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Home My WebLink AboutPermit Plumbing 2018-12-27SPRINGfIEtD ,h ORTGON Building Permit Residentaal Plumbing Permit Number: 81 1 -18-002986-PLM IVR Number: 81 1042524007 web Address: www.springfi eld-or.gov EmailAddress permitcenter@spnn9freld or9ov Permit lssued: December 27, 2018 TYPE OF WORK Category ot Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Demo house/cap sewer Type of Work: Demolition JOB SITE INFORMATION Worksite address 1419 31ST ST Springfield, OR 97478 Parcel '1702303403400 Owner: Address OLSEN ROBERT PO BOX '1434 EUGENE, OR 97440 Business name O\r'VNER - Primary License ccB License number 000000 Phone PENDING INSPECTIONS , lnspection group Plumb Res lnspection status Pendrng SCHEDULING INSPECTIONS Various inspections 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 ca lA88-299-2421 use IVR number: 411042524007 Schedule using the Oregon ePermitting lnspection App, search 'epermitting' in the app store PERMIT FEES Fee Description Technology Fee Fixture cap State of Oregon Surcharge - Plumb (12olo of applicable fees) Quantity Total Fees: 1 Fee Amount $4.9s $99.00 $11.88 9115.83 Permils must be posted in clear view on the worksite. Permits expire if work is noi sbned within 180 Days of issuance or iI work is suspended tor 180 Days or longer d6pending on the issuing agency's policy. All provisions of laws and ordinances governing this typ6 of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violat€ or cancel the provisions of any other state or local law regulating construction or the performance ot construction. ATTENTION " CALL BEFORE YOU DIG: Oregon law r€quir6s you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952{01{090. You may obtain copies of the rules by calling the center at (877) 668{00l or dial 811. AII persons or entities performing work under this p€rmit ar6 required to be licensed unless erempted by ORS 701.0't0 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010{20 (Plumbing}. Pnnted on: 12127t1A Page 1 of 1 sld BuildrngPormit_pr City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541'726"3753 LICENSED PROFESSIONAL INFORM,ATION lnspection 3810 Fixture Cap u 811- 18402986-PLM Receipt Number:458969 Receipt Date: 12l27l18 OeveloPment and Publrc Works 225 Frth Sket sprn9field, oR 97477 54r-726-3753 permrtcenter@spnnonerd-or,qov Transaction Receipt Cdy or Springfield www springfield-or.gov Wortsile address 1419 31ST ST, Springifi€ld, OR 97478 Parc€l: 1 702303403400 Fees Paid 12t2lt1A 1 00 Qty 224-00000-42560!1034 $99 00 $99 00 12127118 12t2711A 100 Ea 1.00 Automalc Technology Fee State of Oregon Surcharoe - Plumb (12% ol 821-0000G215004,0000 100-00000 425605,0000 $11 88 94 9s $11 88 $4 95 Paymenr Method Check number: 1267 $115 E3 CashEr Kalrina anderson Pnd.d 1227113 10:51 am t115.63 FrN Ir.^s.dDnR.6'pr-rr Crrv or SpnrNcrrrlp, OntrcoN Plumbing Permit Application 225 Fifth Streer . Springfiel4 OR 97477 . PH(541)726-3753 . FAX(541)7263689 S ignature DEPARTMENT USE ONLY Permit no.: lb-Oo *1 aP(o Dale trI 1-1 t$ 3Pftf,CfiELO X{M 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 trot started withitr 180 da!'s ofissuance or if work is suspended for 180 da-vs. lrrigation systems./BacKlo1^ Address Plumbing Iicense no Prinr name Enrer fe€ based on in$allation and equipmenl value S s (B ) Investigative fee (equal Io lAl)s \(C) Enrer I2olo surcharge (.1: x [A-B]l LOCAL GOVERNMENT APPROVAL Zoning approval verified? E Yes E No Sanitation approval verified? ! Yes E No CATEGORY OF CONSTRUCTION d Residential fl 6ovemment n Commerciai JOB SITE INFORMATION AND LOCATION Job site address: /1/J 3ts* 2X- Cin'sate:04-ztP:q7L/7) ReferencJ Taxlot. DESCRIPTION OF WORK PROPERTY OWNER lv ,-- ) Name Address State. /-, ta-t ZrP:) 7 y'; fCity: f -,r1 2* - Phone owned bv me or a member ofmv i CONTRACTOR INSTALLATION (/,.. lrementsu ounder 9,AR E 00 09-6exfromIItncensrcqempl 1S eqnatur co residential or farm propert-r' mmediate family, and is This installatior is being made Brrsiness name ztPCir"* I Fa)( E-mail FEE SCHEDULE Description Qty Cost ea- Total cost \e$ residential I bathrooft/l kitchen (includes. ftrst I 00 feet qf*ater/sew* lines. hose bibs, ice maker, underfloor lo\r-point drains ahd lain-drain packages) s323.00 s 2 bathrooms,/l kitchen $506.00 s s595.00 s3 bathroomYl kirchen Each additioml bathroom (over 3)s128.00 s Each additional kilchen (over I )$128.00 $ Residential fire sprinklers (includes plan review) s99.00 s0 ro 2.000 square feet 2.001 to 3.600 square feet s158.00 s 3.601 to 1.200 square fee!s236.00 s s31s.00 s7,201 square feet and greater Manufactured dwelling or pre-fab (circle one) s99.00 SConnections to building sewer and water supply Commercial, industrial. aDd d*ellings other than one- or two-femill s99.00 $Minimum fee Each fix1ure s24.00 S Miscellaneous fees s103.00 sl00 storm. sewer, waler line Each fix1ure, appunenance. and piping s24.00 s Sto.m water retentior/detention faciiit\s103.00 s s24.00 S 524.00Piping or privaE sto.m drainage systems exceeding the fir$ I00 feer $24.00 SSpeciaiB fixlures Reinspection (no. ofhrs. x fee per hr.)s99.00 s99.00 sSpecial requesred inspeoions (no. of hrs. x fee per hi.) $99.00 5Each additional iDsp€ction: ( I ) sMedicrl gas piping Minimum fee Emer value of installation and equipmem $ -DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $99.00) (D) Technolog) Fee (solo of IA]) TOTAL fees aod surcharges (A through D)l L-.as: ed,ted 7'l '2016 bjones Srnle1 Fax: sPhone: - a\/'N-,/ Y_--'\ CCB license no.:BCD lrcense no.: $ E-mail: $tl s i I g:'E': iY bri'irr+: 'e'La-lg",s.'E i=^--i;- * t-.^^^L-,,--:i^ - =^^*^--:t ir;+:- -ft =Ll € ! U I I i U v U t ! = :i U U -i U : i I-r. *--\ L J i i= i U' I I t i --.: Consir-..rcllon Conii:cicr-: So:i: i: s;cn ir-re i-rllc$ Inc :t=i=rn-r: '\erc,r. a lr..:iiiir,c oer-iiiii c3n te ::!=a r-'i: -r- r:: ,,r --is s::::.--.+_: : -:-.::i-:.: -:.:'::::--:: I :.-: : +:'-':2. -::-:-''z :- : ::: :.-: : : : :::::-.::: -.'_. :.: ::.:: r":: '-_: :i-: '.. :: : :, :- ::.-C -ra:-il:s r :,^... rSS|C: rn :f '1,Jr -:Srl: rir :iri C:i pl:i:a :-;iL::-i: :i,: T\ Laa:'Ef;,;f -.;:L'.-l r: ot Name E;pirarjoo Date I wiil inform my general contractor that all subcontiactors who work on L5e structule musl be licensed wii,h Lle Construction Contractors Board. I will be performing work on property I own, a residence that I reside in, or a residence that lwill reside in. lf I hire subcontractoE, I will hire only subcontractors licensed with the Construction Contractors Board. lf I change my mind and hire a general contractor, I wiil select a conbactor who is licensed with the CCB and will immedtately give tr5e name of 'r,he contractor to the ofice issuing this Bui)ding Pennit. I have read and undersiand the lnformatjon Nouce to Homeowners Abo{,'t Consiructlon Responsibiliiies, and I hereby certiry that the informatjon on this homeowner sbtement is true and accsr3te. 2"V.;t k"v1 P.int Name oi PermitApplicant ature oi Permit Applicani /2-27 -,/ 2 Permit # Address: lssued by ts, lq\q 3\* )t- \A Date T)q1g n-[,t hs 'i-his Copy for Permit Oific3s -./ I I N I _>> q1 w