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Home My WebLink AboutPermit Plumbing 2014-09-19SPRINGFIELD" r�y CITY OF SPRINGFIELD Building / Residential Permit PERMIT NO: 811-SPR2014-02043 www. spdngfield-or.g ov 225 Fifth St Springfeld,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 09/19/2014 EXPIRES: 03/18/2015 STATUS DATE: 09/19/2014 APPLIED: 09/19/2014 SITE ADDRESS: 808 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: PROJECT DESCRIPTION: SCOPE: Plumbing Only 1703352109900 TYPE OF STRUCTURE: Residential Replace sewer line- easment reuired to cross property to the north OWNER: KAY THEODORE S & NANCY L ADDRESS: 808 STH ST Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor READY ROOTER DRAIN CLEANING & REPAIR SERVICE I CCB 92524 02/18/2015 541-744-7991 Inspections 3200 Sanitary Sewer INSPECTIONS REQUIRED Sanitary Sewer Line: Prior to filling trench and including required testing. 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. Owner or (j60(actor Signature INC -i IC[ TI 1IS PERMIT SNAIL EXPIRE IF THE WORK AU I-Ii0RIZED UNDER PHIS PERMIT IS NOT COMIMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ?'o Date AT TEN1l )N, Oregon law requires you 10 follow ru166 adopted by the Oregon Utilityth or Notification Center. Thoso & S are SetOAR 952�001- in OAR 952.001 oh`a. copies of the rules by 0090. You may calling the center. (Note: the telephone on Utility NotiiicaillOn number for the Oreg Center is 1.800-332 2344)• Springfield Building Permit 9/19/2014 2:28:31PM Page 1 of 1 SPRINGFIELD CI"I'Y OP SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 s „ ONEGON 641-726-3753 811-S P R2014.02043 vw .sprmgfield-ocgov 808 5TH ST permit"nler@springfield-oT.gov RECEIPT NO: 2014002092 RECORD NO: 811-SPR2014-02043 DATE: 09/19/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Continuing Education Fee 224-00000-425606 2.50 Sanitary sewer 224-00000-425603 1005 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 85.00 10.20 Technology fee (5% of permit total) 100-00000-425605 2099 4.25 TOTAL DUE: 101.95 `PAYMENTTYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID Credit Card David Allen Nichols 101.95 00629d TOTAL PAID: 101.95 Plumbing Permit Application SPSINGFUILDt <+.g t F I Y Pennit no.: (7 tfi A) t d 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 ❑ Commercial JOB SITE INFORMATION AND LOCATION' Job site address: 8,deS S� City: $ r .r 1,914State , ZIP:y/�7 Reference: Taxlot.: DESCRIPTION.' OF WORK' (A: SeujLQ- Manufactured dwelling or pre -fab (circle one) PROPERTY,O NER Name: Address: City: State: ZIP: Phone /- f 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: d Address: o5 L(Pt/v- 9a 9 City: AV -P- State:O ZIP: Phone:Y(- f/ _7QJ %� Fax: E-mail: CCB license no.: ,2 j BCD license no.: Plumbing license no.: Print name: Signature �// It -�/ 440-2500-J (5/21/2014/COM) FEE SCHEDULE Description , Qty Crea.osh Toostta' .c. New residential 1 bathroom/] kitchen (includes: first 100feet ofwater/sewer lines, hose $266.00 $ bibs, ice maker, underfloor low point drains and rain -drain packages) 2 bathrooms/t kitchen $420.00 $ 3 bathrooms/] kitchen $494.00 $ Each additional bathroom (over 3) $107.00 $ Each additional kitchen (over 1) $107.00 $ Residential tiresprinklers includes pl a 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 $ Miscellaneous fees 100' storm, sewer, water line / $85.00 $ 1 Each fixture, appurtenance, and piping $21.00 $ Storm water retention/detention facility $21.00 $ Irzigation systems $21.00 $ Piping or private storm drainage systems exceeding the first 100 feet $21.00 $ Specialty fixtures $21.00 $ Reinspection (no. of his. x fee per hr.) $82.00 $ Special requested inspections (no. of his. x fee per hr.) $82,00 $ Each additional inspection: (t) $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]) $ e (D) Technology Fee (5% of [A]) $ t/7) (E) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through E): $/6, r