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Home My WebLink AboutPermit Plumbing 2019-04-10SPRINGfIELD OREGON web Address: www.springfi eld-or. gov Building Permit Residential Plumbing Permit Number: 81f -19-OOO525-PLM-O1 IVR Number: 811020842700 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 Ema il Address : permitcenter@springfield-or.gov Permit Issued: April 10, 2019 Category of Construction: None Specified Type of Work; None Specified Submitted lob Value: $0.00 Description of Work: ADU - conversion and addition to existing garage JOB SITE INFORMATION Worksite Address 987 S 71ST ST Springfield, OR 97478 Parcel 1802022600200 Owner: Address MATTHEWS EDWARD P & BETH J 347 64TH ST SPRINGFIELD , OR 97478 LICENSED PROFESSIONAL IN FORMATION None Specified PENDII{G IilSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing 3200 Sanitary Sewer 3300 Water Service Inspection Group Plumb Res Plumb Res Plumb Res Plumb Res Inspection Status Pending 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: 811020842700 Schedule using the Oregon ePermitting 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 18O 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-OO1-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-t9't7, 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 (Plumbing). printed ont gl24ltg page 1 of 2 C:\myReports/reports//production/01 STANDARD ,t .&'1 (tb TYPE OF WORK Permit Number: 81 1-19-000525-PLM-O1 Page 2 of 2 Fee Description Technology Fee Clothes washer Dishwasher Sanitary sewer - Total linear feet Sin k/basin/lavatory Tub/shower/shower pan Water service - Total linear feet Water closet State of Oregon Surcharge - Plumb (t2o/o of applicable fees) Printed oni 9l24lL9 Quantity Total Fees: Fee Amount $21.8s $2s.00 $2s.00 $106.00 $7s.00 $2s.00 $131.00 $50.00 $52.44 $s 11.29 1 1 30 3 1 150 2 Page 2 of 2 C :\myReports/reports//prcduction/01 STAN DARD PERITIIT FEES SPRINGFIELD ,b Transaction Receipt 811-{9-000525-PLM-o1 Receipt Number: 472500 Receipt Date: 9/24119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54L-726-3753 permitcenter@springfield -or. govOREGON www. sp ri n g fi eld -or. g ov Worksite address: 987 S 71ST ST, Springfield, OR 97478 Parcel: 1802022600200 Fees Paid Transaction date 9t24119 9t24119 9124119 9t24119 9t24119 9t24119 91241'.l9 9t24119 Units 1.00 Qty 1.00 Qty 3.00 Qty 1.00 Qty 2.00 Qty 30.00 LnFt 150.00 LnFt 1.00 Ea Description Clothes washer Dishwasher SinUbasin/lavatory Tub/shower/shower pan Water closet Sanitary sewer - Total linear feet Water service - Total linear feet State of Oregon Surcharge - Plumb (12% ol applicable fees) Technology Fee Account code 224-0000042s603-1 034 224 -00000-425603-1 034 224-00000425603- 1 034 224-00000-425603- 1 034 224-00000-425603-1 034 224-00000425603-1 034 224-00000-425603- 1 034 82 1 -00000-2'1 5004-0000 20 4 -OOO00-425605-000 0 Fee amount $25.00 $25.00 $75.00 $25.00 $50.00 $106.00 $131.00 $52.44 $21.85 Paid amount $2s.00 $25.00 $75.00 $25.00 $50.00 $106.00 $131.00 $52.44 $21.859t241191.00 Automatic Payment Method Credit card authorization 0751 3d PayET: MATTHEWS EDWARD P & BETH Payment Amount:$511.29 Cashier: Katrina Anderson Receipt Total:$51r.29 Ptinled: 9124119 2.27 Pm Page 1 of 1 Fl N_Tra nsaction Receipt_pr [r Cruv or SrnrNGFrELn, 0Rrcon Plumbing Permit Application h, 225 Fifth Strect o Springficld, OR 97477 . PH(541)726-3753 o 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 ifwork is not started within 180 days ofissuance or ifwork is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E Yer E Uo Sanitation approval verified? E Yes E No CATEGORY OF CONSTRUCTION dResidential E Government E Commercial JOB SITE INFORMATION AND LOCATION Job site address: 792 5 7/ JT City:thy s-rc:Op nP: q717 e Reference:Taxlot. DESCRIPTION OF WORK ER @eatt Address: City:State:ZIP: Phone: *t-Zzl^ aA/5 Fax E-mair: ePfiaft- /?Z; efiSA, 942-t This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 9l 8-695-0020. Signature: CONTRACTOR INSTALLATION Business name:/^,v Address City:ZIP Phone:Fax: E-mail: CCB license "r.,/Tfl4Qf BCD license no.: Plumbing license no Print name: Signature rfi\h'co,lLrr \-\<-i \r/Ll^ sr\K 2\aa}lrr*h'*:,i\^lL, Z-+o.V*e \ - S\-pl-*r \ -GIr{,\-t4 '-^1k DEPARTMENT USE ONLY Permit no.}S Date FEE SCHEDULE Cost ea. Total costDescriptionaty New residential 1 bathroom/l kitchen (includes: first l00feet ofwater/sewer lines, hose bibs, ice maker, underfloor low-point drains and rain-drain packages) s333.00 $ 2 bathrooms/l kitchen $s21.00 $ $613.00 $3 bathrooms/l kitchen Each additional bathroom (over 3)$132.00 $ $Each additional kitchen (over 1)$r32.00 Residential lire sprinklers (includes plan review) 0 to 2,000 square feet u02.00 s 2,001 to 3,600 square feet $163.00 $ $3,601 to 7,200 square feet t243.00 7,201 square feet and greater $324.00 $ Manufactured dwelling or pre-fab (circle one) $l 02.00 S Connections to building sewer and water supply Commercial, industrial, and dwellings other than one- or two-family Minimum fee $102.00 $ Each fixture $2s.00 $ Miscellaneous fees L 1106.00 $100' storm, sewer, water line Each fixture, appurtenance. and piping lo $25.00 s Storm water retentior/detention facility $106.00 s $25.00 $Irrigation systems/Backfl ow $25.00 $ Piping or private storm drainage svstems exceedins the first 100 feet I s25.00 $Specialty fixtures Reinspection (no. ofhrs. x lee per hr.)$102.00 s $Special requested inspections (no. of hrs. x fee per hr.)$t 02.00 $102.00 $Each additional inspection: (l) Minimum fee $Medical gas piping Enter value of installation and equipment $ -.$Enter fee based on installation and equipment value. DEPARTMENT USE $ (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) (B) Investigative fee (equal to [A])$ $(C) Enter l27o surcharge (.12 x [A+B]) (D) Technology Fee (5% of [A])$ \t\: L''TOTAL fees and surcharges (A through D): Lasr edited 7/l/2019 bjones Name: State: $