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Home My WebLink AboutPermit Plumbing 2014-07-28SPRINGFIELD t w. OREGON w .spnngfield-or.gov CITY OF SPRINGFIELD Building / Residential Permit PERMIT NO: 811-SPR2014-01619 PROJECT STATUS: Issued STATUS DATE: 07/28/2014 SITE ADDRESS: 660 C ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703352411700 -PROJECT-DESCRIPTION: -- Replace water line and OWNER: THOMAS MARK EVAN ADDRESS: 3783 OLD STAGE RD 225 Fifth St Springfield,OR 97477 Phone: 641-726-3753 Inspection Phone: 541-726-3769 Fax: 641-726-3676 permitcenter@spdngfield-ocgov ISSUED: 07/28/2014 EXPIRES: 01123/2015 APPLIED: 07/28/2014 SCOPE: Plumbing Only TYPE OF STRUCTURE: Residential Phone Number: CENTRAL POINT OR 97502 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 3315 Water Line 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. olner or Contractor Signature NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT OOMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Date A' l"L'NTION; Oregon law requires you to foi,:;w rules adopted by the Oregon Utility Neiilice.tion Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- o090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notifieati0fl Center is 1-800.332.2344). Spdngliield Building Permit 7/28/2014 2:31:45PM Page 1 of 1 SPRINGFIELD --- i OREGON w .spfingfieldocgov TRANSACTION RECEIPT 811-SPR2014-01619 660 C ST CITY OF SPRINGFIELD 225 Fifth St SpHngfield,OR 97477 541-726-3753 permitwnter@spdngfield-ocgov RECEIPT NO: 2014001615 RECORD NO: 811-SPR2014-01619 DATE: 07/28/2014 Continuing Education Fee 224-00000-425606 2.50 _Replace in -building water supply line 224-00000-425603 1005 85.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 20.40 Technology fee (5% of permit total) 100-00000-425605 2099 8.50 Water Line 224-00000-425603 1005 85.00 TOTAL DUE: 201.40 Check THOMAS MARK EVAN 1137 TOTAL PAID: 201.40 Plumbing Permit Application ♦ PH(541)726-3753 ♦ FAX(541)726-3689 SPRINGFIELD 1 ( r I DEPARTMENT USE ONLY Date: 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 JOB SITE INFORMATION AND LOCATION:: Job site address: C� 4O C 5r— City: S Y IV, State: D l2 ZIP: q7 r{% Reference: Taxlot.: DESCRIPTION OF WORK Plu.w� Manufactured dwelling or pre -fab (circle one) PROPERTY`OWNER , Name: [Yt euv �_ 'UA to Address: (2 0 C 5 City e CC I I State: ZIP: 27q-77 Phone$Vf 301 13 $82.00 t_Fax: E-mail: b [ e ro ec ` lee,0AkMq1flr1 This installation is being made on residential or farm pope owned by me or a member of my immediate family, and is exempt from licensing requiremer is under OAR 918-695-0020. Signature: %/lGfk-e_'3 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 (5/21/2014/COM) FEE SCHEDULE Description Qt y Cost ea. Total cost New residential I bathroom/l kitchen (includes: firs! 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) L$107 0D $ Each additional kitchen (over 1) 1 $107.00 $ Residential firesprinklers includes filan 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' 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 has. x fee per hr.) $82.00 $ Special requested inspections (no. of his. x fee per hr.) $82.00 $ Each additional inspection: (1) l -62 _W.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) MQ (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.l2 x [A+B]) $ `� (D) Technology Fee (5%of [A]) (E) Continuing Education Fee $2.50 $2.50 I TOTAL fees and surcharges (A through E): I $ zoc-