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Home My WebLink AboutPermit Plumbing 2019-10-09OREGON Web Address: www.springfield-or.gov Building Permit Residential Plumbing Permit Number: 81 1-19-OO2315-PLM IVR Number: 811011547846 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54r-726-3753 Email Address : permitcenter@springfield-or. gov SPRINGFIELD gfr Permit Issued: October 09, 2019 TYPE OF WORK Category of Construction: Single Family Dwelling Type of Work: New Submitted Job Value: $0.00 Description of Work: New bathroom & replacing water line from meter 45ft IOB SITE INFORMATION Worksite Address 384 U ST Springfield, OR 97477 Parcel 1703262t05507 Owner: Address: TEO ZACCHARYT & SARAH 384 U ST SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL IN FORMATION Busaness Name RILEY PLUMBING & CONSTRUCTION COMPANY LLC - Primary License ccB License Number 169050 Phone 541-998-8092 PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing 3300 Water Service Inspection Group Plumb Res Plumb Res Plumb 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 proiect. Schedule or track inspections at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811011547846 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 authoriw to violate or cancel the provisions of any other state or lo€al law regulating construction or the performance of construction. ATTENTION! Oregon law requires you to follow rules adopted by the Oregon Utility ilotlfication Center. Those rules are set forth in OAR 952-OO1-OOlO through OAR 952-OO1-OO9O, You may obtain coPies of the rules by calling 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 479:54o (Electrical), and ORs 693.O10-o20 (Plumbing). printed on: 10/9/19 page 1 of 2 c:\myReports/reports//production/01 STANDARD Ir Permit Numberr 81 1-19-OO2315-PLM Page 2 of 2 Fee Description Technology Fee Hose bib Sin k/basin/lavatory Tub/shower/shower pan Water closet Water service - Total linear feet State of Oregon Surcharge - Plumb (l2o/o of applicable fees) Printed on: 10/9/19 Quantity Total Fees: Fee Amount $10.30 $2s.00 $2s.00 $2s.00 $2s.00 $106.00 $24.72 $241.02 L 1 1 1 45 Page 2 of 2 C; \myReports/reports//production/01 STAN OARD PERMIT FEES SPRINGFIELD tt, Transaction Receipt 811-19-002315-PLM Receipt Number: 472650 Receipt Date: 10/9/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 permitcenter@springfield-or. gov OREGON www. sp ri n g fi eld-or. gov Worksite address: 384 U ST, Springfield, OR97477 Parcnl: 17 03262 1 05507 Fees Paid Transaction date 10t9t19 10t9t19 10t9t't9 10tgt19 10t9t19 10t9119 't0tgt19 1.00 Automatic Units 45.00 LnFt 1.00 Qty '1.00 Qty 1.00 Qty 1.00 Qty 1.00 Ea Description Water service - Total linear feet Hose bib Sink/basin/lavatory Tub/shower/shower pan Water closet State of Oregon Surcharge - Plumb (12% of applicable fees) Technology Fee Account code 224-00000-42s603- 1 034 224-00000425603-1 034 224-00000-425603- 1 034 224-00000-425603- 1 034 224-00000-425603-1 034 821 -00000-21 5004-0000 204 -00000-425605-0000 Fee amount $106.00 $25.00 $25.00 $25.00 $25.00 $24.72 $10.30 Paid amount $106.00 $25.00 $25.00 $25.00 $2s.00 $24.72 $10.30 Payment Method Credit card authorization 020879 Payer: TEO ZACCHARY T & SARAH Payment Amount:$241.02 Cashier: Katrina Anderson Receipt Total:$241.02 Printed: 10/9/19 3:05 pm Page 1 of 1 Fl N_TransactionReceipt_pr [r ,r. Crrv or SpnrNGFtELo, ORu,GoN SPN'r{(iPIGtl' 225 Fifth Street r Springfield, OR97477 I PH(541)726-3753 I FAX(541)'126-3689 This permit is issued under OAR 9l&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. Plumbing Permit Application hoae- bi\2 5n-'^.^ 13194>*L DEPARTMENT USE ONLY Permit no.,hln255 Date: \n [4 \ f t LOCAL GOVERNiiENT APPROVAL Zoning approval verified? fl Ves f]No Sanitation approval verified? n Ves f]No GATEGORY OF CONSTRUCTION [tResidential fl Govemment flCommercial JOB SITE INFORMATION AND LOCATION Job site address: 3A+ U Strreet city: SDri nq fie I J State: Op-zrP 4Vl-71 Reference:Taxlot.: DESCRIPTION OF WORK ot4 Name: ZnoK i furah Tdo Address: ?O+ U Sf yzef zrP:41t4-7')city: $py, nqFie I A State: p( Fax:PhoneS4l -5 b- 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 from licensing requirements under OAR 918-695-0020 Signature: CONTRACTOR INSTALLATION Business name [vnr,hrvr Address: State: $(-ZIP: ?14 { t Phone:$( - 94S $Oq'tr I Fax: E-mail: I CTU,ItJcGr,*i ccB license nol, l6t4 0SO BCD license no Plumbing license no.: (of Q \ .\p Vi/ Signature: FEE SCHEDULE Descrifiion ary Cost c0- Total cost New residential I bathroom/l kit€hen (includes: Jirst l0Ofeet ofwater/sewer lines, hose bibs, ice maker, unde(loor low-point drains and rain-drain packages) xt33.00 $ 2 bathroomVl kitchen Bs2l.00 $ $3 bathrooms/l kitchen [613.00 Each additional bathroom (over 3)f132.00 $ Each additional kitchen (over l)Ir32.00 $ Residential fire sprinklers (includes plan review) 0 to 2,000 squarc feet il02.00 $ 2,001 to 3,600 square feet $r6t.00 $ t243.00 $3,601 to 7,200 square feet s324.00 $7,201 square feet and greater Manufactured dwelling or pre-fab (circle one) $102.00 $Connections to building sewer and water supply Commercial, industrialo and dwellings other than one- or two-family $Minimum fee s102.00 Each fixture $2s.00 $ Miscellaneous fees $106.00 s loQ,100' storm, sewer, water line Each fixture, appurtenance, and piping L $2s.00 s toD D106.00 $Storm water retention/detention facility $25.00 $Irrigation systems/Backfl ow s25.00Piping or private storm drainage systems exceeding the first 100 feet t2s.00 $Specialty fixtures Reinspection (no. ofhrs. x fee per hr.)8102.00 $ $Special requested inspections (no. of hrs. x fee per hr.)f102.00 $102.00 $Each additional inspection: (l) llledical gas piping Minimum fee $ Enter value of installation and equipment $ -.$Enterfee based on installation and equipment value. DEPARTMENT USE s v;z< (A) Entersubtotal of above fees (Minimum Permit Fee $102.00) $(B) Investigative fee (equal to [A]) $(C) Enter l2%o surcharge (.12 x [A+B]) $(D) Technolory Fee (5% of [A]) TOTAL fees and surcharges (A through D):$ Last edited 7 I I 12019 bjones 24\,D't' PROPERTY r!I Print name: .A I $ 5S-ui^*'