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Home My WebLink AboutPermit Plumbing 2014-08-22GFIELD 225 Fifth St V;'�—O CITY OF SPRINGFIELD Springfeld,OR 97477 �arPhone:541-726-3753 REGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01834 % w apdngfeld-orgov permitcenlef@springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/22/2014 EXPIRES: 02/17/2015 STATUS DATE: 08/22/2014 APPLIED: 08/22/2014 SITE ADDRESS: 418 A ST, Springfield, OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703353102700 TYPE OF STRUCTURE: Commercial ROJ E-G'FD E-SCRIP"ON*Re d i re ct-d owns p outran d -a dd-3-catch-basi nslfloor-drain OWNER: NEIGHBORHOOD ECONOMIC DEVELOPMENT CORP Phone Number: ADDRESS: 212 MAIN ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor FELIX BROS CONSTRUCTION INC CCB 194314 06/20/2015 541-337-1143 _...__..._.��,--— Plumbing Contractor ___.._....__�.___—______..__.__— _.._.....__...... FELIX BROS CONSTRUCTION INC CCB ____.-..—_�—_.____... 194314 06/20/2015 541-337-1143 INSPECTIONS REQUIRED Inspections 3120 Underground Plumbing Underground Plumbing: Prior to filing the trench and including required testing. 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 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. Owner or Contractor Signature AT fENTION! Oregon law requires you to by the Oregon Utility follow rules adopted h OAR9501-001- h 52 001• Notification01ter. pihrouglesaresetfort in OAR 952,0obtain copies Olthe r y 0090. You may Note: the telephone calling the center. ton e' it2y0N4o4 1'ication numberGenter isthe 01 500-332' zz 2ot�1 Date '�WtiwORK It`s 1 �C� � G� �XP1Rti 1F p111i 1S N0� 1S PE�NU� �N�EFt `�A PON�O FOR t11p10F1ZED ORIS F ND t;01vf1�4ENUE� pDR10D. >,1,1Y 1 i50 D Springfield Building Permit 6/22/2014 1:29:30PM Page 1 of i F ELD CITY OF SPRINGFIELD , 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 ONEGON 541-726-3753 811 -SP R2014-01834 w i.spdngfield-or.gov 418 A ST permitcenter@springfield-orgov RECEIPT NO: 2014001858 RECORD NO: 811-SPR2014-01834 DATE: 08/22/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Catch basin or area drain 224-00000-425603 1005 63.00 Continuing Education Fee 224-00000-425606 2.50 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 17.76 Storm Sewer 224-00000-425603 1005 85.00 Technology fee (5% of permit total) 100-00000-425605 2099 7.40 TOTAL DUE: 175.66 PAYMENT TYPE PAYOR CASHIER: DDOWLSBY COMMENTS Credit Card max boles 175.66 07767d TOTAL PAID: 175.66 Plumbing Permit Application ♦ FAX(541)726-3689 DEPARTMENT USE ONLY SPRINGFIELD 1 Permit no.: 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 I ❑ Government I k Commercial JOB SITE INFORMATION AND LOCATION Job site address: 14 Ig A— City: SPl F1E(D State:pti ZIP: Reference: 17 6 1 Taxlot.: d Z-70 (L) DESCRIPTION OF WORK.' Manufactured dwelling or pre -fab (circle one) SA?OVTe3 tS fl 57, JD�WSSC 3([oc PROPERTY OWNER Name: L C 0 Address: 2 641'' City: S �� '�i�qqS State: � 1t_ I ZIP:C 76 7 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 Businessname: Address: -L G cA ovNC : ZO. City: C C ( State: IJR ZIP:q 101 Phone$NI-537- 1113 Fax: E-mail: CCB license no.: A cl3 1 tj BCD license no.: Plumbing license no.: Printname: ��( i\lozrW� Signature: e 0°'1 W4 /�D"1 440-2500-J (5/21!2014/COM) FEE SCHEDULE DescriptionQty Cost ea. Total cost New residential I bathroom/1 kitchen (includes: first 100feet ofwaterlsewer lines, hose $268.00 $ bibs, ice maker, underfloor low -point drains and rain -drain packages) 2 bathrooms/I kitchen $420.00 $ 3 bathrooms/l kitchen $494.00 $ Each additional bathroom (over 3) $107.00 $ Each additional kitchen (over 1) $107.00 $ Residential firesprinklers includes p1lan review 0 to 2,000 square feet $82.00 $ 2,001 to 3,600 square feet $131.00 $ ,3,60 1 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 $g2,00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee $82.00 $ Each fixture $21.00 $ Misc us fees 00' sto ewer, water line $86.00 $ Each fixture, appurtenance, and piping $21.00 $KT 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 $ (Minimum Permit Fee $82.00) (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ 7 (D) Technology Fee (6% of [A]) $ VC) (E) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through E): $ /i�'Z"