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Home My WebLink AboutPermit Plumbing 2014-09-30SPRINGFIELD --- k is ` OREGON wvnv. spnngfieldor.gov Building / Residential Permit PERMIT NO: 811-SPR2014-02115 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 09/30/2014 EXPIRES: 03/29/2015 STATUS DATE: 09/30/2014 APPLIED: 09/30/2014 SITE ADDRESS: 1120 FAIRVIEW DR, SPC# 45, Springfield, OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703273100600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 1 plumbing fixture (washing machine) repair due to fire. OWNER: RODRIGUEZ CYNTHIA Phone Number: ADDRESS: 4087 S E ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie 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 workdescribedherein, 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. 1 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. / v er or Contractor Signature Oregon law requires you to ATTENTI®N ted by the Oregon Utility ill follow rutes adop poi r 1 0010 through OAt-i J�2" Notification Center. Those ruleot the 5 Zee by In OAR J�2.00 0090. You may obtain copic rt le,.none calling center. (Note in the Ut,tlty I t�6tication number for the Oregon Center is t-1300 UJ213%I `t) Date IS PERMIT SHALL EXPIRE IF THE WORK 11OR17FO UNDER THIS PERMIT IS NOT ;,PiTI\ICED OR IS ABANDONED FOR �0 DAY PERIOD. Springfield Building Permit 9/30/2014 4:10:39PM Page 1 of 1 SPRINGFIELD-- CITY OF SPRINGFIELD 1 TRANSACTION RECEIPT 225 Fifth St i Springfield.OR 97477 vv "`- OREGON 811-SPR2014-02115 541-726-3753 v .spdngfieldacgov 1120 FAIRVIEW DR, SPC. 45 permitcenter@spdngfield-ocgov RECEIPT NO: 2014002161 RECORD NO: 811-SPR2014-02115 DATE: 09/30/2014 a,..S I A U 1 1 U Plyffil " Balance of Minimum Plumbing Permit Fees 224-00000-425603 1005 61.00 Clothes washer Continuing Education Fee 224-00000-425603 1005 224-00000-425606 21.00 2.50 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 9.84 Technology fee (5% of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 98.44 TOTAL PAID: 98.44 Plumbing Permit Application SPSINGPiELG t i. ♦ FAX(541)726-3689 DEPARTMENT USE ONLY Permit no.: 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 Zoning approval verified? ❑ Yes ❑ No Sanitation approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ❑ Residential 10 Government ❑ Commercial JOB SITE INFORMATIONAND LOCATION Job site address: ,4A qS City: Ekn!�QptA IState;r)eZIP: Residential firesprinklers includes plan review ' Reference: Taxlot.: DESCRIPTION, OF WORK'' kkrt-,bin khA� an wk $82.00 PROPERTY OWNE Name: a �i Address: L City State: $ Phon Fax: E-mail r� • t (1 1 This installtylion is being made on residential or farm property owned by r a member of my imme iate famil , and is exempt fr nsi cereq nts der OA 8-695-0021 Signatu e: ONT ACT R INSTALLATION Business name: Address: City: iAI)f G�: at ,o �WDRK Phone: I I' `' F. S 'ERNIIT IS NOT E-mail: ; . - ABANDONED FOR CCB licens c AYI0ZrD license no.: Plum i g license no.: rint name: Signature: rnr to t ATI GNT101 1 01-0", ;I 1 " 01 eJon Utility fallow ru41 adW h OAft 952-00'- S Notificntir�l� p�10 thr�uy i are set tort in OAR 952 -O()' -obtain copies of the rules by 0090. Yet, he center. (Note: the telephone oailinq on Utility Notihcation num332 2344)• number for the Oreg Center is 1.800 440-2500-J (5/2 /2014/COM) FEE SCHEDULE Description Qty, Cost cowl New residential 1 bathroom/] kitchen (includes: first 100feet ofwater/sewer lines, hose —F$268 bibs, ice maker, underfloor low -point drains and rain -drain packages) 2 bathroomsll kitchen $420.00 $ 3 bathrooms!( 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 $261.00 $ Mnnufactured dwelling or pre -tab (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 1 $ Miscellaneous fees 100' storm, sewer, waterline $85.00 $ Each fixture, appurtenance, and piping $21.00 $ Storm water retention/detention facility $21.00 $ Irrigation systems $21.00 $ Piping or private storm drainage systems exceeding the 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.) $g2,00 $ 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. $ CANT USE-` ' (A) tot (Min mrmafabo ee $ Fee (B) Invest( tivaX4c-oqua ]) $ (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 E): $