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Home My WebLink AboutPermit Plumbing 2014-07-30SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 vj Phone: 641-726-3753 OREGON Building /Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01638 wv .spdngfield-ocgov permitcentef@spdngfield-ocgov PROJECT STATUS: Issued ISSUED: 07/30/2014 EXPIRES: 01/25/2015 STATUS DATE: 07/30/2014 APPLIED: 07/30/2014 SITE ADDRESS: 1865 OLYMPIC ST, Springfield, OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703253107400 OWNER: NADINE L BURGE EXEMPT MARITAL TRUST ADDRESS: 830 MCKENZIE CREST DR TYPE OF STRUCTURE: Commercial Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor VALLEY CONTRACTING INC CCB 200474 07/16/2015 541-501-0234 Inspections 3200 Sanitary Sewer INSPECTIONS REQUIRED Sanitary Sewer Line: Prior to filling trench and including required testing. 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. 1 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 �� EXPIRE IF iH� 1S NOT IIS PERMIT 13NDER THIS DONE FOR ,IlNORIZED ORIS A sAN OMMENCED PERIOD. iNY 1 t30 DAY Date AT'T'ENTION: Oregon law requires you tO follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 009o. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notifioatioq Center is 1-800-332-2344). Springfield Building Permit 7/30/2014 3:36:26PM Page 1 0f 1 LIRI G pl ELD CITY OP SPRINGFIELD ..�. 225 Fifth SI TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2014-01638 w ispringfteld-ocgov 1866 OLYMPIC ST permilcenter@springfield-orgov RECEIPT NO: 2014001641 RECORD NO: 811 •SPR2014-01638 DATE: 07/30/2014 DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE Continuing Education Fee 224-00000-425606 2.50 Sanitary sewer 224-00000-425603 1005 85.00 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 TOTAL DUE: 101.95 Credit Card valley contracting 093518 101.95 TOTAL PAID: 101.95 9PHINGFIELOI {(} I 1 y fS I DEPARTMENT USE ONLY Permit no.: SV 7 �1®•S O Date: % 3 a / 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 I WCommercial JOB SITE INFORMATION "AND LOCATION— OCATIONJob-site-address:- Job site-address. City: rlelk I State: ZIP: Reference: % a 3 Z, 3 k I Taxlot.0 74 3 0 DESCRIPTION OF WORK " ' � L 06!t 1rAit jws Manufactured dwelling or pre -fab (circle one) PROPERTY OW ER Name: f ywiia tw--—19ZXA& - Address: a-0' 51--$36 vtL• (GO. City:j to (deO State:0r- 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: CONTRACTOR7NSTALLATION Business name: Uu I (. p v '&, vlL I Address:Vv v Pe"( City:Jw 41�1 4 State: ZIP: Q 7 (iP Phone:W - 3%l- d 277L( I Fax. E-mail: M.l-wo- r� &'4( rcos-.- CCB license no.: ZGb`f 7 BCD license no.: Plumbing license no.: Print name: N'&(4e Signature• 440-2500-J (5/2112014/COM) FEE SCHEDULE Description , Qty I east I cost) New residential I bathroom/l kitchen (includes: first 100feet ofwater/sewer lines, hose $268.00 $ bibs, ice umker, under loon low porn( drains and rain -drain packages) _ _2-bathrooms/1-kitchen -- —$420.00- —$- 3 bathrooms/) kitchen $494.00 S Each additional bathroom (over 3) $107.00 $ Each additional kitchen (over 1) $107.00 $ Residential firesprinklers includes tillan 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) n ections to building sewer and . rater supply $82.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee $82.00 $ Each fixture $21.00 $ Miseellaneo "s 100' storqf sewer, eater line $66.00 $ Each fixture, appurtenance, and piping $21.00 $ Storm water retention/detention facility $21.00 $ Irrigation systems $21.00 $ Piping or private storm drainage systems exceedin 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 $ d JI— (Minimum Permit Fee $82.00) (B) Investigative fee (equal to [A]) $ V (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): $