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Home My WebLink AboutPermit Plumbing 2014-07-24SPRINGFIELD l� OR vrvrw.spnngfield-orgov CITY OF SPRINGFIELD Building / Residential Permit PERMIT NO: 811-SPR2014-01598 PROJECT STATUS: Issued STATUS DATE: 07/24/2014 SITE ADDRESS: 81010TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703351207800 ---------PROJECT- OWNER: COGBURN PAUL N ADDRESS: 810 10TH ST 225 Fifth St Springfeld,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@s mnngfield-or-gov ISSUED: 07/2412014 EXPIRES: 01/1912015 APPLIED: 07/24/2014 SCOPE: Plumbing Only TYPE OF STRUCTURE: Residential Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lic No Lic Exp Phone Plumbing Contractor OWNER CCB 000000 00/01/2025 INSPECTIONS REQUIRED Inspections 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 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 Safely. 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 $' ture to ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth h OR in OAR 952.001.001 n copes ofthe rules 952-001- by 0090. You may calling the center, (Note: the telephone number ris1,8g00,332-2344). reon 10 ilcation Center la i PERMIT SHALL EXPIRE IF THE WORK 1! WRIZED DER,rHIS PERMIT IS ivI[NCED OR ABANDONED FOR NOT 11',0 DAY PERIOD. Springfield Building Permit 7/24/2014 4:37:22PM Page 1 of 1 LINELD � Cl"I'Y OP SPRINGFIELD .: 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2014-01598 www. spring field-ocgov 810 10TH ST permiloenter@springfield-or.gev RECEIPT NO: 2014001594 RECORD NO: 811-SPR2014-01598 DATE: 07/24/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Continuing Education Fee 224-00000-425606 2.50 Replace in -building water supply line 224-00000-425603 1005 Slate of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 85.00 10.20 Technology fee (5% of permit total) 100-00000-425605 2099 4.25 TOTAL DUE: 101.95 ' PAYMENTTYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID Check COGBURN PAUL N 1965 TOTAL PAID: 101.95 Plum Application SPRINGFIELD i z I DEPARTMENT USE ONLY (NT Permit no.: I " /S7 Date: v 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 I ❑ Government I El Commercial JOB SITE INFORMATION AND LOCATION - Job site address: !/ City: g ) 1, State: 02 ZIP: Reference: zl ay An'J" Taxlot.: DESCRIPTION OF WORK 2 Manufactured dwelling or re -fab (circle one) PROPERTY (OWNER Name: LL seryl Address: 01 � City: jv r State: (JaCZIPCJ�)e ) % Phone: rj y -sem 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 lice ' g requirements under O 918-695-0020. Signature: CONTRACTOR INST ATION Business name: Address: City: State: ZIP: Phone: Fax: E-mail: CCB license no.: BCD license no.: Plumbing license no.: Print name: Signature: 440-2500-3 (5/21/2014/COM) FEE SCHEDULE Description Qty,'Cost ea. Total cost New residential 1 bathroom/l kitchen (includes: firs! I00feetofwater/sewer lines, hose $268.00 $ bibs, ice maker, underfloor low point drains and rain -drain packages) 2 bathrooms/( kitchen $420.00 $ 3 bathrooms/1 kitchen $494.00 $ Each additional bathroom (over 3) $107.00 $ Each additional kitchen (over t) 5107.00 $ Residential Oresprinklers 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 $82.00 $ Each fixture $21.00 $ Miscellaneous fees 100' storm, sewer, water line $86.00 $ 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.) ea 11 1171- r $82.00 $ Each additional inspection: (1) y✓ ,$9-2-00 Medical gas piping Minnimuin 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]) $ (E) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through E): 1 $ p/ c S