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Home My WebLink AboutPermit Plumbing 2014-08-20OWNER: DENOUDEN ALLEN J & ALISSA B ADDRESS: 1402 L ST Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Plumbing Contractor OWNER CCB 000000 08/01/2025 Inspections 3200 Sanitary Sewer INSPECTIONS REQUIRED Sanitary Sewer Line: Prior to filling trench and including required testing. By signature, I stale 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. 1 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. klt'rlll�.041L J"&=- - Owner or Contractor Signature requires you 10 ON: Orenon la the Oregon Utility �TTENTI adopted by Safest) forth folio%N runes enter. Chose ruh OAR 952-001• Notiticatlon p0A.0010 throngs 0i the Vules Y in OW 90 rnaY Obtain cep the tetep OOC011ing ibe center. (ontUiility Notiitcati0o number for the O1 1300.332 2314), Center is ,iCJ �r Date VVNORK � 1G �\MI (SNFL1 oviia R�1t1N), �ilTF1� ,12ED OOR IS PBANDO�CD POR �,(JC,IiCNO�Y ?O\OD. .r l}p DP Springfield Building Permit 8/20/2014 12:04:51PM Page 1 of 1 N�OR 225 Fifth St i;—' CITY OF SPRINGFIELD Springfield,OR97477 Phone: 541-726-3753 EGON Building /Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01807 ww .springfield-ocgov perm lice nterQspringfield-or.gov PROJECT STATUS: Issued ISSUED: 08/20/2014 EXPIRES: 02/15/2015 STATUS DATE: 08/20/2014 APPLIED: 08120/2014 SITE ADDRESS: 1402 L ST, Springfield, OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703253305000 TYPE OF STRUCTURE: Residential OWNER: DENOUDEN ALLEN J & ALISSA B ADDRESS: 1402 L ST Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Plumbing Contractor OWNER CCB 000000 08/01/2025 Inspections 3200 Sanitary Sewer INSPECTIONS REQUIRED Sanitary Sewer Line: Prior to filling trench and including required testing. By signature, I stale 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. 1 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. klt'rlll�.041L J"&=- - Owner or Contractor Signature requires you 10 ON: Orenon la the Oregon Utility �TTENTI adopted by Safest) forth folio%N runes enter. Chose ruh OAR 952-001• Notiticatlon p0A.0010 throngs 0i the Vules Y in OW 90 rnaY Obtain cep the tetep OOC011ing ibe center. (ontUiility Notiitcati0o number for the O1 1300.332 2314), Center is ,iCJ �r Date VVNORK � 1G �\MI (SNFL1 oviia R�1t1N), �ilTF1� ,12ED OOR IS PBANDO�CD POR �,(JC,IiCNO�Y ?O\OD. .r l}p DP Springfield Building Permit 8/20/2014 12:04:51PM Page 1 of 1 LPRNGI]ELID - CITY OF SPRINGFIELD 225 Fft St , �>„TRANSACTION RECEIPT Spnngfield,0R97477 OREGON 541-726-3753 811-SPR2014-01807 w v.spnngfield.or.gov 1402 L ST permits nter@spnngfield-or.gov RECEIPT NO: 2014001824 RECORD NO: 811-SPR2014-01807 DATE: 08/20/2014 DESCRIPTION ACCOUNT CODE/TRANS 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 PAYMENTTYPE PAYOR 'CASHIER: DsowLSSY COMMENTS '. AMOUNT PAID michelle m graves 1855 TOTAL PAID: 101.95 Plumbing Permit Application 1)726-3753 4 FAX(541)726-3689 SPRINGFIELD � y a DEPARTMENT USE ONLY Permit no.: CyS� �!/ �- I? d / 7 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 esidentiat I ❑ Government I ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: City: l a ( State: ZIP: 1 Qj Reference: %7 S 33 Taxlot.: 0 S oo d DESCRIPTION OF WORK L-( A -C -C` 7S'� -5-t ✓G/L t w6 Connections to building sewer and water supply PROPERTY :'OWNER Name: Address: City: S State: L)k ZIP:9147?) Phone: E-mail- l v lFS @ n- Cnti 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 requiremetut under OAR 918-695-0020. Signature: c CONTRACTOR IN TAL ATION 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 Qty Cost ea. Total cost New residential 1 bathroom/1 kitchen (includes: first 100feetofwaler/sewer lines, hose $268.00 $ bibs, ice maker, underfloor low -point drains and rain -drain packages) 2 bathrooms/I kitchen $420.00 $ 3 bathrooms/I 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 $ 'cellaneous fees 5- 100 o sewer vater line $85.0 $ 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 I00 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]) $ oLo (D) Technology Fee (5% of [A]) $ tl / (E) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through E): I $ gs-