HomeMy WebLinkAboutPermit Plumbing 2019-08-22Building Permit
Residential Plumbing
Permit Number: 811-19-001956-PLM
IVR Number: 811023189790
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Web Address: www.springfield-or.gov Email Address: permitcenter@springfield-or.gov
Permit Issued: August 22, 2019
Category of Construction: Other
Submitted Job Value: $0.00
Description of Work: ADU bathroom and hose bib for the shop
Type of Work: Addition
Workslte Address
3954 HAYDEN BRIDG E RD
Springfield, OR 97477
Parcel
1702194100102
Owner:
Address:
MILLER GERARD G &
LOUISE A
3954 HAYDEN BRIDGE RD
SPRINGFIELD, OR 97477
Business Name
CA SCADIA CO NSTRUCTION AND
PLUM BING LLC - Prim ary
License
CCB
License Number
205034
Phone
541-460-5060
Inspection
3999 Final Plum bing
3500 Rough Plum bing
Inspection Group
Plum b Res
Plum b Res
Inspection Status
Pending
Pending
Various inspections are m inim ally required on each project and often dependent on the scope of work. Contact
the issuing jurisdiction indicated on the perm it to determine required inspections for this project.
Schedule or track inspections at www.buildingperm its.oregon.gov
Call or text the word "schedule" to 1-888-299-2821 use IVR num ber: 811023189790
Schedule using the Oregon ePerm itting Inspection App, search "epermitting" in the app store
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 complied with whether specified herein or not.
Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth In OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (503)
232-1987.
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010
(Structural/Mechanical), ORS 479.540 (Electrical}, and ORS 693.010-020 (Plumbing).
Printed on: 8/22/19 Page 1 of 2 C:\myReports/reports//productlon/01 STANDARD
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P lu m b in g P e r m it A p p lic a tio n QEPAR TM ENt USE-O NLY
CITY OF SPRINGFIELD, OREGON
225 Fifth Streett Springfield, O R 97477 t PH (541)726-3753 t FA X (541)726-3689
T his perm it is issued under O AR 918-780-0060. Perm its are issued only to the person or contractor doing the work. Permits
expire if w ork is not started within 180 days of issuance or if work is suspended for 180 days.
f~ - l;O C AL ~OVE R N M EN T -~P PR O YAL! ~.,;'" Fie SC HEC)UL'E , - -
·, "
'.
~\.' ~ r
Z oning approval verified? IS!JY es 0 N o
~ . :;.,, ;. ' ~~ - ~:¼ Totar · DescrlptJo~ ..
·- - -, ·-{~ C .cost
S anitation approval verified? !'11Y es 0 N o New residential
... .,_,, <;AJ EG Q RY O F - C 0_'4$TR U C T-IO N -" ;, _ :·; ;,._ I bathroom /I kitchen (includes:first
IR ,R esidential I O G overnm ent [ 0 C om m ercial 100 feet of water/sewer lines, hose $333.00 $ bibs, ice maker, underfloor low-point
Y ;,;, .JOB ':SITE , 1N F O R M ~TIO N A'NP-_ LO CATIO N - ~ drains and rain-drain packages) -
Job site address: • ~ q & 4 Nr,,. I .d-l A~ J<.,.. Q r/ 2 bathroom s/I kitchen £521.00 $
C ity:,,.\ a Ir J 1-l A -f ,' e ) d. I Stat!: 0 R I Z1Pq74,, 3 bathroom s/I kitchen £613.00 $
Each additional bathroom (over 3) U32.00 $
R eferenJe: '-l l T axlot.: Each additional kitchen (over I) U32.00 $
~ ' ., "' O ES C R ll?TJ~N O F :W O R K ., - ~ "'"i,., - Residential fire sprinklers (includes olan review)
A\\LA- A.)t:>t .•. , JJ.1,.,.., irl 0 to 2,000 square feet $102.00 $
2,001 to 3,600 square feet $163.00 $
$243.00 _.,, . _ ;: _ ' ~ ~ - ;, · icPR O P ER Tt·-OW N E R i'\,; , {,t~',-~ ~1~ ,, ; , · · 3,601 to 7,200 square feet $
N am e:/°' I I 7 ,20 I square feet and greater $324.00 $
- • ·u /V, \I ,c, .• -
A ddress:_.....:? q < L.../ HA u A. Q...;l Rv- Rd M anufactured dwelling or pre-fab (circle one)
Connections to building sew er and 102.00 $
C ity: S ~.£' \rl ~ I State:/') 0 l ZIP07477 w ater supply
Com m ercial, industrial, and dwellings other than one- or
P hon~ J~ t.Jt..J,S-q [ Fax: - - two-family
E -m ail: "a. Ltr ,.,.. I He1r-P r A~-/'/!,~ CO>,,,,
M inim um fee 1$102.00 $
~25.00
T his ins~on is being m ade on residential or farm property
Each fixture $
ow ned by m e or a m ember of m y im m ediate fam ily, and is M iscellaneous fees
exempt from:J;i sin g requirem ents und~ 8-695-0020. 100' storm , sew er, w ater line U06.00 $
S ignature: b .• ~ A ~ Each fixture, appurtenance, and piping ~ ~25.00 1~
·, ,, C O IITR AC tO R "lH STA LLA TIOW -. Storm w ater retention/detention facility U06.00 $
B usiness nam e: C~SCA 1\IA ro,u <t .J.. Pf 1.Awk Irrigation system s/Backflow G25.00 $
N• Piping or private storm drainage G25.00
A ddress: - svstem s exceedinz the first I 00 feet $
C ity: I State: l Z IP :
Specialty fixtures 525.00 $
R einspection (no. of hrs. x fee per hr.) 5102.00 $ I Fax: P hone: - - - - Special requested inspections (no. of ls102.00 $
E -m ail: hrs. X fee per hr.)
C C B license no.:,20 ~/'\-~ </ I B C D license no.: Each additional inspection: (1) ls102.oo $
P lum bing license no.: M edical gas piping M inimum fee $
P rint nam e:
Enter value of installation and equipm ent $
Enter fee based on installation and equipm ent value. $
S ignature: :..: DEPAftTIENT· use,.·: -~~ :t .. ,.., .. - . ~&
. "' ¥,_,,-
(A ) Enter subtotal of above fees $
(M inimum Permit Fee $102.00)
(B ) Investigative fee (equal to [A l) $
(C ) Enter 12% surcharge (.12 x [A +B ]) $
(D ) Technology Fee (5% of [A ]) $
TO T AL fees and surcharges (A through D): ~L\-~)
L ast edited 7/1/20 19 bjones