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Home My WebLink AboutPermit Plumbing 2014-08-26W100 GFIELD 225 Fifth St F CITY OF SPRINGFIELD Springfield,OR97477 r�i�Phone: 541-726-3753 REGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01852 1+ nva.springfield-or.gov permitcenler@spdngneld-ocgov PROJECT STATUS: Issued ISSUED: 08/26/2014 EXPIRES: 02/21/2015 STATUS DATE: 08/26/2014 APPLIED: 08/26/2014 SITE ADDRESS: 130 F ST, Springfield, OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703352204700 TYPE OF STRUCTURE: Residential OWNER: CERTIFICATEHOLDERS CWABS INC Phone Number: ADDRESS: 400 NATIONAL WAY SIMI VALLEY CA 93065 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lic No Lie Exp Phone Plumbing Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 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 locgledlat the front of the property, and the approved set of plans will remain on the site at all times during or Contractor Ott to /V/ eon taw to Ote )0 etiot\h p� CENSION'• 01 ge by th es arO se oo - y adop d ose rut g 1 kes NoiNtc ' Ce 1 pblp 1hCop �; �Ptetel �O; e lin 9p YoU ma�enter, l on �lrlity �tw' OOee\\ IQ For the Ort goo -332,23 nnmbe Genter is Date 1F �HEwORK N1S PERWl S l 01 1S PEPIM�T UNDER NDONED F fl FIDPJZED OR is pRA rll,lt�4ENGED PERIOD• ,rly 'i SO DA Springfield Building Permit 8/26/2014 10:28:40AM Page i of 1 LINELD "' CITY OF SPRINGFIELD 225 Fifth St fTRANSACTION RECEIPT Sp ngfield,OR97477 OREGON 541-726-3753 811-SPR2014-01852 wvnv.springfield-ocgov. 130 F ST permiho nler@spdngfield-ocgov RECEIPT NO: 2014001876 RECORD NO: 811-SPR2014-01852 DATE: 08/26/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE' Continuing Education Fee 224-00000-425606 2.50 Minimum Plumbing Fee (Three or Fewer Fixtures) 224-00000-425603 1057 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 82.00 9.84 Technology fee (5% of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 PAYMENT TYPE PAYOR CASHIER: DBOWLSBY COMMENTS AMOUNT PAID Credit -Card Wayne Krieger - - ----- _ - 98A4 794673 TOTAL PAID: 98.44 Plumbing Permit Application 225 FiPoi Street ♦ Springfield, OR 97477 DEPARTMENT USE ONLY SPHINGFIELO l Permit no.: c)p y / 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 I FEE SCHEDULE 440-2500-J (5/21/2014/COM) New residential I bathroom/I kitchen (includes: fil I00 feet ofwater/sewer lines, hose bibs, ice maker, underfloor low po drains and rain -drain packages) 2 bathrooms/1 kitchen 3 bathrooms/lkitchen Each additional bathroom (over 3) Each additional kitchen (over 1) $268.00 1 $ 0 to 2,000 square feet Zoning approval verified? ❑ Yes ❑ No Sanitation approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ,[2f Residential ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: Q fi City: State: Q ZIP: "7' / Reference: %Q3� S_ZZ Taxlot.: Q 76b DESCRIPTION, OF WORK" 7 PROPERTY OWNER' Name: Address: / ,30 City: (Stat ZIP: Phoma 0 Fax: E-mail: �O Uv oo C, This installation is being*fade on residential or farm property owned by me or ampribmliof my immediate family, and is exempt from licensfig r uirements under OAR 918-695-0020. Signature: G NTRACTO LLATION 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) New residential I bathroom/I kitchen (includes: fil I00 feet ofwater/sewer lines, hose bibs, ice maker, underfloor low po drains and rain -drain packages) 2 bathrooms/1 kitchen 3 bathrooms/lkitchen Each additional bathroom (over 3) Each additional kitchen (over 1) $268.00 1 $ 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 prefab (circle one) Connections to building sewer and water supply $82,00 $ Commercial, industrial, and dwellings two-family other than one- or Minimum fee $82.00 $ Each fixture $21.00 1 $ 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 t00 feet $21.00 $ Specialty fixtures $21.00 $ Reinspection (no. of his, x fee per hr.) Special requested inspections (no. of his. x fee per hr.) Each additional inspection: (1) Y $82.00 $82.00 $82.00 $ $ $ Medical gaspipin>i Minimum fee $ Enter value of installation and equipment $ _. Enter fee based on installation and equipment value. $ (A) Entersutotal-ofabevefees---.. ( mimum Permit Fee $82.00) G $ p (-B)-investigativefee (equal to.[A])-- $ (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 El: I �" — till