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Home My WebLink AboutPermit Plumbing 2018-11-26SPRINGFIELD t3 City of Springfield Development and Pubhc works 225 Fifth Street Springfield, OR 97477 541-726-3753ORIGON web Addressr www.springneld or.gov Building Permit Residential Plumbing Permit Number: 81 1-1 8-002742-PLM IVR Number 811096881098 Email Address: perm tcenter(dspringf e d or.gov Permit lssued: Novembe.26, 2018 TYPE OF WORK Category of Construction: Single Family Dwelling Type ot Work: Alteration Submitted Job Value: $0.00 Description of Work: Cap off one sink, move sink line to new sink location, no new net fixture add JOB SITE INFORMATION Worksite address 1260 Q ST Springfield, OR 97477 Parcel 1703261 403201 Owner: Address CISNEROS MARIA DE JESUS AVILA 1260 0 ST SPRINGFIELD. OR 97477 LICENSED PROFESSIONAL INFORMATION Business name JOSEPH OSBORNE PLUMBING INC - Primary License number 213580 Phone 541-942-6899 PENDING INSPECTIONS lnspection 3999 Final Plumbing 3815 Cap Placement lnspection 3500 Rough Plumbing lnspection group Plumb Res Plumb Res Plumb Res lnspection status Pending Pending Pending SCHEDULING INSPECTIONS Various inspections are minimally required on each project and often dependent on lhe scope gf work. Contact the issuing jurisdiction indicated on the permit to determine required inspeclions for this project. Schedule or track inspections at www.buildingpermits.oregon.gov Schedule by phone call l-888-299-2821 use IVR number: 811096881098 Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app slore All provisions of lau/s and ordinances govorning this type of work will b€ complied with whether specified h.rein or not. Granting of a permit does nol p.esume to give authorit to violate or cancel the provisions of any other stale or local law requlating construction or th€ performance of construction. ATTENTION - CALL BEFORE YOU OIG: Orsgon law requires you to lollow rul6 adopted by the Oregon Utility Notitication Center. Those rules are set rorth in OAR 952-001-0010 through OAR 952{01-0090. You may obtain copies o, the rules by calling the Center at (877) 668-4001 or dial 811. All p€rBons or entities performing work under this pe.mit are required to be licensed unless €xemptsd by ORS 701.010 {StructuraUMechanical), ORS 479.540 (Eleclrical), and ORS 693.010-020 (Plumbing). Prioled onr 11/26118 Page 1 of 2 sid_Burtdingpermnjr License CCB Permits must be posled in clear view on tho worksite. Pefmits expire if work is not started within 'l80 Days of issuance or if work is suspended for 180 Days or longer depending on the assuing agency's policy. Permit Number: 81 1 -1A-0027 42-P LM Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - plumbing Other - plumbing Sink/basin/lavatory State of Oregon Surcharge - Plumb (12olo of applicable fees) Quantity Total Fees: Fee Amount $4.95 $ 51.00 $24.00 $24.OO $ 11.88 $ 11s.83 sid_BurldrngPermil_pr 1 1 Prinred on 11/26118 PERMIT FEES SPRlNGfl€10 ,b 0RE60rl www.sprin9f ield-or.gov Transaction Receipt C y or SpringneE 8r 1-t 8{02742-PLM Receipt Number: 468672 Recelpt Date: 'l l126118 Oevelopment and Public works 225 Frn ' Stre.r Spnngneld, OR 97477 54r-726 3753 pernrtcenter@span9rlerd or.qov \tbrksile address: 1260 O ST, Spnngri€E OR 97477 Parc€l: 1703261403201 Fees Paid 11t25t14 Unils Descnptioo l.0O Oty Sint/basin/lavalory 1.00 Oty Olher - plumbing Fee Notes srnk cap 1.00 Automatac Balanc6 ol minlmum p€rmil fees - plumbing l.0O Ea Stats of Orsgon Surcharge - Plumb (12% ot applicabla fees) 1.00 Adomalic Tecnnobgy Fee 224-0000G42560$1034 124.00 $24 00 11t26114 224 00000 425603 1034 10e0000G42560+0000 224-0000G4256011 034 821-0000G21 500+0000 15100 $11 88 s24 00 s4 95 $24 00 11t26118 11t26t14 $51 00 $11 EE 11i26t18 s4 95 credi card authorEelion 017'111 Payer Mafia delesls avrla $115 83 CashEr Kainna Anderson $115.83 F N_IraisaclFnRee,pr_p, Plumbing Permit Application E Commercial & This permit is issued uuder OAR 918-780-0060. Permits are issued onl)'to the person or contractor doing the work. Permits expire if tr ork is not started $'ithiD 180 da1,s of issuarce or if work is suspended for 180 days. FEE SCHEDULE 225 Fiftn Sre€t . Springfield. OR 97.{77 . PH(541)726-3751 . FAX(54 i )726-j 6E9 Zoning approval verified? [ Yes E No Sanitation approval verified? E yes E No .lob site address: ./ >^} This installation is being made on residential or farm propertl' omed by me or a member of m) immediate famill. and is exempt fro Signatwe: m licensing requirements under OAR 916-695-0020 Piping or private srorm drainage s exceedin he 100 Specialq fixtures Reinspecrion (no. ofhrs. x fee per hr-) Each additional iDspeclion: (1) Enter value ofinslallation and equipment S _ (A) Enler subtotal ofabove fees (Mitrimum Permit Fee $99,00) (D) Technolo$ Fee (59; oflAl) 5 S s ,q.oo Ce1) S S s g DEPARTMENT USE ONLY Permlt no.: I ll CATEGORY OF CONSTRUCT'ON )(Residential D Govemment JOB SITE INFORMATION AND LOCATION Citi zIP:77y17State: O rzt Reference I Taxlot. DESCRIPTION OF WORK 4t\^-ctu4- !;i.^"f<- U;-^-,l"..-k-(}K.l /il*'oName 5 t7?-1-dJJefr),l,n C, PROPERTY OWNER eddress: / f.(O a 5f City 5dnaat,e/ {State: 6 4 ZIP:77t/73 Phone: -r|t fiy -lrla E-mail CoNTRAcf oR tNsrALLATroN tA4J osuBusiness name Citf Stare ZD Fa\Phone CCB license no.:"f IZSBCI BCI) license no Piumbing license no Print name Description Qt]Cost ea. Totalcost \elr residentiai I bathroomll kit hen (inctudes first ) 00 feet qfwater,isewer lines. hose bibs. ice maker. underfloor low-point drains and rain-drain pockages) S 2 bathrooms./I kitchen $5o6.OO $ 3 bathroomsll kitchen s595.00 s Each additional bathroom (over 3)s128.00 s Each additional kitchen (over l) Residertial fire sprillklers (iacludes plan revier) 0 to 2.000 square feet s99.00 s 2,001 ro 3.600 square feel $15E.00 S 3.601 to 7.200 square feet s236.00 S s315.007,201 square teet and giearer Manufactured drvelling or pre-fab (circle one) Connections to buiiding sewer and water suppl)'ss9.00 s Commercial, iDdustrial, atrd dwellitrgs other than one- or two-family Minimum fee s99.00 S Each fixture Miscellrneons fees s100 storm. sewer. water line s103.00 Each fix.twe, appunenance. and piping?a s24.00 $4# s'r03.00 SStorm water rctention/derention faciiit-v | - sIrrigation systems,lBackfl ou I s24.00 s24.00 I $24.00 S I $es.oo s s.00Special requested inspeoions (no. of hrs. x fee per hr.) Medical gas pipitrg Minimun fee Enrer fee based on inslaliation and equipmenl value (B) lnvesrigarive fee (equal to [A])ls (C) Enrer 12olo surcharge (.1: x IA*BI) l,as1 edited 7'1,?0lE btones TOTAL fees and surcharges (A through D):$r\ Z- Date: LOCAL GOVERNMENT APPROVAL $323.00 E-mail: I Fai: yN sss.ool s ?{1 Signature: a"{ .;v-o M..e-^r l{u'( t+fr^.e Crrv or SrnrNcrrBLD, OREGoN Address: $128.00 s24.00 s DEPART}'ENT USE