The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2018-10-31SPRINGFIELO ,% City of Springfield Development and Public Works 225 Fifth Street Sprngfieldt OP.97477 541.-7 26-37 53OREGOdBuilding Permit Residential Plumbing Permit Number: 811-18{02580-PLM IVR Number 811053153778 Web Address: www.sprinqfleld-or.qov Permit lssued: October 31 2018 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Wo.k: Remodel Type of Work: Alte.atron Worksite address 2620 E ST Sprangfield. OR 97477 Parcel 1703361404400 Owner: Address: Businesg name DUSTIN J DAWSON PLUMBING LLC - Primary License ccB Licenae number 206473 Phone 541-953-8760 PENDING INSPECTIONS lnapection 3999 Final Plumbing 3500 Rough Plumbing lnspection group Plumb Res Plumb Res lnspection statug Pendrng Pending SCHEOULING INSPECTIONS Various inspections are minimally required on each project and often dependenl on the scope of work Contacl the rssurng jurisdiction indicated on the permit to determine required inspections for this project Schedule or track inspections at www.buildingpermits oregon.gov Schedule by phone call 1-A88-299-2821 use IVR number: 811053153778 Schedule uslng the Oregon ePermitting lnspection App, search 'epermitting" in the app store Permits must be posted in clear view on the worksile. Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Oays or tonger depending on the issuing agency.s policy. All p.ovisions of laws and ordinances governing this type of work will be comptied with whether sp€cified herein or not. Granting ofa permit does not presume to give authority to violate or cancelthe provisioni of any other state or local law regulating construction oa the pedormance of construclion- ATTENTION ' CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Or6gon Ulitity Notification Center.Those rules are set fonh in OAR 952{01{010 through OAR 952-OO1-OO9O. You may obtain copies of the rutes by calling the Center at (877) 668-400'l or dial811. All persons or enlities performing work under this permit are roquired to be licensed unte$ ex€mpted by ORS 701.01O (Structural/Mechanical), ORS 479.540 (Electricat), and ORS 693.OlO{20 (ptumbing}. Pnnted on 10/31/18 page 1 ct z sG_Burtdingperm -pr Emarl Address: perm,tcenter@spnngneld'or 9ov JOB SITE INFORIIiATION LSF9 MASTER PARTICIPATION TRUST 13801 WRELESS WAY OKLAHOMA CITY, OK 73134 LICENSED PROFESSIONAL INFORMATION Permit Number: 81 1-18-002580-PLM Page 2 ol2 Fee Description Technology Fee Clothes washer Hose bib Srnk/basrn/lavatory Tub/shower/shower pan Water closet State of Oregon Surcharge - Plumb (12o/o of applicable fees) Quantity Fee Amount $9.60 $24.0O $24,00 $72.OO $24.00 $48.00 $23.04 $224.64 1 1 3 1 Total Fees: Page 2 ol 2 srd BuildrngPemit_prPnnied on 10/31/18 PERMIT FEES ffi Transaction Receipt 81't -18-002580-PLM R€celpt Number: 468493 Recoipt oato: 10/31/'18 Cny of Sprlngtield OeveloPment and Publrc Works 225 Fifth Street Spr^gherc, AF 9747) 541-)26 3753 perm(center@spnn9f rerd or qovwww sPnngIEld-or gov Wortsile addrsss:2620 E ST, Spring leld, OR 97a77 Parcel: 1 7033,51 404,{00 Fees Paid 10131118 10/31/18 10/31/18 10/31XE 10131114 10/31/18 Unitg l.OO aty 1.00 Qty 3 00 Oty 1(x) Oty 2 0O Qty 10O Ea Tub/shower/snower pan 224-OOOOG{-25603-10U 224-00000-425603- 1 034 224{0000,42560} 1034 224-00O0G4256011034 22,t-O000G4255011034 421 -0000G2 1 5004-0000 $24.00 $24 0O s72 00 $24.00 s48 00 $23 04 $24 00 $24-@ $72 0O 924 00 646 0O s23 04Slale of Oregon Surcharge - Ptufib 112rA ol 10/31h8 1.00 Automalic Technology Fee 1 00-00000,425605,0000 $9 60 $9 60 Credt card aulhoization: 060707 Payer duslin dawson s224 U Cashlel Kairina Andersofl Pn .d 10,R1/ra.03pm t221.61 F N T6n-d onRe@'pr,r Plumbing Permit Application CATEGORY OF CONSTRUCTION ! Residential I Govemment fl Commercial JOB SITE INFORMATION AND LOCATION DEPARTMENT USE ONLYsPFrrcH4o ret i-,-:,"-ea*6i:iF, fi"S permlt,o.: 16-@ 25eC Zoning approvd verified? E Yes E no Saritation approval verified? ! Yes E No This permit is issued under OAR 91E-7E0-0060. Permits are issued onil t0 tbe person or contractor doing the rvork Permits expire if work is not started $'ithitr 180 days of issuance or if work is suspended for 180 days. FEE SCHEDULE Reference Taxlol Name Fari E-maii This insallation is b"inn -ud" on,"rid"miul - f"r, prop"rt-t I owned bv me or a member of mv immediate famill. and is exempr from licensing requiremlnts wder oAR 918-695-0020. Sisnatwe CONT TOR INSTALLATION Address Phone la)i ,rlLrrrn.7rla rt *,rn , *- \e\r residential : I batirootrr/l kittchen pncludes ftrsr I l00leer ofwater'sewer lines hose I bibs ice haker undedloor lov,-point I druins and rain-drain packages\ 2 bathrooms'l kitchen : ,3 balhrooms.'l kitchen i Each additional bathroom (over 3) Each additional kitchen (over 1)sl28.00 s 0 Io 2.000 square feet 3-601 to 7-200 souare feet Connections to buiiding sewer and waler supply Commercial. itrdustri.l, and dwellitrgs other than one- or r**Gfamih s99.00 Each fixture s24.00 s S MiscellaDeous fees i l00 storm sewer uater line s24.00 s 5 s'103.0c Each fixtuE. appunenance, and piping i Slorm water rctenlion/delenrion faciliq i i 1 23.00S3 I Job site address Aezo F s506 5s59 s s o0 00 S S Cin L s Specialq fix:Iures s103.00 s24.00 S s Ss99.00i Reinspection (no. ofhls. x fee per hr..) I Special requesred inspeclions (no. ofI hrs. x fee per hr.)S S .00 0c99 maLE CCB license no I Piumbing iicense no.: I l4O BCD license no.: 7]9 7 p I Erch rdditioDal iDspectioB: {l ' Minimum fee i S I r;^,. n*r", [). 16,Jn Enter value ofinstallation and equipmen! S _<,nr"Enler fee based on iflstallatron and equipmenr vaiue DEPARTMENT USE s Si!nalure 1 (A) Enter subtoBl ofabove fees i (Ii4inimum Pentrit Fee $99.00)s -s ).w\?r^v\..: z<oYi5 \r/^>Y. Wo\9- o' 2{ws s\# | (C) Enter 129; surcharge (.12 x [A-B])s s(Dr Technoios Fee (5% of[A]) D Crry or SpRTNGFIELD, OnncoN Cost ea" Tot8l cost Stare R ZIP:91411'1 DESCRIPTION OF WORK h?o,w w[,r r" ile PROPERTY OWNER State Phone s128.00 s99.00 2.001 to 3.600 square feel s158.00 s236.00 S s315.00 s Matrufactured dr.elling or pre-fab (circle oDe) s99.00 Busrness name hn Ltc State ZIP -loCit-v: f i-ast edited 7/l 201S baones , TOTAL fees and surchsrges (A through D):S Ll 225 Fifth Sueer . Spnngfieic- OR 97477 . PH(54i )726-i75i . FAX(541 )726-3689 lo"..' tO{3t I i 'o I LOCAL GOVERNMENT APPROVALI I ]oo.Description ResideBtial fire sDriDklers (include. Dlan revie$ ) | 7,201 square feet ard greater Address: Cit\':ZIP: \4inimum fee I R I lrriparion syslemsBackflo$ i S24,oo I 5 i svsrems exceedine the firsl I00 feer i I -- -- | " I Medical g8s pipiog (B) lnvestigative fee (equal to [A])