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Home My WebLink AboutPermit Plumbing 2018-09-21U(!\rUN Web Address: www.springfield-or.9ov Building Permit Residential Plumbing Permit Number: 81 1 -18-002264-PLM IVR Number: 811040832750 City of Springfield Development and Public Works 225 Flfth Street Sprinqfield, OR 97477 541-7 26-37 53 Email Address: permitcenter@springfield-or-gov SPRIr{Gi:IELO Permit lssued: Septembet 21 ,2018 Category of Construction: Single Family Dwelling Submitled Job Value: S0.00 Description of Work: Backflow Type ol Work: New Worksite address 6463 DOGWOOD ST Springfield, OR 97478 Parcel 170234430240A Owner: Address: PROGRESSIVE DESIGN BUILDERS INC PO BOX 727 ALBANY. OR 97321 Businegs name SCHAEFER & SON INC - Primary License UUI' License number 136128 Phone 5414514946 lnspection 3620 Backflow Device lnspection group Plumb Res lnspection status Pending Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project. Schedule or track inspections at www.buildingpermits.oregon.gov Schedule by phone cal IAAA-299-2A21 use IVR numbe( 811040832750 Schedule using the Oregon ePermitting lnspection App, search'epermitting' in the app store Fee Descriptign Technology Fee Backflow preventer Balance of minimum permit fees - plumbing State of oregon surcharge - Plumb (12olo of applicable fees) Quantity Total Fees: Fee Amount $4.9s $24.00 $7s.00 $ 11.88 $ 115.83 1 Permits must be posted in clear view on the worksite. Permits expire iI work is not started wilhin 180 Days of issuance or if work is suspended for 180 Days or longer depending on the issuing agency's policy- Allprovisions of laws and ordinances goveming this lype of wo.I yyill b€ complied with whetherspecified herein oa not. Granting ot a permit does not pres!me to give authority lo violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTENTION - CALL BEFORE YOU DIG: Oregon law requi.es you to follow rules adopted by the Oregon Utilit Notiric6tion Center. Those rules are set fodh in OAR 952-00l{010 through OAR 952{01.0090. You may obtain copies of the rules by calling the Center at (877) 668-4001 or dial 81 1. All peFons or entities performing work under this permit are req!ired lo be licensed unless erempted by ORS 701.010 (StructurauMechanical), ORS 479.5/10 (Elect.ic.l), and ORS 693.010{20 (Plumbing}. Pnnted on: 9/21118 Page 1 of 1 std_BuildrngPermit_pr TYPE OFWORK JOB SITE INFORMATION LICENSED PROFESSIONAL INFORIIATION PENDING INSPECTIONS SCHEDULING INSPECTIONS PERi,IIT FEES r#x Transaction Receipt 811-18-00226/LPLt Receipt Numbo.:,15E112 Receipt Date: 9/21l18 Ciiy ot SpnngneE ww spring,leld-or.gov Erevelopment and llblic works 225 Firli Steet Spnngfi€rd. oR 97477 54t-726-3753 pemitc.nter@springfi erd-or.qov Vvorksrc address:6463 OOGV\OOO ST, Springfield, OR 97478 Parcelt 17O2U43O24OO Fees Paid 9121t18 9121t18 gt21na Unit! 1.00 Qty 1.00 Aulomatic 10O Ea 224-000@42560+ 1 034 22+000@-4256031 034 821 -0000G21 5004-0000 s24.00 s75.00 $11 88 124.00 $75.00 $11 88 Balance olminimum penni lees - plumbing Siale of Oregon Surcharge - Piumb (12% ol 9t21t1A 1.00 Automalic Technoloqy Fee s4.95 $4.95 Credil cErd rulhorizalion: 053715 Payer: richard schaeter $115.83 Cashier: Kakina AndeEon $t 15.83 FrN-Tr.nkimR@iplJ, 1 00,00000-425605-0000 Crrv op SpRrNcrrrl.o, OnrcoN Plumbing Permit Application sPhrNcFrELo rli .... Itffi 225 FiftI Street . Sprinsfield, OR 97477 . PH(541)726-3153 . FAX(54i)726-3689 I Residential I Govemment ! Commercial JOB SITE INFORMATIOT{ AND LOCATION Job site address I bathrooms./l kilchenclo 3 bathrooms,'l kitchen 3.601 to 7.200 square feel s235.00 S I xa-e y'tt Zei)r.r a Address Citr E-mai1 This installation is being made on residential or farm propeq owned b) me or a member of m) immediate famill. and is exempt from licensing requirements under OAR 918-695-0020 si!11ature Business name All- sarxJr' pJ z ArDs<r e Address J i..,J i, r+Ei I Stare:O ra I Zff ,7ZTf,I- Manufsctllred drx fab (circle one) Commerci.l, itrdustrial, and dwellings other tbaD obe- or twcfamil\' Minrmum fee s99.00 s Each fixrue s24.00 Miscellaneous fees l00 storm- sewer. water line Slonn water retentiotudetention faciliq, Irrigarion systems.Eackfl o\^ s24.00 s24.00 S s s s Piping or private storm drainage svstems exceed the firsl I00 feel Speciaft,\ fixtules Reinspecrion (no. of ins. x fee per hr.)s99.00 Special requested inspections (no oI hrs x fee per hr.) Eech additional inspection: ( I )$99.00 Enter value ofinstaliation and equipmed $ _ Enter fee based on installation and equipment value s -4 t- Das I PhortrNl 4.rl t/11/(.Fax s l--marl N.L . rs )!)|\^<, Plumbing license no Print name: 5N. a,. Sci{Ae-lir-A (A) Enter subtotalofahove fees (Minimum Permit Fee $99.00)s i (B) tnvestigative fee (equal to [A]) (C)Enter 12yi, sucharge (.11x [A'Bl) 7S DEPARTMENT USE ONLY Dare 1a T IL€ LOCAL GOVERNMENT APPROVAL Zoning approvai verified? [ Yes E Xo Sanitation approval verified? ! Yes E No CATEGORY OF CONSTRUCTION Ta)ilot. Jt FECit\ Reference DESCRIPTION OF WORK Ealqamszz,- fi'At*t?-o.-t Oescription Cost ea- Total cost \en residetrtial I bathroor/l y,ltchen (includes : first ) 00 feet ofwater/sewer lines. hose bibs. ice maker. underfloor low-point drains and roin4rain packages\ s323.00 s506.00 s595.00 s Each additional bathroom (over i)s128.00 s Each additional kitchen (over I )$128.00 s ResideBtial fire sprinklers (iDcludes plan revielr') 0 to 1.000 squarc feel !99.00I I s CoDnections to building sewer and water supply 2.001 to 3,600 square feer s158.00 s3'rs.00 s99.00 1.201 squa.e feet and grealer s s S PROPERTY OWNER State ZIP Phone s103.00 s24.00 SEach fixture. appurtenance. and piping s103.00 S s24.00 s99.00 s Medical ges pipirg DEPARTMENT USE (D)TechnoloS Fee (5",o of lAl)5 Lasr edircd 711.2018 brones TOTAL fees and surcharges (A througb D) Pcrmi: nc lSrate:6ir-r izlP: This permit is issued under OAR 918-780-0060, Permits are issued orl) to the person or cootractor doing the work Permits expire if worli is nol started *ithiD 180 da1,s ofissuance or if work is suspended for lEO days. FEE SCHEDULE lq.r. CONTRACTOR INSTALLATION Fax: Minimurn fee I $ C CB license no. . 1 J(" t 2 9, BCD license no.: <-.F