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HomeMy WebLinkAboutPermit Plumbing 2014-6-5 SPRINGFIELD 225 Fifth St "^ ' °, CITY OF SPRINGFIELD Springfield,OR 97477 `( N•F Phone: 541-726-3753 '\'OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01227 www.spri ngfield-ar.gov perm itcenter©springfield-ar.gov PROJECT STATUS: Issued ISSUED: 06/05/2014 EXPIRES: 12/01/2014 STATUS DATE: 06/05/2014 APPLIED: 06/05/2014 SITE ADDRESS: 4275 MT VERNON RD,Springfield,OR 97478 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1802052108503 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Whole House restoration-dryrot repairs,replacing sheetrock, plumbing and electrical systems OWNER: DAVIS EDDICE&SANDY Phone Number: • ADDRESS: 35950 N MORNINGSTAR RD PLEASANT HILL OR 97455 • . CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor PACIFIC PLUMBING&ROOTER INC CCB 199420 03/26/2015 541-337-4701 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 constructiioonn.. / Owner or or Contractor Signature Date NOTICE: • THIS PERMIT SHALL EXPIRE IF THE WORK ATTENTION: Oregon law requires you to AUTHORIZED UNDER THIS PERMIT IS NOT follow rules adopted by the Oregon Utility COMMENCED OR IS ABANDONED FOR Notification Center. Those rules are set forth . in OAR 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 6/5/2014 10:35:08AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St i ac ,� TRANSACTION RECEIPT 51-726-3753 W477 ��OR 541-726-3753 OREGON 811-SPR2014-01227 www.springfield-or.gov 4275 MT VERNON RD permitcenter@springtield-or.gov RECEIPT NO: 2014001233 RECORD NO:811-5PR2014-01227 DATE:06/05/2014 ;DESCRIPTION_'_ _ _ _ _ _ .ACCOUNT CODE/TRANS CODE!__`_,T_ AMOUNT DUE. . Continuing Education Fee 224-00000-425606 2.50 One or Two Family Dwelling with One Bath 224-00000-425603 1005 268.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 32.16 Technology fee(5%of permit total) 100-00000-425605 2099 13.40 TOTAL DUE: 316.06 ;__,PAYMENT TYPE4_TFAVOR CASHIER:CCARPENTER _ • „COMMENTS - - • -AMOUNT PAID Credit Card DAVIS EDDICE&SANDY 316.06 02609p TOTAL PAID: 316.06 • • Structural Permit Application SPRINGFIELD • DEPARTMENT USE ONLY t "F „.P t aC"1:7 "r,t '.3 to " ? st , .V y ,-.? ' ."n?, ..L+ ., : .!,C]'I�'jOF SPRINGFEELD OREGON "'! ? ( r Permit no.: ( t/ 225 Fifth Street♦Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 `�oaeGON l�� —��y T Date: /5'7/7 if This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of isshance or if work is suspended for 180 days. `v'.tv_ t - ;,tOCAL`'GOVERNMENT0APPROVAL!, ";a: 4 ,is, „ ,_ ,,� ti iK. .:FEE SCHEDULE ,§ ,1:" . ,'r t' _. ;„ This project has final land-use approval. i4 'Valuation information ' 1 s6 -4 i4l a "`'` ^tea-. Signature: Date; (a)Job description: ec-7vta j7/ This project has DEQ approval. / ������— Occupancy Signature: Date: ! Zoning approval verified: ❑ Yes ❑No Construction type: I/ (� Property is within flood plain: ❑Yes ❑No Square feet: .3 '} �.., ";- ,`fit : CATEGORY OF CQNSTRUCTION" ;j,?'i '4; Cost per square foot ❑ Residential ❑ Government ❑Commercial Other information: ilt71).";A:t "JOB SITE,INFORMATION,AND EdiarION.' „ .,'' Type of Heat: Job site address: Li 2_9 s [.M4- Vet non Energy Path: City: 5crtn3cteIA State: big- ZIP:Q-14'W ❑new paifeiation ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑ Yes ❑No Reference: Taxlot: Total valuation: $ 2,azirp .1.2s, .Y -- I, - PROPRY OVINER til .A e 3 ?is .,zt `3 Buldl[I,g fees 3.' s4 c y ry i a: #2 t Name: 5o.nay t E c t[_e -U4x.1 1S _ (a)Permit fee(use valuation table): $ gz Address: 35950 n. 11\ov m.t A3S-Fta_r CA (b)Investigative fee(equal to[2a]): - $ City: Pkeo•scA.V- \4 11 State: OR- ZIP:`11'-LSS (c)Reinspection($ per hour): $ Phone: 5j1\1 . 255,(05 3,9 Fax: - (number of hours x fee per hour) E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ e ,aice,sanA4 a) -yo-‘100 0mv, — (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3 Plan r iew'fees,,4?Sj?eRTIM'aqh:::7- -} ce ;g A (a)Plan review(65%x permit fee[2a]): $ __Sign here: �.U�-...c4' ,4.0, � (b)Fire and life safety(40%x permit fee[2a]): $ ❑This instillIlation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $ me or a member of my immediate family,and is exempt from licensing `4 ?Miscellaneous fees ,* '`? ' � ''' r # '�'" 3 • requirements under ORS 701.010. - ' "_ "(";,. tt ,r ,., `'; ,,t i -i + a twt a (a)Seismic fee, 1%(.0I x permit fee [2a]): $ y-.:_� „ gCONTRACTOR•INTALLATION;4.. , ,...3,, ,, _ e /� .�� !� M (b)Technology fee,5%(.05 x permit fee[2a]): $ Business name: / 7 - (c)Continuing Education Fee$2.50 $2.50 Address: City: State: ZIP: TOTAL fees and surcharges(2e+3c+4a+4b+4c): $ 911141 Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: i, t's„'+ilto ,.? SUBsCONTRACTORIINFORMATION y;;z, *+�„r eli,#,, ,;i? Name CCB License# Phone Number Electrical Li Plumbing 6 PIG 17 /fl<?c) 3 Sc,.'1d/ ciy - /2-2 1 Mechanical 5/ '1 —/2-2/'