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Home My WebLink AboutPermit Plumbing 2014-08-12SPRINGFIELD -- " -CITY OF SPRINGFIELD 225 Fifth St Springfield,OR97477 w— +.ig Phone: 541-726-3753 - oRecoN Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01742 x w .springfield-oreov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/1212014 EXPIRES: 0 210 7/2 01 5 STATUS DATE: 08/12/2014 APPLIED: 08/12/2014 SITE ADDRESS: 331 MAIN ST, Springfield, OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703353112300 TYPE OF STRUCTURE: Commercial PRO, FrT_DESCRIPTION: Relocatesinka OWNER: SPRINGFIELD RENAISSANCE DEV CORP Phone Number: ADDRESS: PO BOX 841 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Plumbing Contractor ACE EQUIPMENT 8 SPECIALTY SERVICES INC CCS 154093 01/24/2015 541-729-0221 INSPECTIONS REQUIRED Inspections 3150 Underslab Plumbing Underslab Plumbing: Prior to filling the trench and including required testing. 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 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 or Contractor Signature Da(e ATTENTION: 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- 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). I I fiS PERMIT SHALL EXPIRE IF: THE WORK it11I1IORiZED UNDER THIS PERMIT IS NOT C(MIlI1ENCED OR IS ABANDONED FOR 180 DAY PERIOD. Springfield Building Permit 8/12/2014 2:40:OOPM Page 1 o11 SPRI NGPIELD CITY OF SPRINGFIIiI,D 1.- v 226 Fifth St TRANSACTION RECEIPT Springfield,OR97477 KEGON 541-726-3753 811-SPR2014-01742 %v ..spdngfeld-ocgov 331 MAIN ST permitcenter@spnngfield-or.gov RECEIPT NO: 2014001750 RECORD NO: 811-SPR2014.01742 DATE: 08/12/2014 DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE Continuing Education Fee 224-00000-425606 2.50 Minimum Plumbing Fee (Three or Fewer Fixtures) 224-00000-425603 1057 82.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 9.84 Technology fee (5% of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 PAYMENT TYPE :PAYOR CASHIER:CCARPENTER COMMENTS :AMOUNT PAID 8733 SERVICES INC TOTAL PAID: 98.44 Plumbing Permit Application SPRINGFIELD <t. 1� MA DEPARTMENT USE ONLY ✓/ 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: 3 3 % i City/o//6 State: O/z ZIP:97f ,?? Reference: Taxlot.: DESCRIPTION OF WORK ,! LU/n ii " PROPERTY OWNER Name: OLZZM,e I?r e Address: City: State: ZIP: Minimum fee - 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: (2 c�ss✓Z�i Address3_ {" 141 0 ST City: State:(S2 ZIP: P'?y7 Phone: c5 FYBf?o Faxti- 5 -1 L /J -626L E-mail: CCB license no.:! )� p�j BCD license no.: Plumbing' license no.: Printhame: / �n Signature: 4 440-2500-1 (5/21/2014/COM) FEE SCHEDULE Description ' Qt . y Cost ea. Total cost New residential 1 bathroom/1 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/] kitchen $494.00 $ Each additional bathroom (over 3) $107.00 $ Each additional kitchen (over 1) $107.00 $ Residential firesprinklers includes pitan 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, waterline $86.00 $ 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 his. x fee per hr.) $82.00 $ Each additional inspection: (1) $82.00 S 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) (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ v (D) Technology Fee (5% of [A]) $ ! (E) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through E): $