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Home My WebLink AboutPermit Plumbing 2014-08-07. SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 t vii Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01708 v .sprfi gfield-orgov permitcenter@springfieid-or.gov PROJECT STATUS: Issued ISSUED: 08/07/2014 EXPIRES: 02/02/2015 STATUS DATE: 08/07/2014 APPLIED: 08/07/2014 SITE ADDRESS: 1275 MILL ST, Springfield, OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703263300800 TYPE OF STRUCTURE: Commercial -PROJECT D ES C R I P-TI O N 1 Plumbing-for remodel OWNER: SALVATION ARMY Phone Number: ADDRESS: PO BOX 8798 PORTLAND OR 97208 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Plumbing Contractor HARVEY & PRICE CO CCB 77 10/31/2014 641-746-1621 INSPECTIONS REQUIRED Inspections 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 o Contract r Sig ature Nf GTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Date AITENTION: Oregon law requires you to follow rides 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 87/2014 10:43:14AM Page 1 of 1 L-1, NGFIELD CITY OF SPRINGFIELD -225 Fdth Sl �,,,TRANSACTION RECEIPT Spdngfield,OR97477 "' OREGON 541-726-3753 811-SPR2014-01708 w w.springfield-or.gov 1275 MILL ST permitceMer@spdngrield-ocgov RECEIPT NO: 2014001712 RECORD NO: 811-SPR2014.01708 DATE: 08/07/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNTIDUE Continuing Education Fee 224-00000-425606 2.50 Fixture 224-00000-425603 1005 231.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 27.72 Technology fee (5% of permit total) 100-00000-425605 2099 11.55 TOTAL DUE: 272.77 PAYMENT TYPE'PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID Check HARVEY & PRICE CO 272.77 35840 TOTAL PAID: 272.77 Plumbing Permit Application DEPARTMENT USE ONLY SPRINGFIELD F J J} 1100MIMI= Permit no.: i %D 225 Fiah Street # Springfield, OR 97477 # PH(541)726-3753 # PAX(541)726-3689 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 4PPROVAL Zoning approval verified? Yes ❑ No Sanitation approval verified? es ❑ No CATEGORY OF CONSTRUCTION ❑ Residential I ❑ Government I ka/cmunnercial JOB SITE INFORMATION NOOCATION Job site address: a ( 5 $107.00 City: y (� t State: Q -y ZIP: Reference: 0,-, Taxlot.:Or7 Fol DESCRIPTION OFWORK $82.00 0 to 2,000 square feet PROPERTY OWNER Name: afio ♦r M L4 Address: 4 5131.00 S 3,601 to 7,200 square feet City: State: ZIP: % 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: t Address: S City: State: ZIP: Phone: - - 6 Fax: - 2 E-mail: - tlOU Qm CCB license no.: BCD license no.: Plumbing license no.: - ,3 Print name: Signature: U �V 440-2500-J(5/21/2014/COAs) New residential 1 bathroout/1 kitchen (includes: first 100 feet of uuterdsewer lines, hose bibs, ice maker, underfloor low pain $268.00 1 S 2 balhrooms/I kitchen $420.00 S 3 bathrooms/I kitchen $494.00 S Each additional bathroom (over 3) $107.00 S Each additimtal kitchen (over 1) $107.00 $ Residential fire sprinklers (includes plan review) $82.00 0 to 2,000 square feet $82.00 S 2,001 to 3,600 square feet 5131.00 S 3,601 to 7,200 square feet $196.00 $ 7,201 square feet and greater $261.00 S Manufnetured dwelling or pre -fab (circle one) Connections to building sewer and water supply 582.00 S Commercial, industrial, and dwellings other nvo-f null than ore- or Minimum fee $82.00 S Each fixture $21.00 S Miscellaneous fees 100' stool, sewer, waterline $85.00 S Each fixture, appurtenance, and piping 521.00 S Storm water retentioNdelention facility Irrigation systems $21.00 S Piping or private slomn drainage systems exceedingthe first 100 feet $21,00 $ Specialty fixtures $21.00 S Reinspection (no. of his. x fee per hr.) $82.00 S Special requested inspections (no. of bra. x fee per hr.) $82.00 S Each additional Inspection: (1) $82.00 $ Medical gas piping Minimum fee S Enter value of installation and equipment S _. Enter fee based on installation and equipment value. $ (A) Enter subtotal of above fees (Mininrmn 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 TOTAL fees and surcharees (A thr $2�