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Home My WebLink AboutPermit Plumbing 2019-01-28OREGOil Web Address: www.springfield-or.9ov Building Permit Residential Plumbing Permit Number: 81 1 -1 9-0001 82-PLM IVR Number: 81'1088260517 City of Sprangfield Development and Pubhc Works 225 Fifth Street STinefield, OR 9?4?7 541.-726-3753 Email Address: permitcenter@spfl ngf eld-or.gov SPRINGFIELD $r Permit lssued: January 28, 2019 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Replace shower (like for like) Type of Work: Replacement s NFORMATIONIETI Worksite address 6755 OPACA CT Springfield, OR 97478 Parcel 17023/''1403702 JARRETT DONALD & JUDITH 6755 OPACA CT SPRINGFIELD, OR 97478 LICENSED PROFESSIONAL INFORMATION Business name ALPHA PLUIVIBING & ROOTER SERVICE LLC - Primary License ccB License number 221195 Phone 541-337 -2683 PENDING INSPECTIONS lnspection 3999 Final Plumbing 3500 Rough Plumbing lnspection group Plumb Res Plumb Res lnspection status Pending Pending SCHEDULING INSPECTIONS. Various inspeclions are minimally required on each projecl and ofren dependent on the scope of 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 1-888-299-2821 use IVR number: 811088260517 Schedule using the Oregon ePermitting lnspeclion App, search 'epermitting" in the app store Psrmits must be posted in clear visw on ths worksite. Permits expire if work is not startod within 180 Days of issuance or if work is suspended for 180 Oays or longer dspending on the issuing agency's policy. All provisions of laws and o.dinancss govorning this typo of work will be complied with whether spocifiod herein or not Granting ot a permit does not prosume to givo autho ty to violato or cancel the provisions of any othqr stalg or local law rogulating construction or thg psrformance of construction. ATTENTION - CALL AEFORE YOU OIG: Oregon law requir.! you to follow rules adoptod by tho Orogon Utility Notification Contor. Those rules are sot forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies ot the ,ules by calling the Center at (877) 668.4001 or dial 811. All p6rsons o. entitigs pgrforming work undo. this pgrmit ars requi.sd to bo licensed unloss exempt6d by ORS 701.010 (Structural/MechanicaU, ORS 479.540 (Electrical), and ORS 693.010420 (Plumbing). Prinl6d on: 1/28/19 Page 'l of 2 sld_BurldrngPermrl_pr Owner: Address; Permit Number: 811 -19-0001 82-PLM Page 2 ol2 Fee Description Technology Fee Balance of minimum permit fees - plumbing Tub/shower/shower pan State of Oregon Surcharge - Plumb (12olo of applicable fees) Quantity Total Feesr Fee Amount $4.95 $75.00 $24,00 $ 11.88 $ 1 1s.83 1 Pflnted on 1/28/19 Page 2 ol2 std_BuildingPermit_pr PERMIT FEES SPRINGTIELD 'bOREGON www.springfi eld-or. gov Worksite address: 6755 OPACA CT, Springtield, OR 97478 Parc,-l: 17 O2U14O37O2 Transaction Receipt 81 I -t 9-000182-PLM Receipt Number: 469245 Receipt Oate: 1/28/19 Development and Public Works 225 Fifth Street Springfi€ld, OR 97477 541-726-3753 permitcenter@springfield-or. gov Fees Paid Transaction date 1128t19 1128t19 1l2al19 Units 1.00 Qty 1.00 Automatic 1.00 Ea 1.00 Automatic Description Tub/shower/shower pan Balance of minimum permit fees - plumbing State oI Oregon Surcharge - Plumb (12% of applicable fees) Technology Fee Account code 224-00000-425603- 1 034 224-00000425603-103/. 82 1 -00000-2 1 5004-0000 Paid amount $24.00 $75.00 $1 1.88 1 00-00000-425605-0000 Fso amount $24.00 $75.00 $1 1.88 $4.951t28t19 $4.95 Payment Method Credit card authorization o5v17 Payer: Jetfrey Mustin Payment Amount $115.83 Cashien Katrina Anderson Receipt Total $115.83 Pflnted: 1/28/19 2 55 pm Page 1 of 1 FIN_TransactionReceipl_pr City of Springfield Plumbing Permit Application DEPARTMENT USE ONLY & Date This permit is issued under OAR 918-780-0060. Permits are issued ouly to the persotr or cootractor doitrg the work Permits erpire if work is trot started within 180 days ofissuaoce or ilwork is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Description Ot!'Cost ea- Totrlcost :25 lifih Sd€er . Springtrei4 OR 97a77 . PH(j! I )26-1753 . FAX(5a I )7:6-j689 Zoniag approval verified? [ Yes f] wo I Sanitation approvai verified? ! Yes n Uo r_ew residential ' I bathroonv I knchen rncludes .irsr 1 100leet ofworerisewer lines. hase , brbs. rce makr underfloor low-potnr: drains aid rain4rain packages) 2 bathjoomi,/ I kitchen s506.00 s -: bathroomvl kiichen ss9s.00 s r Each addilionai batlroom (over lJ 3'128.00 S l JOB SITE INFORMATION AND LOCATION L) lcit.",;9ft(6a6le]f l State: f2ful ar l_ -^ 7- KSterence .J sszr.oo ] s Phone j e -nait I This insrailadon is being made on resrdenrial or farm properry I owned b1 me or a member of my immediate family. and isi exempr Eom licensing requiremens unoer OAR 9l 8-695-0020 IjSignarure: CONTRACTOR INSTALLATION Address CCB iicense no BCD iicense no Plumbing license no Prilr name t128.OO S ResideDtial fire riDklers (includes 0 rc :,000 square feel s9s.00 S 7,20r square feet and grearer s31s.00 Connecrions lo building sewer and *ater supply CoEEercial, iDdustrial, aDd dpell.itrgs other thaD one- or tr o faEily Each flrorre Mrscellaueous fees 100 storh, se'rer, warer line s103.00 Storm warer rcteDtiotudetention Acilit!s103.00 s Irrigarion systemvBackSow s24.00 s svstems exceed Dlng Or pnvate slonD ahe draio€e 6rst I00 feet $24.00 S Specialry fi-r'tures s24.00 I S R.s9s,00 s Special requested iDspedions (no. of s99-00 shrs. x fee hr.) Eech additional inspection: (1)s99.00 Medical Midmum fee S Enter value of installation and equipment S -Eoter fee based on ingallation and equipment vaiue inspection (no. ofhIs. x fee per hI.) I r"-1",Each addirional kitchen (over 1) Name Ad&ess lci ,, State: s99.00 s tv:ZD S S S (A) Enter subtotal ofabove fees (MidmuD Permit Fee S99.00)'q9 I (C) Enter 12% surcharee (.12 x [A+B]) fB) Investigabve fee (equal ro [A]) s Crrv or SpnnvcrmlD, OREGoN DESCRIPTION OF WORK MaDufactured dwellin re-fab (circle otre) Minimum fee $9g.oo S CiN Sute TP,27e Phone Each E-yrure, appurtenance. and piping s24.00 s DEPARTMENT USE L-an edired 7/1,2018 bjones ye,.,t,o.,l1'ND lE 2- LC a CATEGORY OF CONSTRUCTION XResidenrrai n Covemment I Commercral I Job site address: ] 2.001 !o 3.600 square feer I S158.oo $ i h PROPERTY OWNER Far: s24.00 s Business name: E-maii: Signature: /1 rD) Technolo$ Fee {5"" oflAl) S