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Home My WebLink AboutPermit Plumbing 2014-09-08SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 i. Phone: 541-726-3753 oaecorl Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01932 wvnv.springlieldor.gov permitcenler@spdngfield-ocgov , PROJECT STATUS: Issued ISSUED: 09/08/2014 EXPIRES: 03/06/2015 STATUS DATE: 09/08/2014 APPLIED: 09/08/2014 SITE ADDRESS: 1110 18TH ST, Springfield, OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703253406800 TYPE OF STRUCTURE: Commercial -PROJ ECrDESCRIPTI O N---kdding*s i n ksand-on Lavas h ing-machin OWNER: SCHWENDIMAN JOSIE K Phone Number: ADDRESS: 191 ECHO DR ROSEBURG OR 97470 OWNER: SHANE E SCHWENDIMAN FAM CR SHELT TRUST Phone Number: ADDRESS: 7275 GREEN VALLEY RD OAKLAND OR 97462 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lie No Lie Exp Phone Plumbing Contractor BAXTER PLUMBING & ROOTER INC CCB 194034 06/14/2015 541-334-6696 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 located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Q Li Owner or Contractor Signature ATTE=NTION: 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). Date 91S PERMIT SHALL EXPIRE IF THE WORK iHORIZED UNDER THIS PERMIT IS NOT CO':1fvIENCED OR IS ABANDONED FOR hl\!1' 180 DAY PERIOD. Springfield Building Permit 9/8/2014 12:34:OOPM Page 1 of 1 SPFIELD--- CITY OF SPRINGFIELD �^' - i TRANSACTION RECEIPT 6i, 225 FAh St Spdngfield,OR97477 541-726-3753 OREGON 811-SPR2014-01932 w .spdngfield-ocgov 1110 18TH ST permitcenter@spdagfield-ocgov RECEIPT NO: 2014001953 RECORD NO: 811-SPR2014.01932 DATE: 09/08/2014 Clothes washer 224-00000-425603 1005 21.00 Continuing Education Fee 224-00000-425606 2.50 SDC: Improvement Cost - Loral Wastewater 443-00000-448025 1184 500.64 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 1183 1,025.73 SDC: Total Sewer Administration Fee 719-00000-426604 1175 _ 76.32 Sink/basin/lavatory 224-00000-425603 1005 84.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 12.60 Technology fee (5% of permit total) 100-00000-425605 2099 5.25 TOTAL DUE: 1,728.04 P . c C = AI�IIOU T1P;Af0° Credit Card Michael J. Strode 1,728.04 R3719Z TOTAL PAID: 1,728.04 Plumbing Permit Application 225 Fifth Street 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 I I I FEE SCHEDULE 440-2500-J (5/21!2014/COM) New residential Zoning approval verified? ❑ Yes ❑ No Sanitation approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTI N ❑ Residential ❑ Government 0 Commercial JOB SITE INFORMATION AND L ATION. Job site address: City: I State: OZ I ZIP: `2[ L[� Reference: Cei` zt-n �'ZZc' x Taxlot.: DESCRIPTION `OF WORK tI $107.00 PROPERTY OWNER + Name: (,j C l M 1V ^ 1 ]? t^ f Address: Ciry: 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: tact Address: City: State: t j(Z ZIP: Phone: Fax: E-mail: CCB license no.: BCD license no.: Plumbing license no.: C\ 6-q `} Print name: Signature: ��Sl 440-2500-J (5/21!2014/COM) New residential $ $21.00 1 bathroom/l kitchen (includes: firs! 100feet ofwater/sewer lines, hose bibs, ice inaker, underfloor low point drains and rain -drain packages) $268.00 $ 2 bathrooms/] kitchen $420.00 $ 3 bathrooms/I kitchen $494.00 $ Each additional bathroom (over 3) $107.00 $ Each additional kitchen (over 1) $107.00 $ Residential fresprinklers includes tillan review Medical gas piping 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 two-family other than one- or Minimum fee $82.00 $ Each fixture $21.00 $ Miscellaneous fees 100' storm, sewer, water line $85.00 $ Each fixture, appurtenance, and piping $21.00 $ Storm water retention/detention facility 01.on G Piping or private storm drainage systems exceedingthe first 100 feet $ $21.00 $ Specialty fixtures $ $21.00 $ Reinspection (no. of hrs. x fee per hr.) $2.50 $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. $ (A) Enter subtotal of above fees (Minimum Permit Fee $82.00) $ (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.l2 x [A+B]) $ (D) Technology Fee (5% of [A]) $ (E) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through E): I $ '4110,