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Home My WebLink AboutPermit Plumbing 2014-10-02SPRINGFIELD - " CITY OF SPRINGFIELD t i Building / Residential Permit PERMIT NO: 811-SPR2014-02137 v .springfield-or.gov 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 1 010 2/2 01 4 EXPIRES: 03/31/2015 STATUS DATE: 10/02/2014 APPLIED: 1010212014 SITE ADDRESS: 546 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703352405500 PROJECT DESCRIPTION: Replacing water line from home to meter. OWNER: BESWICKJULIA ANN RRICHARD ADDRESS: 546 N 5TH ST SCOPE: Plumbing Only TYPE OF STRUCTURE: Residential Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Plumbing Contractor JOHN THE PLUMBER INC CCB 107810 07/24/2015 541-6864888 INSPECTIONS REQUIRED Inspections 3315 Water Line By signature, 1 stale 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 perm; on of the Community Services Division, Building Safety. I further certify that only contractors and employees who an 'n pliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are re sled a proper time, that each address is readable from the street, that the permit card is located at the frgfit of the pro , a e approved set of plans will remain on the site at all times during construction. / or Contractor Signature to Ovv uTION; Or Nofitic /es adopted ht l w requires In OgR`95 Center rhoy the ore You to OOgp You 2001-b throe9tti0 ar.eso��rhty ca11it) e ay obtain oo qR gsO forth nOrnbor for th�nter. (Not1e: 1/ °i tifili��luoe 1 . Center isOire800 332123�f0tificatl n Y zI Date TICE: i1S PERMIT SHALL EXPIRE IF THE WORK i NORI7_ED UNDER FFiIS PERMIT IS NOT i 1ENUO OR IS ABANDONED FOR 0 DAY PERIOD. Springfield Building Permit 10/2/2014 11:09:41AM Page 1 of 1 SPRINGFIELD ----- CITY OF SPRINGFIELD 225 Fah St TRANSACTION RECEIPT 8pdngfie1d,0R97477 OREGON 541-726-3753 811-SPR2014-02137 w .spdngfieldor.gov 546 5TH ST permitcenter@spdngrield-or.gov RECEIPT NO: 2014002179 RECORD NO: 811-SPR2014-02137 DATE: 1 0/0212 01 4 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 8930 TOTAL DUE: 101.95 TOTAL PAID: '101.95 Plumbing Permit Application SPRINGFIELD DEPARTMENT USE ONLY [ OilV Permit no.: 225 Fifth Street Springfield, OR 97477 PH(541)726-3753 ♦ FAX(541)726-3689 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 esidential I ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION:- Job site address:% City: ;, State: (J ZIP: v( 74 Reference: Taxlot.: f` DESCRIPTION OF WORK" 3,601 to 7,200 square feet $196.00 $ 7,201 square feet and greater $261.00 $ PROP TY :OWNER Name: &7C62rd e W(Lk Address: i T City: State: d (9' �1 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: O A r e M k JA Address:r2 23- 'o City: I State: G 1 ZIP: 9 ?�D Phone:5 00 Fax: E-mail: lOLtvt �ot� Co/tG�l T.!?Q CCB license no.: t / BCD license no.: Plumbing license no.: Print name: &, (.4' ( yh Signature: I v 440-2500-J (5/21/2014/COM) FEE SCHEDULE Description Qty cost cost!' New residential 1 bathroom/1 kitchen (includes: first 100feet of water/sewer lines, !rose $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 pfan 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 -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 $ Miscellaneous fees 100' storm, sewer, water line $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 his. x fee per hr.) $82.00 $ Special requested inspections (no. of firs. x fee per hr.) $82,00 $ Each additional inspection: (1) $82.00 $ Medical gas piping Minimum fee $ and equipment $ Enter value of installation a Enter fee based on installation and equipment value. $ APPLICANT'USE (A) Enter subtotal of above fees Q (Minimum PermitFee$82.00) $ u�0 (B) Investigative fee (equal to [Al) $ (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): $. 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