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Home My WebLink AboutPermit Plumbing 2019-09-16OREGON Web Address: www.springfield-or.9ov Building Permit Residential Plumbing Permit Number: 811-19-OO1 157-PLM-O1 IVR Number: 81 1061902794 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Email Address: permitcenter@springfield-or.gov SPRINGFIELD $ Permit Issued: September L6,2OL9 TYPE OF WORK Category of Construction: None Specified Submitted Job Value: $0.00 Description of Work: P-Addition and remodel Type of Work: None Specified JOB SITE INFORIIIATION Worksite Address 4048 CHEROKEE DR Springfield, OR 97478 Parcel 180206 1 1 12900 Owner: Address: LEIPOLD RAY R & PENNY R 4048 CHEROKEE DR SPRINGFIELD , OR 97478 LICENSED INFORMATION Business Name NORMS PLUMBING LLC - Primary License ccB License Number 195248 Phone 54L-556-7455 PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Res Plumb Res Inspection Status Pending Pending SCHEDULING INSPECTIONS 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: 8tt16t912794 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 18o Days of issuance or if work is suspended for l8o Days or longer 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, Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating €onstruction or the performance of construction. ATTENTIoN: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are setforth in oAR 952-oo1-oolo through OAR 952-oo1-oo9o. You may obtain copies of the rules by calling the center at (so3) 232-L9A7. All persons or entities performing work under this permit are required to be licensed unless exempted by oRs 7o1.o1o (Structural/Mechanical), ORS 479.540 (Etectricat), and ORS 693.O10-O2O (plumbing). Printed on | 9/16/19 Page 1 of 2 c:\myReports/reports//production/01 STANDARD tr Permit Number: 811-19-001157-PLM-01 Page 2 of 2 Fee Description Technology Fee Sin k/basin/lavatory Tub/shower/shower pan Water closet State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Printed on: 9/16/19 Quantity Fee Amount $6.00 $48.00 $24.00 $48.00 $14.40 $140.40Total Fees: C :\myReports/reports//production/0 1 STAN DARD 2 1 2 Page 2 of 2 PERMIT FEES SPRINGFIELD tt OREGON www. springfi eld-or. gov Worksite address: 4048 CHEROKEE DR, Springfietd, OR 97478 Parcel:1802061112900 Transaction Receipt 81 1-1 9-001 I 57-PLM-01 Receipt Number: 472400 Receipt Date: 9/16/19 City of Springfield Development and Public Works 225 Fifth Street Springfield. OR97477 541-726-3753 permitcenter@springfield-or.gov Fees Paid Transaction date 9t16t19 9t16t19 9t16t19 9t16t19 9t16t19 Units 2.00 Qty 1.00 Qty 2.00 Qty 1.00 Ea 1.00 Automatic Technology Fee Description SinUbasin/lavatory Tub/shower/shower pan Water closet State of Oregon Surcharge - Plumb (12% of applicable fees) Account code 224-00000-425603- 1 034 224-00000-425603- 1 034 224-00000-425603- 1 034 82 1 -00000-2 1 5004-0000 1 00-00000425605-0000 Fee amount $48.00 $24.00 $48.00 $14.40 $6.00 Paid amount $48.00 $24.00 $48.00 $14.40 $6.00 Payment Method: Credit card authorization: 167281 Payer: LEIPOLD RAY R & PENNY R Payment Amount:$140.40 Cashier: Katrina Anderson Receipt Total:$140.40 Printed: 9/16/19 8:09 am Page I of 1 Fl N_TransactionReceipt_pr Crrv or SpnrNGFrELn, OnncoN Plumbing Permit Application 225 Fifth Street o Springfield, OR 97477 . PH(541\'726-3753 o FAX(541)726-1689 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. FEE SCHEDULE Description Qty.Cost ea. Total cost New residential I bathroom/l kitchen (includes : first I 00 feet ofwater/sewer lines, hose bibs, ice maker, unde(loor lou-point drains and rain-drain packages) $323.00 S 2 bathrooms/l kitchen $s06.00 $ 3 bathrooms/l kitchen $595.00 $ Each additional bathroom (over 3)$128.00 s Each additional kitchen (over I )$128.00 $ Residential fire sprinklers (includes plan review) 0 to 2,000 square feet $99.00 $ 2,001 to 3,600 square feet $158.00 $ 3,601 to 7,200 square feet $236.00 7,201 square feet and greater $315.00 $ Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply $99.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee $99.00 $ Each fixture $24.00 $ Miscellaneous fees 100' storm, sewer, water line $103.00 $ Each fixture, appurtenance, and piping 5 $24.00 $ Storm water retention/detention facility $103.00 $ Irrigation systems/Backfl ow $24.00 $ Piping or private storm drainage svstems exceedins the first 100 feet $24.00 $ Specialty fixtures $24.00 $ Reinspection (no. ofhrs. x fee per hr.)$99.00 $ Special requested inspections (no. of hrs. x fee per hr.)$99.00 $ Each additional inspection: ( I )$99.00 $ Medical gas piping Minimum fee s Enter value of installation and equipment $ _. Enter fee based on installation and equipment value.$ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $99.00) $ (B) Investigative fee (equal to [A])$ (C) Enter I 2% surcharge (. l2 x [A+B])$ (D) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):$L o-40 SPNIIGFTELD fi, 5 oY-.. ?sb't9 DEPARTMENT USE ONLY Permit no Mt1- Dare: 5 lu (l ,/ LOCAL GOVERNMENT APPROVAL Zoningapproval verified? ! Ves E No Sanitation approval verified? E yes E No CATEGORY OF CONSTRUCTION E Government E CommercialElResidential JOB SITE INFORMATION AND LOCATION Job site address: q0 Y7 LllCtotlcC Lu^e- crty: SPr,tr^q{icfJ State: oL ZIP:4117Y Taxlot.Reference: 6Axtl s r uKollzi- DESCRI OF WORK PROPERTY OWNER 'enA Ie or-D^Address: {OtB Cfr(ftovuc Le,,\c- 2rc,Q1'{78citySor)an€l.ld State: O t( Phone:Fax E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt liom licensing requirements under OAR 918-695-0020 Signature: CONTRACTOR INSTALLATION Businessnu."' lt/DZ,ntJ gLumSuG LLe Address: $ox 3Ol City: llr; L LrtC(L State: OIZ zw:41,.1t3 Phone:S?-,$L 7L/S{Fax: E-mail: CCB license no.: lQ$Zl (BCD license no. x)o clvt 4J Plumbing license no. Print name: S€r. Signature: tast edited 7i l/2018 bjones €t\-\'\-0b\tf? $ Name: OREGON Web Address: www.springfi eld-or.gov Building Permit Residential Mechanical Permit Number: 811-19-OO1157-MECH-O1 IVR Number: 81 1059164906 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54L-726-3753 Ema il Add ress : permitcenter@springfield-or. gov SPRINGFIELD nt Permit Issued: September L6,2OL9 TYPE OF WORK Category of Construction: None Specified Submitted Job Value: $0.00 Description of Work: M-Addition and remodel Type of Work: None Specified JOB SITE INFORMATION Worksite Address 4O4B CHEROKEE DR Springfield, OR 97478 Parcel 1802061 1 12900 Owner: Address LEIPOLD RAY R & PENNY R 4048 CHEROKEE DR SPRINGFIELD , OR 97478 LICENSED PROFESSIONAL IN FORMATION Business Name SUNSET HEATING & AIR INC - Primary License ccB License Number t7t706 Phone 54L-554-2604 PENDING INSPECTIONS Inspection 2999 Final Mechanical 2300 Rough Mechanical 2110 Venting Inspection Group Mech Res Mech Res Mech Res Inspection Status Pending Pending Pending SCHEDULING INSPECTIONS 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: 811059164906 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 18O Days of issuance or if work is suspended for 18O Days or longer 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. 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 Utiliw Notification Center. Those rules are set forth in OAR 952-oo1-oo10 through oAR 952-0o1-oo9o. You may obtain copies of the rules by catting the center at (5o3) 232-L987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.O10-O2O (plumblng). Printed on: 9/16/19 page 1 of 2 C:\myReports/reports//production/01 STANDARD ( Permat Number: 811-19-001157-MECH-O1 Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - mechanical Ventilation fan connected to single duct State of Oregon Surcharge - Mech (l2o/o of applicable fees) Printed on: 9/16/19 Quantity Fee Amount $4.9s $73.00 $26.00 $11,88 $ 11s.83Total Fees: C :\myReports,/reports//prcduction/01 STAN DARD 2 Page 2 of 2 PERMIT FEES SPRINGFIELD {fi OREGON www.springfi eld-or. gov Worksite address: 4048 CHEROKEE DR, Springfield, OR 97478 Parcel: 1 802061 1 1 2900 Transaction Receipt 81 1 -19-001 157-MECH-01 Receipt Number: 472401 Receipt Date: 9/16/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 541-726-3753 permitcenter@springfield-or. gov Transaction date 9116t19 9/1 6/1 I 9t16t19 9t16t19 Units 2.00 Ea '1 .00 Automatic 1.00 Ea '1 .00 Automatic Fees Paid Description Ventilation fan connected to single duct Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12% ol applicable fees) Technology Fee Account code 224-00000-425604- 1 03 1 224 -00000 -425604-'l 03 1 821 -00000-21 5004-0000 '1 00-00000-425605-0000 Fee amount $26.00 $73.00 $11.88 $4.95 Paid amount $26.00 $73.00 $11.88 $4.95 Payment Method:Cred it card authorization: 167281 Payer: LEIPOLD RAY R & PENNY R Payment Amount:$115.83 Cashier: Katrina Anderson Receipt Total:$115.83 Printed: 9/'16/19 8:10 am Page 1 of I Fl N_Tra nsactionReceipt_pr Ir Crrv or SpnrNcFIELo, ORTGoN Mechanical Permit Application 225 Fifth Street o Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. FEE SCHEDULE Residential Qty.Cmt ea. Total cost First Annliance $99.00 $ Furnace/burner including ducts and vents Up to 100k BTU/hr,$22.00 $ Over 100k BTUtrr.s25.00 $ Heaters/stoves/vents Unit heater $22.00 $ Wood/pellet/gas stove/flue $52.00 $ Evaporated cooler $18.00 $ Vent fan with one ducVappliance L $13.00 $ Hood with exhaust and duct $18.00 $ One to four outlets $8.48 $ Additional outlets (each)ss.30 $ Up to 10,000 CFM $15.00 $ Over 10,000 CFM $25.00 $ Comoressor/absorption svstem/heat pump Up to 3 hp/100k BTU $22.00 $ Up to 15 hp/500k BTU $40.00 $ Up to 30 hp/l,000 BTU $59.00 $ Up to 50 hp/1,750 BTU $76.00 $ Over 50 hp/l,750 BTU $128.00 $ Incinerators Domestic incinerator $25.00 $ Commercial Enter total valuation ofmechanical system and installation costs $ - Enter fee based on valuation ofmechanical system, etc.$ Miscellaneous fees Cost ea. Total cost Reinspection $ Specially requested inspections (per s99.00 $ Regulated equipment (unclassed)$18.00 s Each additional (r $99.00 $ (A) Enter subtotal ofabove fees (or enter set minimum fee of $$ (B) lnvestigative fee $ (C) Enter 12%osurcharge (.12 x [A+B])$ (D) Seismic fee, 1%o (.01 x [Al)$ (E) Technologr Fee (5% of [A])$ TOTAL fees and surcharges (A through E)$ ru;ffiffi"af,R DEPARTMENT USE ONLY Permit no.I 1* ZVDate :tcl CATEGORY OF CONSTRUCTION fi.Residential fl Govemment E Commercial JOB SITE INFORMATION AND LOCATION Job site address: "{Olf oH ctLogce LOxtL city: $Q{, alftdl State: o (2 ZtP: 41'{7{ J Reference: DESCRIPTION OF WORK t7. uYlcNe,.r E"V Fe 11<,e \vcl inY it*t Aoo'Tto* PROPERW OWNER Pcp n',Name:ot-L-tz I eJJ."*, tl'of 3 LHc'\,ot€ee- 1-pu9- city:5?r\,a+;.U State: 6A np.4J'lB Fax:Phone E-mail This installation is being made on properfy owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Sigrrature: CONTRACTOR INSTALLATION ffi il""ti^i lvt{L rfitAddress: 5 zIp:47?71City:fi21,\1of ,'cuO State: 0 /L pnoe',?/l-?*- 3tEt Fax: E-maii: CCB license no.: ll l 7 0lo Printname: 6Cio.rn Poaet.S^ Signature: T asr edited 7i I /20 I 8 bjones Air-handlins units. includins duc s $99.00 DEPARTMENT USE Taxlot.: