%of[Al) $ !-y�am TOTAL fees and surcharges (A through D): $ 9.1F Ztir 490-2500-I(:I/1/2013/COM)