The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2018-12-10SPRINGFI€tD b City of Springfield Development and Public works 225 Fifth Street Springfield, OR 97477 541-7 26- 31 53 OREGON Web Addressr www.sprinqneld-or.gov Building Permit Residential Plumbing Permit Number: 81 1-18-002853-PLM IVR Number 811051822552 Email Address: permitcenter@spnngfield-or.gov Permit lssued: December 10 2018 TYPE OF WORK Category ot Construction: Single Family Dwelling Submitted Job Value: S0.00 Description of Work: Adding toilet and sink Type of Work: Alteration JOB SITE INFORMATION Workgitg address 88 TST Springfield, OR 97477 Parcel 1703262203873 Owner: Address LICENSED PROFESSIONAL INFORIIIATION Business name OWNER - Primary License CCB License number 000000 Phone PENDING INSPECTIONS lnspection 3999 Final Plumbing 3500 Rough Plumbing 3650 Shower Pan lnspection group Plumb Res Plumb Res Plumb Res SCHEDULING INSPECTIONS Various inspections are minimally required on each project and otten dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project Schedule or track inspeclions at www.buildingpermits.oregon.gov Schedule by phone call 1-888-299-2821 use IVR number: Af051822552 Schedule using the Oregon ePermitting lnspection App, search 'epermitting" in the app store Permits must bc posted in clear view on the worksite. Permits expire if work is not started within ,t8o Days of issuance or if work is suspended for 180 Days or tonger depending on the issuing agency.s policy. All provisions of laws and ordinances goveming this type of work will be complied with whether specified herein or not. cranting ofa pormil does not presume to give authority to violate or cancolthe provisions of any other stat6 or local law regulsting construction or the performancE of construction. ATTENTION ' cALL BEFORE YoU DlGi oregon law requires you to follow rules adopted by the or6gon Utitity Notification Cenrer.Those rules are set fonh in oAR 952-001-oo1o through oAR 952-oo1-oo9o. You may obtain copies of the rutes by caIing ths center ai(877) 668-4001 or dial811. All peEons or entities performing work under this permit are required to be licenssd untess exempted by ORS 7O1.OlO lStructural/Mechanical), ORS 479.540 (Etectricat), and ORS 693.010{20 (ptumbing). PnnGd on 12110/18 paoe .t ot 2 std_B!ildingPerm[_pr HOLT RANDALL L & CINDY S 88TST SPRINGFIELD, OR 97478 lnspection atatu8 Pending Pending Pending Permit Number: 8'l 1 -1 8-002853-PLM Page 2 ol 2 Fee Description Technology Fee Ealance of minimum permit fees - plumbing Sink/basin/lavatory Tub/shower/shower pan Water closet SDCI Total Sewer Administration Fee SDC: Improvement Cost - Local Wastewater SDC: Reimbursement Cost - Local Wastewater State of Oregon Surcharge - Plumb (12olo of applicable fees) Quantity Fee Amount $4.95 $27 .O0 $24.O0 $24.00 $24.00 $37 .O2 $244.62 $496.62 $ 11.88 $894.09 1 1 1 37 .02 244.62 496.62 Total Fees: Page 2 ol2 std-BuildingPermit_PrPnnled on: 12l10/18 PERMIT FEES SPRINGFIELD ,h OREGON www.springf ield-or. gov Worksile addressr 88 T ST, Springfield, OR 97477 Patcel 1703262203873 Development and Public Works 225 Fifth Street Springfield, OR 97477 541-7 26- 37 53 permitcenter@springfield-or.gov Transaction Receipt 81 1-18-002853-PLM Receipt Number: 468806 Receipt Date:'12l10/18 Caty of Springfield Fees Paid T.ansaction date 12t10t14 12t10t18 12t'tol18 12t10118 12t10t18 Account code 224-00000425603-1034 224-00000425603-1034 82 1 -00000-21 5004-0000 1 00-00000-42s605-0000 61 1-00000-448024-8800 Foo amount $24.00 $24.00 $1 1.88 $4.95 $496.62 Paid amount $24.00 $24 00 $11 88 Units 1.00 oty 1.00 Qty 1.00 Ea 1.00 Automatic 496.62 Amount 244.62 Amounl 37.02 Amount 1.00 Qty '1 00 Automatic Description SinUbasin/lavatory Water closet State of Oregon Surcharge - Plumb (12% of applicable fees) Technology Fee SOC: Reimbursement Cost - Local Wastewater SDC: lmprovement Cost - Local Wastewater SDC: Total Sewer Administration Fee Tub/shower/shower pan Balance of minimum permit Iees - plumbing 61 1 -00000-448025-8800 7 1 9-00000-426604-8800 22 4 -OOOO O - 425603 - 1 034 224-00000-425603-1 034 $244.62 $37.02 $24 00 $27.00 $244.62 s37.02 $24.00 $27 00 $4.95 $496.62 12t10118 12t10/18 12t101'18 12t10118 Payment Method Credit card authorization 42075d Payer: Randy Holt $894 09 Cashier: Katrina Anderson $894.09 Pnnted 1z'tol1a 11 27 an FIN_TransactionRec€rpt_pr Payment Amount Receipt Total: Ctrv or SpnrNcrtuo, ORncoN Plumbing Permit Application d-l{ +bi \e1 225 Finh Street . Springfield, OR 97477 . PH(541')126-3753 . FAXl54lr726-3689 DEPARTMENT USE ONLY P"r,rit^r.t lB@?Jb3 tklolBDate h This permit is issued under OAR 918-780-0060. Permits are issued only to the persor or contractor doing the work Permits expire if work is not sta rted within t 80 days of isslance or if work is suspended for 180 days. FEE SCHEDULE Description Cost ea. Total cost Ne\r residential 1 bathroom./t kitchen (iniludes: frst 100 feet oftater/sewer lines, hose bibs, ice maker, undedloor low-poinl draihs and rain-drain packages\ $323-00 $ 2 bathroomYl kitchen $506.00 $ 3 bathroomyl kitchen $595.00 $ Each additional bathroom (over 3)$128.00 S Each additional kitchen (over I )s'128.00 $ Residentirl fire sprinklers (includes phn review) 0 to 2,000 squarc fcct .$99.00 $ 2,001 to 3.600 square feet 5158.00 5 3,601 to 7,200 square feet $236.00 s 7,201 square fecr and geater $31s.00 $ Manufactured dwelling or pre-f.b (circle one) Connections to building sewcr and water supply $99.00 $ Commercial, industrial, and dwellings other than one- or two-frmily Minimum l-ee $99.00 $ Each Ilxture s24.00 $ Miscellaneous fees 100' storm, sewer, water line $103.00 $ Each fixture, appurtcnance, and piping J $24.00 $ Storm watcr retention/detention facility $r03.00 $ lrri gation systems/Backfl ow $24.00 $ Piping or private storm drain svstems exceedinp the flrst I age 00 feet $24.00 $ Sp€cialty fir1ues $24.00 $ Reinspcction (no. ofhrs. x lee per hr-)$99-00 $ Special requested inspections (no. of hrs. x fee per hr.)$99.00 $ Each additional inspection: ( l)s99.00 $ Medical gas piping Minimum lee Enter value of installation and equipmenr $ _. llnter 1cc based on installati(nr and equipmcnt value $ DEPARTMENT USE (A) Enter subtotal of above fces (Minimum Permit Fee $99.00),?1 (B) lnvestigative fee (equal to [A])$ (C) Enter l2olo surcharge (.12 x [A+B])S (D) Technolo$/ Fee (5ol. of [Al)$ TOTAL fees atrd surcharges (A tbrough D):$lrf.6, SiAK (ornovq-' ft4 [a'ex--3DOs 1'1qe q q, LOCAL GOVERNMENT APPROVAL Zoning approval verified? E Yes I No Sanitation approval verified? E Yes E No CATEGORY OF CONSTRUCTION D-Residential ! Govemment E Commercial JOB SITE INFORMATION AND LOCATION o rJob site address T(G;t Ciq :sweQ {TP:q)g 7 ) Reference:Taxlot.: DESCR OF WORK ,I /o Name lcPROPERTY OWNER Address 8€) 't -9J*<41 City:srn,fg'ZIP: enorrc(y1 7-,/ l- ?Jgq Fax: ----- - E-mail 10 caa This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt fiom Signature: I oAR 918-695-0020 CONTRACTOR INSTALLATION City ZIP: Phone: E-mail a\ CCB license no.:BCD license no.: Plumbing Iicense no Print name: Signature: Last edited 7/ I 20 I 8 b.jones r$ 4,0 I .-1 s -r^7 Business name: Address: SIa&$\)- loo $ -'-:+--'.' i1 --. Sr=;-f : U!=i i'v' U'= : :=: :=le1=;l;=ilI = = 4- --i;- - /--^*-r-.,^+;^- = ^ - ^ ^ - - !L ir:r, - ^t\=U,a ! U : t i U -.J U l, > li'J L ti i-, : I l-'-=-S L J i !> ! ! ! l i =:: J .:;,:t | :.^l i:f u:r:s r-:si:ni,rj:t --:,f,sr ..lc:j.:i ;=.:i.t: :rcljiaj::: j i.: ::: ::ai lta:;'l:3- '1'.- :-. Consir-'.rction Ccniiectars -caij i; sign the fr-lloi4,in-c st:i:meai "5ei,:r: a ir:iicir,g pe-,, r;r l3n iE '::raa rr-,--\ , r-r' i:: i- : -::::-:a: s'::_ -3:'t-':: a:-:': :, : : ::: -::. -:: :: :: : : : _: : t:_- _: , cv\n, ;:src: tn .:r'4,Jt t:s,.1: r- :ii L.Jir7':::-i :.:-rLi..l;: j-: -: !:-,aiil L-)n: :::a'-,: --+> Name Expiration Date I will inform my general contractor tr5at all subconfactors who wo.k on the structLre must be licensed wrth tJ''re Construction Coniractors Board. OT I wiil be performing work on propeiry I owr, a residence that I reside in, or a residence that I will reside in. if I hire subcontractorc, I will hire only subcontractors licensed with the Construction Contractors Board. lf I change my mind and hjre a general contractor, I will selecl a conbactor who is licensed with the CCB and wiil immediately give the narne of ihe contractor to the offce issuing this Building Permit, I have read and undersiand the lnformatioir Notice to Homeowners About Conssuction Responsibilitjes, and I hereby certiry that the information on this homeowner siatement is true and accur3te, 14 Print N of Perm / .7- ( O- /.f signature it Applicant Dare Qtr,*,h5 )Ut*x..titfoA- T o"t", lA lo IE bLq1111 Permit # Address: This Copy for Permit Oiic3s 3 rc i H-e ta-a I tlr(- 8b ol-\l r..u"o uy:,2()d\t-