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Home My WebLink AboutPermit Plumbing 2014-09-16SPRINGFIELD -- 225 Fifth St #' - CITY OF SPRINGFIELD Springfield,OR 97477 s Phone: 541-726-3753 ..,.._._„-. OREGON Building If CommercialPermit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01999 w apdngfield-ocgov permitcenter@springfield-ocgov PROJECT STATUS: Issued ISSUED: 09/16/2014 EXPIRES: 03/15/2015 STATUS DATE: 09/16/2014 APPLIED: 09/16/2014 SITE ADDRESS: 1275 MILL ST, Springfield, OR 97477 SCOPE: Commercial Miscellaneous ASSESOR'S PARCEL NO: 1703263300800 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Backflow installation for landscape. OWNER: SALVATION ARMY Phone Number: ADDRESS: PO BOX 8798 PORTLAND OR 97208 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Landscape Contractor GREEN ACRES LANDSCAPE INC CCB 198925 02/05/2015 503-399-8066 INSPECTIONS REQUIRED Inspections 3620 Backfiow Device Backfiow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 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 Safely. 1 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 �4 Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-OOi-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). THIS PERMIT SHALL EXPIRE IF THE WORK AH 1-11ORIZED UNDER THIS PERMIT IS NOT COMIMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 9/16/2014 11:30:07AM Page 1 of 1 '" 811-SPR2014-01999 CITY OhSPRINGFIELD LI'NGFIELD RECEIPT 225 Fifth Sl Springfield,OR97477 ��,TRANSACTION Backfiow preventer 224-00000-425603 `* ONEGON 811-S P R2014-01999 541-726-3753 www.spdn9field-ocgov 1275 MILL ST permits nter@spdngfield-ocgov RECEIPT NO: 2014002045 RECORD NO: 811-SPR2014-01999 DATE: 09/16/2014 DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE Backfiow preventer 224-00000-425603 1005 21.00 Balance of Minimum Plumbing Permit Fees 224-00000-425603 1005 61.00 Continuing Education Fee 224-00000-425606 2.50 State of Oregon Surcharge (12% of applicable fees) 621-00000-215004 1099 9.84 Technology fee (5% of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 PAYMENT TYPE PAYOR CASHIER: RHOLIVIAN COMMENTS AMOUNT PAID Credit Card Richard P. Kansky / Green Acres 98.44 08507G Landscape TOTAL PAID: 98.44 Sep. 12. 2014 9:33AM Green Acres LandScape Inc No. 2519 P. 1 Plumbing Permit Application DEPARTMENT USE ONLY SP81NGfiELD pemtit no.: I�225 110 Slr«t * $pringfidd, OR 97477 r PH(541)726.3753 / PAX(541)726-9689 6c�lyEOON -Date; This permit Is Issued oniter OAR 978.780.0060. Permits nre issued only to the pot -son or contrnelor doing the worts. Permits expire If worts is not starled within 180 days of issuance or if work Is suspended for Igo days. LOCAL GOVERNMENT APPROVAL Zoning Approv0l verified? ❑ Yes ❑ No Sntlllation In Verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION Ll Residential I Lj Government Commercial J013 SITE INFORMATION AND LOCATION Job site address: 5 City; q State: ZIP: -IJ Reference: 33 TAXIot•; DESCRIPTION OF WORK Each additional kitchen (over 1) $104.60 PROPERTY OWNER Nome: Address:T City; Slate: 2tfq (] " Phone: Fax; E-mail: This installation is being made on residential or farm property owned b)` me ora member of my Immediate (amity, and is exempt Goin licensing requirements under OAR 918-695-0020. Signature: CONTRACTOR INSTALLATION Business name: Address: City;State; ztp:ql Phone: ) 'J t l' ULixo I Fax: 553 E-mail: �� C� '(Rv�Y1QC11Q� C,C CCB license no.: license no.: ' Plumbing license no,; Print name; SigOanue: fixture 440-2500-J (4100131COM) FEE SCHEDULE Description Qly, eat cosil New residential I bathrooniil kl(ohen(facludes:fnrer 100feel ofu•aler/semer)tner,h"e 3262.00 bibs, ice nmkkr, nnd0loor boll pnlnr d, ofo r and rain -drain packages) S 2 balhroomsli kitchen $411,00 S 1 bathroonts/1 kitchen $403.0D $ $ Each addilionol bathroom (over 3) $104.60 Each additional kitchen (over 1) $104.60 $ iiesldenlinl Ores rinkim'4 Inolades IAnreviety 0 to 2,000 square feet SeOAo $ 2,001 to 3,600 sgoore feet $120.00 $ 3,601 to 7,200 square feet 5192.00 S 7,201 square feet and greater $255.00 $ hlnnufoetured divelling or prefab (circle one) Connections tobutldfngsewcrand Water Supply $00.00 $ Commercial, Industrial, and dwellings other than ane- or two-fnmll Minimum feeEach fixture $21.00 S Miscellaneous fees 100' storm, sewer, water line $83.60 S Each fixture, appurtennnee, And piping $21.00 S Storm water relviudoNdetehilon fnelfiry $21.00 $ Irrigation systems S21A0 SL Piping or private storm drainage - sIemseSceedln lheOrsllOOfeel $21.00 S Specially fixtures $21.00 $ Relnspeclfon (no, of hrs. x fee per he) Special reques(ed Inspections (no. of hrs. x fee per hr.) $00.00 S $oo.ao S Cnch addillounl Inspection; (1) $80.00 S hledlcAl gas piping Minimum tej $ Enter value of tuslnllalion mid equipment $ _. Enter fee based on installation end equipment vuloe. $ APPLICANT US (A) Emcr sublotal of abort fees (b)inimumPerndtPeeS8006) IV,OU $ OCJXCr1 (B) Ineesilgntive fee (equnl to [A]) $ (C) Enter 12%surcharge (,125 (A+D)) $ ` (D) Technology Fee (5%of[AD TOTAL fees find sureharges (A through b)t $ i