The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2014-6-11 SPRINGFIELD • 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ;;.ice Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01272 www.springfield-or.gov - permitcenter @springfield-or.goy PROJECT STATUS: Issued ISSUED: 06/11/2014 EXPIRES: 12/07/2014 STATUS DATE: 06/11/2014 APPLIED: 06/11/2014 SITE ADDRESS: 1909 12TH ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703264115100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace 40'sewer line on private property - OWNER: HOUSER JARED D&JACLYN L Phone Number: ADDRESS: 285 OAK VILLA RD • DALLAS OR 97338 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 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. Owner or Contractor Signature Date ATTENTION: Oregon law requires you to • follow rules adopted by the Oregon Utility • Notification Center. Those rules are set forth NOTICE: in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by AUTHORIZED UNDER PHIS PERMIT IS NOT • calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 6/11/2014 12:38:57PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St Ct�• TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2014-01272 www.springfield-or.gov 1909 12TH ST , permitcenteri springfield-or.gov RECEIPT NO: 2014001275 RECORD NO: 811-SPR2014-01272 DATE:06/11/2014 ;DESCRIPTION • ACCOUNTCODE/TRANS_CODE__e, _ ; AMOUNT DUE. Continuing Education Fee �� _ 224-00000-425606 2.50 Sanitary sewer 224-00000-425603 1005 85.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.20 Technology fee(5%of permit total) 100-00000-425605 2099 4.25 TOTAL DUE: 101.95 IL PAYMENT TYPE;-_ -_PAWS, CASHIER: LLkRS9R- _ COMMENTS , - - .AMOUNT PAID _. Cash Kris McAlister 101.95 TOTAL PAID: 101.95 .Plumbing Permit Application DEPARTMENT USE ONLY. . SPRINGFIELD r^^.,..°^ _. ' CI. V4OF'.SPRINGFIEED QREGO" N : r =` ~-�"' 1 Permit no.:Cp/7Zo1 Y - °I 272- b a]cultt` r. sarasw� is ems •a'h`-r r.-„-c .,1 rteli _ :_ xi, E r ` 225 Fifth Street• Springlield,OR 97477 • PH(541)726-3753 • F.AX(541)726-3659 Date: C'/7/4(/ - 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 a royal verified? vex No . I - ( Zoning PP ❑ ❑ � Description Ots, ICost • Totaf' Sanitation approval verified? Yes -ea. cost pp ❑ ❑No New residential . CATEGORY OF CONSTRUCTION I bathroonf I kitchen(includes:first Residential 70)leer nj:rarer'/relrer lines, hose ® ❑Government I ❑Commercial Gibe. ice maker, underfloor low-point $268.00 S ' JOB .SITE INFORMATION AND LOCATION 1 drains(Ind rain-Aram packages) 6. I lob site address: 1 110 5 [ Z tt^ S \r Ft-). I 2 bathrooms'! kitchen $420.00 1 5 City: 5.PirTh3Ci clq I State: D(� I ZIP: � 7 y771 3 bathrooms/1 kitchen 5494.00 1 S I Each additional bathroom over .) 5107.00 S Reference: I Taxlot.: I Each additional kitchen(over 1) 5107.00 1 S , DESCRIPTION OF WORK 1 Residential fire sprinklers(includes plan review) g e (tr Q ({ 'I nl- I S•,C.. �,ycw )sd 0 to 2.000 square feet 582.00 S S �,et-- J 2.00 I to 3.600 square feet $131.00 S PROPERTY OWNER - - 3,601 to 7.200 square feet j $196.00 S you S I 1 7.201 square feet and greater ( S261.00 S Name: J u., c ,a 2' Ian a fact tired ills riling or pre-fah(circle one) Address: 1 c c 0 err L't 1 r 9nd. I Cennecnons to building sewer and I Citl: A 1[UC ( SIn[e: S I ZIP: 9 ) 3 j I comer supply $82.00 I S Commercial,industrial,and dwellings other than one or Phone:S4/S$- 9 s'i S Fax: - - I two-family E-mail: S � 1 Minimum fee I 582.00 S flu P,T F(,o Q. (jam, , . cat, This installation is being made on residential or farm property Each fixture 521.00 S _ owned by me or a member of my immediate family,and Is 1 Miscellaneous fees exempt from I' •ensing requirente s under OAR 918-695-W20. I IOU' storm. -e' water line i ' � S85.00 1 S r � Signature: _ _ I Each fixture.appurtenance,and piping I I 521.00 S NTRACTOR INSTALLATION - , 1 Storm water retention/detention facility 521.00 S Business name: I Irrigation systems S21.00 S Piping or private storm drains_• S21.00 S Address: Lvstems exceeding the first 100 feet City: State: I ZIP: I 1 Specialty fixtures 1 S21.00 S I Reinspect ion(no.of hr.x fee per hr.) 1 $82.00 S Phone: - - I Fax: - - Special requested inspections(no.of I hrs.x fee per hr.) 582.00 S • E-mail: I p' CCB license no.: I BCD license no.: I Each additional inspection: (I) 582.00 S Plumbing license no.: I Medical gas piping . p' 1 Minimum lee I S Print name: I Enter value of installation and equipment S Enter fee based on installation and equipment value. 1 S I . Signature , '.'APPLICANT-USE ' (A) Enter subtotal of above fees (Minimum Permit Fee 582.00) S (B)Investigative fee(equal to(A]) 1 S 1 (C) Enter 12%surcharge(.12 x IA=6J) S 1 (D)Technology Fee(5%of[AD 5 IE)Continuing Education Fee S2.50 52.50 TOTAL fees and surcharges(A through E): I SAO, 440-2500-1(5/21/2014/C0Nn