The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2014-09-15SPRINGFIELD 4 IEL Cj -- ' OREGON www.spnngfield-ocgov PROJECT STATUS: Issued CITY OF SPRINGFIELD Building / Residential Permit PERMIT NO: 811-SPR2014-01987 STATUS DATE: 09/15/2014 SITE ADDRESS: 225 E ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703352304200 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spdngfield-or.gov ISSUED: 09/15/2014 EXPIRES: 03/14/2015 APPLIED: 09/15/2014 PROJECT DESCRIPTION: Replace water line from meter to house. OWNER: LABRECQUE CHRISTER R ADDRESS: 225 E ST SCOPE: Single Family Residence TYPE OF STRUCTURE: Residential Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Plumbing Contractor TOM COPELAND PLUMBING LLC CCB 191507 08/03/2016 509-301-8574 INSPECTIONS REQUIRED Inspections 3315 Water Line 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 properly, and the approved set of plans will remain on the site at all times during construction. Signature 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 num)o fortileer foreIIgon 00 3122344)�flcatfon 9/151 IL+ Date ,IS PLRMIT SHALL EXPIRE IF THE WORK i�,! I I IIORI/ED UNDER THIS PERMIT IS NOT GQ6AP:/iENOL OR IS ABANDONED FOR �N'Y i �0 DAY PERIOD. Springfield Building Permit 9/15/2014 11:64:22AM Page 1 of 1 NGFIELD - CITY OF SPRINGFIELD Vim— TRANSACTION RECEIPT 225 FHth St Springfieid,OR97477 OREGON 811-S P R2014-01987 541-726-3753 wmspnngfield-ocgov 225 E ST permits nler@spnngfield-ocgov RECEIPT NO: 2014002032 RECORD NO: 811-SPR2014.01987 DATE: 09/15/2014 DESCRIPTION ACCOUNT CODE/TRANS OODE AMOUNT DUEL Continuing Education Fee 224-00000-425606 2,50 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 Water Line 224-00000-425603 1005 85.00 TOTAL DUE: 101.95 PAYMENTTYPE PAYOR CASRIER:RHOLMAN COMMENTS AMOUNT PAID Check Christer Labrecque 101.96 1575 TOTAL PAID: 101.95 Plumbing Permit Application DEPARTMENT USE ONLY SPRINGFIELD F k ` Permit no.: z Date: GJ U 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 10 Commercial JOB', SITE INFORMATION AND LOCATION Job site address: City: \ State: 6\2 ZIP: CL -Il f Reference: 33 j' 2 3 Taxlot.()L( DESCRIPTION, OF WORK' &Y-\ Manufactured dwelling or pre -fab (circle one PROPERTY' OWNER Name: Address: City: Sp,( State: Minimum fee Phone:- jON Fax: E-mail: \(n (e0 0,o ','\0 COti/v This installation is being mhde on residential or farm property owned by me or a member of my immediate family, and is exempt from licens' g re ' ement nder OAR 918-695-0020. Signature: CONTRACTOR INSTALLATION Business name: - m Cope, o Address: City: State: ZIP: Phone: C Zj -g Z1 Fax: E-mail: d , WV" CCB license no.: BC6 license no.. Plumbing license no.: Print name: C ICS Signature: 440-2500-3 (5/21/2014/COM) FEE_ SCHEDULE DescriptionQt , y , Cost ea. Total cost New residential 1 bathroom/] 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/1 kitchen $494.00 $ Each additional bathroom (over 3) $107.00 $ Each additional kitchen (over 1) $107.00 $ Residential firesprinklers includes plan 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 $281.00 $ 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 1 $ Each fixture 1 1 $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 exceedingthe 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.`USD� ' (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]) $ ' (D) Technology Fee (5% of [A]) $ i (E) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through E): $ I -