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Home My WebLink AboutPermit Plumbing 2014-07-23SPRINGFIELD OREGON %mv.springfield-ocgov, CITY OF SPRINGFIELD Building / Commercial Permit PERMIT NO: 811-SPR2014-01583 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitaenter@springrield-or.gov PROJECT STATUS: Issued ISSUED: 07/23/2014 EXPIRES: 01/18/2015 STATUS DATE: 07/23/2014 APPLIED: 07/23/2014 SITE ADDRESS: 1101 J ST, APT#, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703351102400 OWNER: ROWLAND LIVING TRUST ADDRESS: 7835 RUSH ROSE DR APT 113 SCOPE: Plumbing Only TYPE OF STRUCTURE: Residential Phone Number: CARLSBAD CA 92009 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Plumbing Contractor RS PLUMBING CONTRACTOR INC CCB 103816 01/04/2016 541-461-4714 INSPECTIONS REQUIRED Inspections 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. '66�L Owner or Contractor Signature NOTICE: fl IIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Date Pdi T, N TION: Oregon law requires you to follow rules adopted by the Oregon Utility 000licalion Center. Those rules 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). Springfield Building Permit 7/23/2014 10:28:37AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fdth Sl TRANSACTION RECEIPT Spnn9Aeld,01397477 OREGON 541-726-3753 811-SPR2014-01583 wmv.spnngfield-ar.gov 1101 J ST. APT 1 permilcenler@spnngfield-or.gov RECEIPT NO: 2014001580 RECORD NO: 811-SPR2014.01583 DATE: 07/23/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Continuing Education Fee 224-00000-425606 2.50 Fixture 224-00000-425603 1005 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 105.00 12.60 Technology fee (5% of permit total) 100-00000-425605 2099 5.25 TOTAL DUE: 125.35 PAYMENTTYPE PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID CONTRACTORINC 112177 125.35 TOTAL PAID: 125.35 Plumbing Permit Application SPRINGFIELD i DEPARTMENT USE ONLY Permit no.: -e;i `( -l Sp J 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 10 Government 113 Commercial JOB SITE INFORMATION AND LOCATION Job site address: V Each additional kitchen (over 1) $107,00 $ City: I jt t t State: 1(j ZIP. Reference: Taxlot.: DESCRIPTION OF WORK Manufactured dwelling or prefab circle one) Connections to building sewer and water supply PROPE TYO NE Name: rti /) Z-t� Address: City: L N State: Gro ZIP: Z IT) 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: Address: City: State: ZIP: Phone: Fax: E-mail: CCB license no.:/ BCD license no.: Plumbing license no.: Print name: Signature: 440-2500-J (5/212014/COM) FEE SCHEDULE Description Qty, Cost ea. Total cost New residential I bathroom/l kitchen (includes: first 100feet ofwater/sewer lines, hose $268.00 $ bibs, ice maker, underfloor low -point drains and rain -drain packages) 2 bathrooms/1 kitchen$420.00 $ 3 bathrooms/1 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 prefab 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 $ j Miscellaneous fees 100' storm, 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 Ins. x fee per hr.) $82.00 $ Special requested inspections (no. of Jus. 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. $ ApP! 7CANT 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]) $ 2 (D) Technology Fee (5% of [A]) $ (E) Continuing Education Fee $2.50 TOTAL fees and surcharges (A through E):