HomeMy WebLinkAboutPermit Plumbing 2018-11-08SPRINGFIELD
oitEGon
web Address: www.spri6gneE'or.gov
City of Springfield
Development and Public Works
225 Fifth Street
Sprrngfield, OR 97477
541 726-3753Building Permit
Residential Plumbing
Permit Number: 81 1 -1 8-002640-PLM
IVR Number: 8'1 1058204083
Permit lssued: November 08, 2018
TYPE OF WORK
JOB SITE INFORMATION
Worksite address
415 F ST
Springfield, OR 97477
Parcel
170335240'1500
KAYE LINDA K
88431 PARTRIDGE LN
SPRINGFIELD, OR 97478
LICENSED PROFESSIONAL INFORMATION
Business name
MICHAEL THOMAS DONAHUE -
Primary
License
CCB
Phone
541-868-4403
PENDING INSPECTIONS
lnspection
3999 Final Plumbang
3500 Rough Plumbing
lnspection group
Plumb Res
Plumb Res
lnspection status
Pending
Pending
SCHEDULING INSPECTIONS
Various inspectaons are minimally required on each project and often dependent on the scope of work. Contact the issurng
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 '1-888-299-2821 use IVR number: 811058204083
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
Permits must be posied in clear view on the \ /orksite, Permits expire if work is not started within 180 Days of issuance or if work is
suspended for 180 Days or longer depending on the issuing agency,s policy.
All provisions of laws and ordinances governing this type of work will be com plied with whqther specified herein ornot. cranting ol
a pelmit do€s not presume to give authority to violate or cancel th€ provisions of any other state or local law regulating construction
or the performance of construction.
ATTENTION - CALL BEFORE YOU OIG: Oregon law requires you to follow rules adopted by the O169on Utility Notification Center.
Those rules are set forth in OAR 952401{010 through OAR 952-OO1-0090. You may obtain copies of the rutes by calling the Center at
{877) 668-4001 or dialSt'1.
All Persons or entitias performing work under this permit are required to be licensed unless exempted by oRS 701.o1o
(StructuraUrlrechanical), ORS 479.540 (Electricat), and ORS 693.010{20 (ptumbing).
Prinrad on: 11/8/18 page 1 ot z sid_Burtdrngpormil_pr
Email Addressr permitcenter@springfield-or.gov
Category ot Construction: Single Family Dwelling Type of Work: Repair
Submifted Job Value: S0 00
Oescription of Work: Fire restoration - plumbing repairs (all like for like nothing new)
Owner:
Address:
License number
194298
Permit Number: 81 1-18-002640-PLM Page 2 ol 2
Quantity Fee Amount
$7 .20
$24.00
$72.O0
$24.00
$24.00
$17.28
$168.48
nd_BuildinqPem{,pr
1
3
1
1
Total Fees:
Paee 2 ol 2
PERMIT FEES
Fee Description
Technology Fee
Clothes washer
Srnk/basrn/lavatory
Tub/shower/shower pan
Water closet
State of Oregon Surcharge - Plumb (12olo of applicable fees)
ffi Transaction Receipt
811-'t 8-002540-PLM
Receipt t{u.nbe,: 468556
Recelpt Date:11I8/'18www springf ield,or.gov
oevelopment a.d Publrc works
225 F fth Stret
Sp.rnqneld, OR 97477
54r-726,3753
permrtcente.@srr n9neld or.gov
Wortsite address: 415 F ST, Spdngrield, OR 97477
Parcel 1703352401500
Fees Paid
11lat18
11Bt1E
11/8/18
11ftt14
11fti18
1.00 Oty
3.00 Oly
1 0O Oly
1 0O Oty
10O Ea
224-0000G425603-1 034
224,0000G425603-1 034
224 0000G4256011034
224-0000G425603- 1 034
821-0000G21 5004-0000
124 00
$72 00
t24 00
t24 00
t17 -2A
$24 00
$72 00
$24 00
$24 00
$17 28
Tub/shower/shower pan
Slale of Orcgon Surcnarce'Plumb (12% of
11tEl16 1 00 AulomalE Technology Fee 100 00000 425605 0000 $7 20 s7 20
Payment Melhod: Credil card authorizalbn
718094
Payer leonard moore s168 48
Cash er Katrna Anderson $168.48
FlN,TGns.cl o.R€@'plJr
Cty of Spingtield
Crry op SpRnrlcrmlD, OREGoN
Plumbing Permit Application
lob site address: 4/ t F. 5i
Name
Address F,Sf
Fax
Business nam tv)ckc
I bathroom'l kttchen (includes. .first
I 00 .{eet ofwatertsewer lines. hose
bibs. ice maker, underlloor lolr-point
droins and rain4rain pockages)
Stolm \r'a!er retentiorvdetenrion facilit\
Special requested inspections (no. of
hrs- x fee per hr.)
Enter fee based on insrallaion and equipment value
Permit no 16.ooa.L
s323.00 S
s
DaIe U::s Fiffh sEeel . Springfield. OR 9?477 . PH154l)726-i753 . FAx(541 )726-3689
Zoning approval verified? f] Yes E tlo
This permit is issued uIlder OAR 918-780-0060. Permits are issued onl) to the person or contraclor doing the nork Permits
expire if work is not started $ithin 180 da1,s ofissuance or if work is suspended for 180 days.
S
s
ry'C
s
5
s
Phone:J<1-[<17-snB
Address: 3J'1 \
Signa
)Y CrC .9}-
1"1 ,can
1t'v-<-
/]/La"- Gc
Fax,,n-qg& O 5./s
SE-mail: ledw\ 6b,i.,l
Plumbing license no a
BCD license no
JP
l94 Zl3 - Pl'r-,.'b*r Cc6
(A) Enrer subtoral ofabove fees
(Mibimum Permir Fee $99.00)5
s
s
trHfr
Ulz{ .t- Ui." ( Md,f-1 ^"^"-)(Dr Technolog, Fee f59o of[A])
e,s
LOCAL GOVERNMENT APPROVAL
Sanitation approval verified? E yes E Xo
CATEGORY OF CONSTRUCTION
Residential fl Govemment i ! Commercial
JOB SITE INFORMATION AND LOCATION
Cir) : jt Stare: C(rl ZIP q7<17I
Ta)dot.
DESCRIPTION OF WORK
Kre >JaQr M(,t
PROPERTY OWNER
Pc..{,,al -a
Citr';State zrPql 7
Phone
E-mail
This installation is being made on residential or farm propeq
owned by me or a member of m) immediate family, and is
exempt fiom licensing requiremens under OAR 918-695-0020
Signature:
CONTRACTOR INSTALLATION
FEE SCHEDULE
Description Qh Cosl
ea-
Totalcost
Nerr residential
s2 bathroomsll kitchen $506.00
3 bathrooms'l kitchen s595.00
Each additional bathroom (over 3)s128.00 s
s128.00 SEach addirional kitchen (over I )
Residential Iire sprinklers (iDcludes plan revie$ )
0 to 2-000 souare feel
2,001 to 3.600 squarc feet s'1s8.00
s236.00 s3.601 m 7.200 square feel
s?.201 square feet and greater s315.00
Manufactured dwelling or pre-f3b (circle one)
Connections !o building sewer and
water supply s99.00
ComDercisl, industrial, atrd dt{ellidgs other thaD one- or
two-famil\
Minimum fee s99.00 5
s24.00
Miscellaneous fees
l00 stolm. sewer- waEr line
Each fix[ure. appurtenance. and piping G $24.00 $t'1{
s',03.00
lrripalion svstems,/Backfl o\r s24.00 s
Piping or privare srorm drainage
svstems exceedine the firsl 100 feet s24.00 S
Specialt-r' frxtures s24.00
Reinspeclion (no. ofhrs. x fee per hr.)s99.00
s99.00
Each additio[al inspection: (] )s99.00 s
Medical gas piping Minimum fee
Enler vaiue ofinstallalion and equipment $ _
cl
crt)SD,.rv-\qF.€ V(- I stut", 51{ZIP('i-1 \\1 2'
Print name
(B) Investigative fee (equal ro [A])
(C) Enler 129" surcharge (.12 x [A.B])
l-ast edn€d 7ri:01r biones
TOTAL fees atrd surcharges (A throu gh D):
DEPARTMENT USE ONLY
Reference:
sgs.oo | $
Each fixlure
s103.oo l5
] CCB hcense no.
DEPARTMENT USE
$
AYJ