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Home My WebLink AboutPermit Plumbing 2014-07-15SPRINGFIELD t OREGON w .spdngfieldor.gov Building / Residential Permit PERMIT NO: 811-SPR2014-01513 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spdngfieldrof.gov PROJECT STATUS: Closed ISSUED: EXPIRES: 01/10/2015 STATUS DATE: 07/15/2014 APPLIED: 07/14/2014 SITE ADDRESS: 6811 C ST, Springfield, OR 97478 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702344106000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: BWOP addition by prior owners- compliance by Contractor's letters. OWNER: NELSON-THIELE JULIE ADDRESS: 670 MALLARD AVE SPRINGFIELD OR 97477 OWNER: THIELE MARTIN ADDRESS: 670 MALLARD AVE Phone Number: Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lie No Lie Exp Phone OWNER CCB 000000 08/01/2025 ORDELL CONSTRUCTION LLC CCB 177132 07/05/2015 541-747-8734 ORDELL CONSTRUCTION LLC (PB) Plumbing Ca PB1143 07/01/2017 541-747-8734 INSPECTIONS REQUIRED. Inspections 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 Dale Springfield Building Permit 7/15/2014 8:25:40AM Page 1 of 1 [am in 1 �' • 1 1 1 ;�� CI,TY�'bF SPRiNGFIEI�l�� QREGON r DEPARTMENT USE ONLY This permit is issued tinder 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 JOB SITE <INFORMATION AND LOCATION Job site address: L f city: so State: Ott I ZIP:q Reference: Taxlot.:1 I• Qa•� �.c( DESCRIPTION OF WORK �w O l PROPERTY OWNER Name: t ( Address:Ih a, ur City: r State: O ZIP: D j Phone: Fax: E-mail: Nna�(are� DIfI AI100 • CDvt, 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 INt3-•t /USPKVZt - Business name: Q<0,pyo p L.C.C, Address: Z177/ E• CJ✓/b EoA0 City: 1Gf6006- State:eoe, I ZIP: % Dz Phone:5YI-71/7-8Tjt/ Fax-.-W1-7//T 0735- E -mail: r e� p/ Gur/ dv� G.L•C' . CCB license no.: 17713Z,— I BC -D -license -no.: Plumbing license no.: Print name: 2eyeexr tLC`- Signature: V 440-2500-J (521/2014/COM) FEE SCHEDULE DescriptionQty, `Cost ea. Total Cost New residential 1 bathroom/l kitchen (includes: first 100feet ofwater/sewer lines, hose $268.00 $ bibs, fee maker, underfloor low point drains and rain -drain packages) 2 bathrooms/1 kitchen $420.00 $ 3 bathroomsA kitchen $494.00 $ Each additional bathroom (over 3) $107.00 $ Each additional kitchen (over I) $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 re -fab (circle one) Connections to building sewer and water supply $82,00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee $62.00 $ Each fixture $21.00 $ Miscellaneous fees 100' storm, sewer, water line $65.00 $ Each fixture, appurtenance, and piping $21.00 $ Storm water retention/detention facility $21.00 $ Irrigation systems $21.00 $ Piping or private storm drainage systems exceeding the first 100 feet $21.00 $ Specialty fixtures $21.00 $ Reinspection (no. of hrs. x fee per hr.) $82.00 $ Special requested inspections (no. of hrs. x fee per hr.) $82 00 $ Each additional inspection: (1) $82,00 $ Medical gas piping Minimum fee $ Enter value of installation and equipment $ _. Enter fee based on installation and equipment value. $ APPLICANT 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]) $ /6 (E) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through E): SPRINGFIELD- CITY OF SPRINGFIELD 226 FOth St f a ` y TRANSACTION RECEIPT Sp ng eld,OR97477 `' UREGUN 541-726-3753 811-SPR2014-01513 v .springfield-ocgov 6811 C ST permitcenter@spdngfield-ocgov RECEIPT NO: 2014001512 RECORD NO: 811-SPR2014-01513 DATE: 07/1412014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Balance of Minimum Plumbing Permit Fees 224-00000-425603 1005 61.00 Continuing Education Fee 224-00000-425606 2.50 Shower/Shower pan 224-00000-425603 1005 21.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 9.84 Technology fee (5% of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 PAYMENTTYPE PAYOR CASHIER:CCARPENTER COMMENTS 'AMOUNT PAID Check NELSON-THIELE JULIE 98.44 7083 TOTAL PAID: 98.44