HomeMy WebLinkAboutPermit Plumbing 2019-08-30OREGON
w€b Address: ww.springfi eld-or.9ov
Building Permit
Residential Plumbing
Permit Number: al l-19-0O20O5-PLM
IVR Number: 8rr092274381
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-7 26-37 53
Ema il add ress : p€.mitcente r@sp rlngfield-or. g ov
SPRINGFIELD
er
Category of Constructloni Single Family Dwelling TyPe of work: Alteration
Submittcd Job values $0.00
Description of Work: Plumbing work associated with remodel (relocating I existing fixtures)
worksite Address
1365 F ST
Springfield, Ok 97477
Parcel
1703362301200
Owner:
Addressi
MR HOLDINGS LLC
83731 RAINTREE ST
CRESWELL, OR 97426
Businesg Namc
]EFFREY DAVID GRAHAM .
Primary
License
CCB
License Number
189615
ESIT
Inspectlon
3999 Final Plumbing
3500 Rough Plumbing
Inspection Group
Plumb Res
Plumb Res
lnspection Status
Pending
Pending
Various inspections are minimally required on each project and often dependent on the scope of work. Contact
the issuing jurisdiction indicated on the permit 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 number: 811092274381
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
|| provistons of taws and ordtnances govemlne this typ€ of work will b€ compllcd wlth whcther sP€cifi€d her€in or not.
cranfing of a p€rmlt do€s not prilsume to glve authorlty to vlolate or canc€l the provisions of any other st t€ or local law
r€gulating constructlon or thc P€rformance ot construcdon'
aTTE TIOI!: Orelon taw requtrcs you to follow rules adopt€<t by the oreeon utlllty lotlllcadon center. Those rules are sct
forth in oaR 952-oo1-oo10 drrough oaR 952-oo1-oo9o. You may obtain copl.s (, the rul€5 by calling the ccntcr at (5o3)
232-L947,
al| pefsons o] enuues perfo.nlng work under this permit.re rcquir€d to be llcens€d unlcss.x.hpted by oRs 7o1'0lo
(structural/ilechanlcal), ORS 479.540 (Electrlcal), and ORs 693.01O-o2O (Plumblng)'
pn.ted on: 8/30/19 page 1 or 2 cr\myReports/reports//productron/01 STANDARD
It-r-^t
Permit Issued: August 30, 2019
TYPE OF WORX
JOB SITE INFORMATION
LICENSED PROFESSIO AL INFORMATION
Phone
541-653-9523
SCHEDULING INSPECTIONS
permits exptre lf work ls not start€d withln 18O Days ot lssuanc€ or lf work ls auspended for l8O Days or long€r dependlng on
thc issuing .gency's policy.
Permit Number: 811-19-O02OO5-PLM Page 2 ot 2
Fee Description
Technology Fee
Clothes washer
Hose bib
Sink/basin/lavatory
Tub/shower/shower pan
Water heater
Water closet
State of Oregon Surcharge - Plumb (12olo of applicable fees)
Quantity Fee Amount
$ 10.00
$2s.00
$s0.00
$50.00
$2s.00
$2s.00
$25.00
$24.00
$234.00
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Total Fees:
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Plumbing Permit Application
225 Fiffb Strccr . Sprinsfield, OR 97477 . PHl54l\'726-3753 . FAX( 541 )726-1689
€n,
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.
Zoning approval verified? ! Yes n No
Sanitation approval verified? ! Yes n N"
CATEGORY OF CONSTRUCTION
Ey'Residential E Govemment E Commercial
JOB SITE INFORMATION AND LOCATION
Job site addrcss l36t F s).
city: {nt7) n tl: -/ /Siatc /)zty?7?77
Refe#ce Taxlot;0 | /00
OESCRIPTION OF WORK
(o c\lart
PROPERTY OWNER
Name l,ti choel I os; "rAddress: f ,a3l la)rlrce f/-
cny, [./?4wc ll it^r, QI zw, Q 7c121
Phone!/fJ- 1*l ft7 Fax
E-mail: y4 777 ell Ca .YL
This installation is being made on residential or farm property
owned by me or a member of my immediate family, and is
exemnl from hcensins reouiremenls under OAR 918-695-0020
-signature: drArlL^r!"'bo"i^
CONTRACTOR INSTALLATION
Business name emh- //*m
Address I 0
Cig: fl16n2 State 0l ztP, ?7y0t/
Phone l{3-5"3 Fax
E-mail
CCB license no.: lf l Ll{BCD license no.r FC)O \2_
Plumbing license no, 837!OJ P
Signature
FEE SCHEDULE
Description Cost
e!.
Total
cost
)rrr residential
1 bathroom/l kitchcn {includes: lirst
100 feet ofwater/sater lihes, hose
bibs, ice maker. underJloor low-point
drains and ruin-drain packages)
{333-00 $
2 bathrooms/l kitchen 5521.00 s
3 bathroonrs/ I kitchen s6ll.00 s
Each additional bathroom (over 3)s132.00 s
Each additional kitchen (over l)sr32.00 S
Residential fire sprinklers (includcs plen review)
0 to 2,000 square feet $102.00 S
2,001 to 3,600 square fcet s 163.00 s
1,601 to 7,200 squarc feet s243.00 S
7,201 square feel aod geater $324.00 s
Manufactured dwelling or pre-fab (tirclc one)
Connections to building sewer and
water supply $102.00 S
Commercirl, industriel, end dwellings other than one- or
h"o-frmily
Minimum fec s102.00 s
Each fixlure $25.00 s
Miscellaneous fecs
100' storm, sewer. water line $106.00 s
Each ft(ture, appurtenance, and piping g $25.00 sL?0
Storm water retenlion/detention faciliry t106.00 s
lrrigatioD syslems/Backfl ow i25.00 s
Piping or private storm drainage
svstems exceedins the firsl 100 feet i25.00 s
specialty fixtures i25.00 s
Reinspeclion (no- ofhrs. x fee per hr.)$102.00
Special requested inspections (no. of
brs. x fee per hr.)s102.00
Each additionrl inspcction: (l)st 02.00 $
Medicel ges piping Minimum fee s
Enter value ofinstallation and equipment $
-Enler fee based on inslallation and equipmenl \'alue s
DEPARTMENT USE
(A) Enter subtolal ofabove fees
(MinimuE Permit Fee S102.00)
tu.
(B) Investigative fee (equal to [A])S
(C) Eller l27o surcharge (.12 x [A+B])S
(D) Technology Fee (5olo of [A])s
'I'OTAl, fees and surcharges (A through D):S
DEPARTMENT USE ONLY
Permit no.: \9.<af 2.f S -*
Da](,: e* /=a 1t:
LOCAL GOVERNMENT APPROVAL
Print name:
Qt].
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lrsr edired 7r l/2019 bjones