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HomeMy WebLinkAboutPermit Plumbing 2019-08-22Building Permit Residential Plumbing Permit Number: 811-19-001948-PLM IVR Number: 811011804937 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: Single Fam ily Dwelling Submitted Job Value: $0.00 Description of Work: Addition - bathroom Type of Work: Addition Workslte Address 273 W M ST Springfield, OR 97477 Parcel 1703274405900 Owner: Address: SODERHOLM ROBIN MARIE ANN & JOSEPH M 273 W M ST SPRINGFIELD, OR 97477 Business Name JEFFREY DAVID GRAHAM - Prim ary License CCB License Number 189615 Phone 541-653-9523 Inspection 3999 Final Plum bing 3500 Rough Plum bing Inspection Group Plumb 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.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR num ber: 811011804937 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 entitles 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 "C ~ t ,..... C"'l > •. ~ a; L Q.l ,..... LI) 0 C 0 0 0 0 ..,. 0 ..,. ,; a . I;:: 0 L.. ~ ,..... C l :::, 0 0 0 ~ N .•... C') _, 0 . '° '° r-.i '° c,; Cl 3: vi :;; r:1 ~ E ~ r- oi a . C N N N .•... ~ .•.. "ii ·c U J:: ~ \0 I ftl ~ ~ ~ ~ ~ .•... .•.. ~ Q. :B ~ 0 ~ ~ .;; ~ a: Cl) :J u.. •.. ~ i..: '0 C 'iv 0 - 0..Lll::2vgi •• 0 Cl. (J -u~~Ln-c ., ~ ~ g' g- ., C () e 'c: ·c: @ I- G) a . ~ I E (/) 2l z Q . C t u: 0 G) j - u QJ •.. ::, > . E 0 0 QJ E I- 0 ~ QJ <( •. a . 0. c 'i •. Ii u C 0 0 0 0 ..,. 0 ~ :::, 0 0 0 0 N .•... 0 . 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C ~ Q ) "C C <( t1I C ·c iii ::-:: E '" CD ~ ..: Q ) :.c II) 8 Plum bing Permit Application CITY OF SPRINGFIELD, OREGON 225 Fifth Street+ Springfield, OR 97477 + PH(541)726-3753 + FAX(541)726-3689 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 not started within 180 days of issuance or if work is suspended for 180 days. .,. LOCAL GOYeRNMENT APPROVAL- - °FEE SCHEDULE Zoning approval verified? 0Yes 0No . ~rlptlon ,,.. ~,.·;,, '~ Q ty~ Cost .-Jotal 0Yes / ea. cost Sanitation approval verified? 0No New residential . CATEGORY OF CONSTRUCTION I bathroom/I kitchen (includes: first ~esidential I D Government I D Commercial 100 feet of water/sewer lines, hose $333.00 $ bibs, ice maker, underfloor low-point JOB SITE INFORMATIQ~ AND LOCATION drains and rain-drain packages) Job site address: Z /3 W esT rv\ 2 bathrooms/I kitchen S521.00 $ City:~ fl..J' ;waf:ie.f ,J I State: 0(2. I ZIP: 3 bathrooms/I kitchen 613.00 $ Each additional bathroom (over 3) !.132.00 $ - I Taxlot.: Reference: Each additional kitchen (over I) U 32.00 $ ~'~ ~:.,.,. DESCRIPTIQN OF WORK •• ~ .,_, .ol ,;,: Residential fire sprinklers (includes plan review) - RQ.M<JJ el ,, /) - ' ·- Pv:,cf-1... l'-?T 0 to 2,000 square feet 1$102.00 $ , 2,001 to 3,600 square feet U 63.00 $ - PROPERTY OWNER, r- . .:t r; . 3,601 to 7,200 square feet 15243.00 $ Name: f-<.ob,rJ Sad~•)vA-,-J 7,201 square feet and greater 324.00 $ M anufactured dwelling or pre-fab (circle one) Address: 2 7 ~ W &\. !- M .$-f' '12..-4.91. Connections to building sewer and 102.00 $ City:<°.&ile)*'t h'd'/ I State:OK I ZIP: water supply Com m ercial, industrial, and dwellings other than one- or Phone: - - I Fax: - - two-fam ily E-mail: Minimum fee ~102.00 $ i25.oo This installation is being made on residential or farm property Each fixture $ owned by me or a member of my immediate family, and is M iscellaneous fees exempt from licensing requirements under OAR 918-695-0020. 100' storm, sewer, water line tl06.00 $ Signature: Each fixture, appurtenance, and piping 3 .2~.00 $ 7< :. CONTRACTOR INSTALLATION •. -~,i . , '~ Storm water retention/detention facility U06.00 $ Business namecrD 7~ .,. l ..• ,-....._ PJ /.--h /-, Irrigation systems/Backflow ~25.00 $ Address: ? L 7 < r' .-A-IZJoofVA- I Piping or private storm drainage 525.00 $ svstems exceedinz the first 100 feet City: ;:::-j,..("-<..,,.,,...__ I Stated>'<. I ZIP:q7~ Specialty fixtures 525.00 $ Reinspection (no. of hrs. x fee per hr.) 15102.00 Phone: SJ./)- .3 3 7 -~l>-6 / I Fax: $ - - Special requested inspections (no. of E-mail: :SO /,;vrh·1-t- fJL v..~.ht,.,, d~ n,J.Hl.. • c.., ~ hrs. x fee per hr.) 1$102.00 $ CCB license no./ 1( 9 t,J S--- I BCD license no.;' Each additional inspection: (1) ~102.00 $ Plumbing license no.: 9 / 2. M edical gu Dining " Minimum fee ~ Enter value of installation and equipment $ < Print name:·)<..(.: F- GJi;yf,,.,,,..._ Enter fee based on installation and equipment value. $ Signature: "5~./ ~ /_ ~, DEPARTMENT USE - (A) Enter subtotal of above fees s )o~ (M inim um Permit Fee $102.00) (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ (D) Technology Fee (5% of [A]) $ TO T AL fees and surcharges (A through D): st\9 .3Y Last edited 7/1/2019 bjones