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Home My WebLink AboutPermit Plumbing 2014-07-16L1LSPKINGFIfLDA 1 F� ! 3+ OREGON www. springlield-ocgov CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2014-01519 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 07/16/2014 EXPIRES: 01/11/2015 STATUS DATE: 07/16/2014 APPLIED: 07/15/2014 SITE ADDRESS: 1095 J ST, Springfield, OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703351102400 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Convert carport to enclosed storage and laundry room OWNER: ROWLAND LIVING TRUST Phone Number: ADDRESS: 7835 RUSH ROSE DR APT 113 CARLSBAD CA 92009 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lic No Lie Exp Phone Plumbing Contractor RS PLUMBING CONTRACTOR INC CCB 103816 01/04/2016 541-4614714 General Contractor NAIL IT CONSTRUCTION LLC C 186781 01/22/2015 541-915-8327 INSPECTIONS REQUIRED Inspections 3150 Underslab Plumbing Underslab Plumbing: Prior to filling the 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 slate and agree, that 1 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 ATTENTION: Oregon law requires youfollow rUI0S egon to Notification Center,. Those Thoed se ruleethe s are set forth In OAR 952-001.0010 through OAR 952.001- 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). Date i11S PERMIT SHALL EXPIRE IF THE WORK iWHORIZED UNDER THIS PERMIT IS NOT 1%I'A4fv1ENCEp OR IS ABANDONED FOR % [01180 DAY PERIOD, Springfield Building Permit 7/16/2014 9:22'.21AM Page 1 of 1 GFEL CITY OF SPRINGFIELD W_""'t0R`EGON TRANSACTION RECEIPT 225 Fifth St Spnngfield,OR97477 Clothes washer 224-00000-425603 541-726-3753 42.00 811-SPR2014-01519 224-00000-425606 w .spnngfield-ar.gov 1095 J ST permits nter@spnngfield-ocgov RECEIPT NO: 2014001523 RECORD NO: 811-SPR2014.01519 DATE: 07/16/2014 DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE' Clothes washer 224-00000-425603 1005 42.00 Continuing Education Fee 224-00000-425606 2.50 Fixture cap 224-00000-425603 1005 84.00 Floor drain/floor sink/hub 224-00000-425603 1005 21.00 Replace in -building water supply line 224-00000-425603 1005 85.00 Slate of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 27.84 Technology fee (5% of permit total) 100-00000-425605 2099 11.60 TOTAL DUE: 273.94 PAYMENTTYPE PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID Credit Card RS PLUMBING CONTRACTOR INC 273.94 162111 TOTAL PAID: 273.94 Plumbing Permit SPRINGFIELD I DEPARTMENT USE ONLY Permitno.: / Date: L 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 Zoning approval verified? ❑ Yes ❑ No Sanitation approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ❑ Residential ❑ Government ❑ Commercial JOBSITE INFORMATION AND LOCATION Job site address: o S J s r City: 1ti gI State ZIP: `J7 Reference: Taxlot.: DESCRIPTION OF WORK 2,001 to 3,600 square feet $131.00 $ C.AiIJ •F n0 1 I PROPERTY TOWNER > Name: Address: City: State: ZIP: Phone: Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 918-695-0020. Signature: CONTRACTOR//"INSTALLATION Business name: S t Py(p r Address: Qfi City: State: ZIP: Phone: Fax: E-mail: 2 it r syt5 NIP/ -Cavy CCB license no.: (o I BCD license no.: Plumbing license no.: Print name: c'(4 W.' - Signature: 440-2500-J (5/21/2014/COM) FEE SCHEDULE Description Qty Cost ca. Total cost New residential I bathroom/I kitchen (includes: first 100jeet ofwater/sewer lines, hose $266.00 $ bibs, ice maker, underftoorlowpoinr drains andrain-drain packages) 2 bathrooms/1 kitchen $420.00 $ 3 bathrooms/) kitchen $494.00 $ Each additional bathroom (over 3) $107.00 $ Each additional kitchen (over 1) $107,00 $ Residential firesprinklers includes plan review 0 to 2,000 square feet $82.00 $ 2,001 to 3,600 square feet $131.00 $ 3,601 to 7,200 square feet $196.00 $ 7,201 square feet and greater $261.00 $ Manufactured dwelling or pre -fab circle one) Connections to building sewer and water supply $82.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee $82.00 $ Each fixture $21.00 $ Miscellaneous fees 100' stone, sewer, water line $85.00 $ Each fixture, appurtenance, and piping $21.00 $ Storm water retention/detention facility $21.00 $ Irrigation systems $21.00 $ Piping or private storm drainage systems exceedingthe first 100 feet $21.00 $ Specialty fixtures $21.00 $ Reinspection (no. of his. x fee per hr.) $82.00 $ Special requested inspections (no. of his. x fee per hr.) $82.00 $ Each additional inspection: (1) $82.00 $ .Medical gas piping 1 Minimum fee $ Enter value of installation and equipment $ _. Enter fee based on installation and equipment value. $ V'T,=USE (A) Enter subtotal of above fees $ (Minimum Permit Fee $82.00) (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ (D) Technology Fee (5% of [A]) $ (E) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through E): $