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Home My WebLink AboutPermit Plumbing 2014-07-28SPRING�IE��LyyD 4�9 ' OREGON w .spdngfield-or.gov CITY OF SPRINGFIELD Building / Residential Permit PERMIT NO: 811-SPR2014-01617 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 07/28/2014 EXPIRES: 01/2312015 STATUS DATE: 07/28/2014 APPLIED: 07/28/2014 SITE ADDRESS: 439 V ST, Springfield, OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703262104900 - --PROJECT DESCRIPTION* Replace wafer OWNER: JOHNSON ANGELA C ADDRESS: 439 V ST TYPE OF STRUCTURE: Residential Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Plumbing Contractor PACIFIC PLUMBING & ROOTER INC CCB 199420 03/26/2015 541-337A701 INSPECTIONS REQUIRED Inspections 3315 Water Line 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 NOTICE: TI IIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT CON/iMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Date ATTENTION: Oregon law requires you to foilow rules adopted by the Oregon Utility Notification 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 7/28/2014 1:54:51PM Page 1 of 1 SPRINGFIELD" CITY OF SPRINGFIELD 225 Fifth St &Ll TRANSACTION RECEIPT Spdngfield,OR97477 OREGON 541-726-3753 811-SP R2014-01617 w .spdn9fleldor.gov 439 V ST permits nter@spdngfield-or.gov RECEIPT NO: 2014001613 RECORD NO: 811-SPR2014.01617 DATE: 07/28/2014 Continuing Education Fee 224-00000-425606 2.50 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 Water Line 224-00000-425603 1005 85.00 TOTAL DUE: 101.95 588 TOTAL PAID: 101.95 Plumbing Permit Application DEPARTMENT USE ONLY - � Permit no.; �% �G J 7 P225 Fifth Street -4 Spnngfield,-OR 97477 rH(541)726-3713 1 FAX(541)726d639 °OREGON Dale: This permit is issued under OAR 918.780-0060, Permits are issued only to the person or contractor doing the work. Permits expire if,vork 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 j O Commercial JOB SITE INFORMATION AND LOCATION Job site address: 31 ✓ 6 - %City:ttJ City: State: D'�- I ZIP: Reference: Tax1e1.: _ DESCRIPTION OF WORT( $483.00 S Each additional bathroom (over 3) PROPERTY OWNER - Name: S -p Address: T City: r I State: ZIP: Phone: Pas: E-mail: This installation is being made on residential or fain, property owned by me or a member of my immediate family, and is exempt fiom licensing requirements under OAR 918-695-0020, Signature: CONTRACTOR INSTALLATION Business ,f•r Address T"! "!— .. ---- City: �State: OR- ZIP: %7 7 _Phone: ly SC7S"931Z._ rax_Syl-i5-)_.7.1Y._. E-mail: CCB license no.: ° p BCD license no.: Plumbing license no.: jg9yZDp Print name: `�6e,(1— Signature: 440-25004 fl/I/20131COb1) FEE SCHEDULE Description P Qty Cosf en. Total cost New residential I bathroondl kitchen (includes: first 10/0 feet of waterlsewe• lines, hose bibs, ice maker, mlderRoor ler-pole drains and rain -drain packages) $262.00 $ 2 balhroums/Ikitchen $411.00 $ 3 bathrooms/I kitchen $483.00 S Each additional bathroom (over 3) S104XI) $ Each additional kitchen (over 1) _ $104.50 S _ _Residential fire sprinklers (includes plan reriert) - 0 to 2,000 square feet - $80.00 $ 2,001 to 3,600 square feel $128.00 $ 3,601 to 7,200 square 1'cet $102.00 $ 7,201 square feel and greater - $266.00 $ Manufactured dwelling or pre -fab (circle one) Cmmectionstobuildingsewerand water supply, — - —X80.00 $ Commercial, industrial, and dwellings other than one- or Ivo -family Minimum fee $80.00 Each fixture $21.00 $ Miscellaneous fees 100' stormy sewer, water line $83.50 $ Each fixture, appurtenance,and piping $21.00 $ Sturm wader retention/detention facility $21.00 $ In'igation systems $21.00 $ Piping or private storm drainage systems exceeding the first 100 feet $21.00 $ Specialty fixtures $21.00 S [Winspeetiorn (nn. of lits, x ICC per fir.) $80.00 S Special requested inspections (no. of las, x fee per hr.) $80.00 --- S Each additional inspection: (1) ---- -- - $80.00 S -Medical gas piping Mininaun 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 Pee $80.00) $ �� (13) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (12 x [A+B]) ---- $ (D) Technology Fee (5% of [A]) $ TOTAL fees and surcharges (A throngh i