HomeMy WebLinkAboutBuilding Plumbing 2019-10-10INSTIflL$
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Web Address : www.splngfield_or.0ov
Permit Issued: October 10, 2019
Building permit
Residential plumbing
Permit Number; Bll-19-OO2O6O-PLM-Ol
IVR Nunrtrer: 91108g316466
City of Springfietd
Development and public Works
22S Fifth Street
Springfietd, oR 97417
s41-726_3753
Email Address: permitcenter@springfield_or.gov
Category of Construction: None Specified
Submitted Job Value: g0.00
Description of Work: Garage conversion & add bathroom
Type of Work: None Specified
Worksite Address
554 53RD PL
Springfield, OR 97478
Parcel
1 70233 130 1 803
Ownen
Address:
BRANDT MATTHEW S
564 53RD PL
SPRINGFIELD, OR 97478
Business Name
MATTHEW WOODWARD - primary
License
CCB
License Number
2L2277
Phone
541-B0B-5934
Inspection
3999 Final Plurnbing
3500 Rough Plumbing
Inspection Group
Plumb Res
Plumb Res
Inspection 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: 811088316466
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permits expire if work is not started within 180 Oays of issuance or if work is suspended fo: l8O Days or longer depending on
the issuing agency's policy.
All provisiorls of laws and ordinances governing this type of work will be complied with whether specified herein or not.
Granting of a pernrit does not presume to give authority to violate or cancel the provislons of any other state or local law
regulating construction or th€ performance of construction,
ATTENTION; Oregon law requires you to follow rules adopted by the Oregon Utility Notificatlon Center. Thos€ rules are set
forth in OAR 952-OOl-OO10 through OAR 952-OO1-OO9O, You may obtain coples of the rules by calling thc Center at (5O3)
237-19A7.
All persons or entities performing work under this permit are required to be llc€nsed unless exemPted by ORS 7O1.O1O
(structural/Meclranical), oRS 479.540 (Electrical), and ORs 693'010-O20 (Plumbing)'
p,inted o.: 10,110,119 page 1 of2 C:\myReports/reports//production/01 STANDARo
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PHNDING
SCHEDU LING INSPECTIONS
Permit Number: 811-19-0O2O5O-PLM-O1 Page 2 ot 2
Fee Description
Technology Fee
Balance of minimum permit fees - plumbing
Sink/basin/lavatory
Tub/shower/shower pan
Water closet
State of Oregon Surcharge - Plumb (12o/o of applicable fees)
Pinted on: 10/10119
Quantity
Total Fees:
Fee Amount
$5, 10
$2.00
$s0,00
$25.00
$25.00
$12,24
$1 19.34
2
1
1
Page 2 of 2 C: \myReports/reports,//producuon/01 STANDARD
PERMIT FEES
5PRINGTITLD
www.sPringf ield-or. gov
Worksite address: 564 53RD PL, Springtield' OR 97478
Parcel'. 1702331 301 803
Transaction ReceiPt
811-19-002060-PLM-01
ReceiPt Number: 472664
ReceiPt Date: 10110/19
Fees Paid
$5.1 0
Payment Amount:
Receipt Total:
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
permitcenter@springfield -or.gov
Paid amount
$50.00
$25-00
$25.00
$2.00
$12.24
$5.1 0
$119.34
Transaction date
10/10/'.t9
1 0/1 0/1 9
1 0/1 0/1 9
10/10/19
'10/10119
1 0/1 0/1 9
Units
2.00 QtY
1"00 Oty
1.00 Qty
1.00 Automatic
1.00 Ea
1.00 Automatic
Credit card authorization:
DescriPtion
Sink/basin/lavatory
Tub/shower/shower Pan
Water closet
Balance of minimum permit fees - plumbing
State of Oregon Surcharge - Plumb (12o/o ol
applicable fees)
TechnologY Fee
Payer: BRANDT MATTHEW S
Account code
224 -00000-425603- 1 034
224-00a00425603- 1 034
224 -00000-425603- 1 034
224 -00000 -425603- 1 034
82 1 -00000-2 1 5004-0000
204-00000-425605-0000
Fee amount
$50.00
$25.00
$25.00
$2.00
$12.24
Payment Method:
861 276
Cashier: Katrina Anderson
$119.34
Printed: 10/10/19 2:13 Pm
Page 1 ol'l F lN-TransactionReceipt_pr
Plumbin g Permit Application
sf'Ei&{;Figr.c
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This permit is issued under oAR grE-7g0-0060. permits are issuedexpire if work is not started within rE0 days of issuance or if work -only to the person or contractor doing the work. permits
is suspended for I80 days.
225 Fifth Street 0 Springfield,oR9',7477 0 PH(541 )726-37s3 ) FAX(541
USE OIVLYDEPARTMENT
Zoning approval verified? fl yes ENo
nxoSanitation approval verified? ! Ves
OF
Residential E Government ! Commercial
JOB LOGATION
'4*a -Job site address
t*ICity:ZrP: 77v78
Reference:
DESCRIPTION WORK
.)
tz .Ebr\
&.-,Name: lt^A{t*
3Address: # q <.1-
tFLCity:State: flL nY: ?/{79
5YrPhone u7-Fax:
i l€. , c*,E-mail: fLa, bc"
This installation is
owned by me or a
exempt from licenr
on dentialresl farmor property
immediate famil and Sv
I 8-695-0020.OARunder 9
Signature: N'
Business nu ",/vlfiltl,tJ, A bn
Nl {tsd?Address: $
ZtP: 17,/9,City:J H,II State: A2-
Fax:Phone: tl/- gth qN
E-mail:
CCB license no.tzL-|7 BCD license no.
Plumbing license no.: SF ,1ql
Print name
Signature:
FEE
Description 4ry.Total
cost
New residential
I bathroom/1 kitchen (includes; first
I 00 feet o.f water/sewer lines, hose
bibs, ice maker, underJloor low-point
drains and rain-drain packages)
!333.00 $
2 bathrooms/l kitchen s521.00 s
3 bathrooms/l kitchen 1613.00 s
Each additional bathroom (over 3)il32.00 $
Each additional kitchen (over l)il32.00 s
Residential fire sprinklers (includes plan review)
0 to 2,000 square feet 1102.00 $
2,001 to 3,600 square feet il63.00 $
3,601 to 7,200 square feet t243.00 $
7,201 square feet and greater 8324.00 $
Manufactured dwelling or pre-fab (circle one)
Connections to building sewer and
water supply t102.00 s
Commercial, industrial, and dwellings other than one- or
two-family
Minimum fee sl 02.00 $
Each fixture t25.00 $
Miscellaneous fees
100' storm, sewer, water line i106.00 $
Each fixture, appurtenance, and piping Ll 125.00 $ lo0. cr\
Storm water retention/detention faciliry i106.00 $
Irrigation systems/Backfl ow 125.00 $
Piping or private storm drainage
svstems exceeding the first 100 feet $25.00 s
Specialty fixtures s25.00 S
Reinspection (no. ofhrs. x fee per hr.)s102.00 $
Special requested inspections (no. of
hrs. x fee per hr.)il02.00 s
Each additional inspection: (l)t102.00 s
Medical gas piping Minimum fee $
Enter value of installation and equipment S _.
Enter fee based on installation and equipment value.s
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)'l)i l
(B) Investigative fee (equal to [A])$
(C) Enter l20% surcharge (.12 x [A+B])$
(D) Technotogy Fee (5% of [A])S
TOTAL fees and surcharges (A through D):ji
I
I-ast edited7 /l/20 I 9 bjones
LOCAL OOYERNMENT APPROVAL
CONSTRUCTION
State: OIL*
Taxlot.:
OWNER
CONTRACTOR INSTALLATION
U
Srnrxcrrrr,4 ORrcoNCrry or
Permit no.:
Date:
Cost
ea.
DEPARTMENT USE