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Home My WebLink AboutPermit Plumbing 2019-10-18OREGON Web Address: www.springfield-or.9ov Building Permit Commercial Plumbing Permit Number: 811-f9-OO2370-PLM IVR Number: 811051928093 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 Email Address : permitcenter@springfield-or.gov SPRINGTIELD tb Permit Issued: October 18, 2019 TYPE OF WORK Category of Construction: Commercial Submitted Job Value: $0.00 Description of Work: Remove restroom (1 - sink & 1 - toilet) Type of Work: Alteration JOB SITE INFORMATION Worksite Address 590 MAIN ST Springfield, OR 97477 Parcel 1703353 108600 Owner: Address: CITY OF SPRINGFIELD 150 N 4TH ST SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Business Name TIMBERLINE PAINTING & REMODELING INC - PT|MAT License ccB License Number t57974 Phone 54r-9t2-7777 PENDING INSPECTIONS Inspection 3999 Final Plumbing 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Com Plumb Com Plumb Com Inspection Status Pending Pending Pending SCHEDULING INSPECTIOT{S 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. Sched ule or track inspections at www.build ingpermits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811051928093 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 180 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-OO10 through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-L947, All persons or entities performing work under this permit are required to be licensed unless exemPted bY ORS 7O1.O1O (Strustural/tilechanical), ORS 479.540 (Electrical), and ORS 693.O1O-O20 (Plumbing)' printed on: 10/18/19 page 1 of 2 c:\myReports/reports//production/01 STANDARD Permit Number: 811-19-OO237O-PLM Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - plumbing Sin k/basin/lavatory Water closet State of Oregon Surcharge - Plumb (l2o/o of applicable fees) Printed on: 10/18/19 Quantity Fee Amount $s.10 $52.00 $2s.00 $2s.00 $L2.24 $ 119.34Total Fees: C: \myReports/repofts/ /ptodud'ionlOl STAN DA RD 1 1 Page 2 of 2 PER.MIT FEES SPRINGFIELD th Transaction Receipt 81 I -r 9-002370-PLM Receipt Number: 472735 Receipt Date: 10/18/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54t-726-3753 permitcenter@springfi eld-or. gov OREGON www. sp ri n g fi eld-or. gov Worksite address: 590 MAIN ST, Springfield , OR 97477 Parcel:'l 7033531 08600 Fees Paid Transaction date 10t18t19 10t18119 10t18119 10t18t19 10t18t19 Units 1.00 Qty '1.00 Qty '1 .00 Automatic 1.00 Ea 'l .00 Automatic Account code 224-00000425603-1 034 224-00000425603-'l 034 224-00000425603-1 034 82 1 -00000-21 5004-0000 204-00000425605-0000 Fee amount $25.00 $25.00 $s2.00 $12.24 $s.10 Description Water closet SinUbasin/lavatory Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (12o/o of applicable fees) Technology Fee Paid amount $25.00 $25.00 $52.00 $12.24 $5.1 0 Payment Method:Credit card authorization 086421 Payer: CITY OF SPRINGFIELD Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total:$1 19.34 Printed: 10/18/19 1:16 pm Page 1 of 1 Fl N_TransactionReceipt_pr [rr. Cmv or SpmNGFrELoo ORrcoN Plumbing Permit Application 225 Fifth Street 0 Springfield, OR 97477 . PH(541)726-3753 . 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. h _= LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E yes E No Sanitation approval verified? ! Yes f] No CATEGORY OF CONSTRUCTION E Residential ! Govemment JOB SITE INFORMATION AND LOCA}IOTI Job site address: 54O !\Nd^ :+ City:State: p zrp:ot-l\11 R"f.r.r"J't Ll Taxlot.: DESCRIPTION OF WORK A , -orr.t,^r--..s*, a )\ \ /.r^{'- PRoPERw owNER Name: v r f)sAddress: City:State:ZIP: 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 from licensing requirements under OAR 918-695-0020 Signature: \\A-l r" tL'ftr.k4. CONTRACTOR INST Business u^b4J \^"- Address: City:State:ZIP: Phone Fax E-mail CCB license no.: \ !]{3'{BCD license no.: Plumbing license no.: Print name: Signature: FEE SCHEDULE Description Qty.Cost ea. Total cost New residential I bathroom/I kitchen (includes : firstl00feet ofwater/sewer lines, hose bibs, ice maker, unde(loor low-point drains and rain-drain packoges) $333.00 $ 2 bathrooms/l kitchen $s21.00 $ 3 bathrooms/l kitchen s613.00 $ Each additional bathroom (over 3)$132.00 $ Each additional kitchen (over I )$132.00 $ Residential fire sprinklers (includes plan review) 0 to 2,000 square feet $102.00 $ 2,001 to 3,600 square feet $r63.00 $ 3,601 to 7,200 square feet $243.00 $ 7,201 square feet and greater s324.00 $ Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply $102.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee $r02.00 $ Each fixture $25.00 $ Miscellaneous fees 100' storm, sewer, water line $106.00 s Each fixture, appurtenance, and piping )$25.00 $<o Storm water retention/detention facility $r06.00 s Irrigation systems/Backfl ow $25.00 $ Piping or private storm drainage svstems exceedinp the first '100 feet $25.00 $ Specialty fixtures $2s.00 $ Reinspection (no. ofhrs. x fee per hr.)sr02.00 $ Special requested inspections (no. of hrs. x fee per hr.)$102.00 $ Each additional inspection: (l)$102.00 $ Medical gas piping Minimurn fee $ 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) lnvestigative fee (equal to [A])$ (C) Enter l2olo surcharge (.12 x [A+B])$ (D) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):s [tQ.3''l J \- S^-&\ - &$q-:j DEPARTMENT USE ONLY Permit no. Date ksr edited 7/l/2019 bjones v^d)