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Home My WebLink AboutPermit Plumbing 2019-10-28OiTEGON Web Address: www.springfi eld -or. qov Building Permit Residential Plumbing Permit Number: 81 1-19-0O2435-PLM IVR Number: 811020388822 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Email Address : permitcenter@springfield-or.gov SPRIN6FIELD & Permit Issued: October 28, 2019 TYPE OF Category of Construction: Single Family Dwelling Type of Work: Addition Submitted Job Value: $0.00 Description of Work: Relocate washing machine, add laundry tray and shower Worksite Address 6665 C ST Springfield, OR 97478 Parcel 1702344100900 Owner: Address: SCHULZJEFFREYH&ANN L 6665 C ST SPRINGFIELD, OR 97478 Busaness Name DUSTIN J DAWSON PLUMBING LLC - Primary License CCB License Number 206473 Phone 54 1 -953-8760 Inspection 3999 Final Plumbing 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: 811020388822 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 lgo Days or longer depending onthe issuing agency's policy, All provisions of laws and ordinances goveming this type of work will be complied wath whether specified herein or not.Granting of a permit does not presume to give authority to violate or cancel the provisaons of any other state or local lawregulating construction or the performance of construction, ATTENTToNI oregon law requires you to follow rules adopted by the oregon Utility Notification center, Those rutes are setforth in oAR 952-oor-oo1o through oAR 952-oo1-oo9o. You may obtain copies oithe rules by calling the center at (503)232-L9A7. All persons or entities performing work under this permit are required to be licensed unless exempted by oRs 701.o10(structural/Mechanical), oRs 479.540 (Erectricar), and oRs 693.o1o-o2o (prumbing). Printed on: 10/28/19 page 1 of 2 c:\myReports/reports //oroducttof,/olsTANDARD JOB SITE INFORMATION LICENSED PROFESSIONAL INFORMATION PENDING INSPECTIONS SCHEDULING INSPECTIONS Permit Number: 811-19-OO2435-PLM Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - plumbing Clothes washer Sin k/basin/lavatory Tub/shower/shower pan State of Oregon Surcharge - Plumb (LZo/o of applicable fees) Printed onr 10/28/19 Quantity Total Fees: Fee Amount $s'10 $27.00 $2s.00 $2s.00 $2s.00 $12.24 $ 119.34 1 1 1 Page 2 ot 2 C | \myReports/reports//production/0 I STANDARD PERMIT FEES SPRINGFIELD # 0frlG0r{ www. spri ngfield-or.gov Worksite address: 6665 C ST, Springfield, OR 9747g Parcel 1702344 1 00900 Transaction Receipt 811-19-002435-PLM Receipt Number: 472821 Receipt Date: 10/28/19 City of Springfield Development and Public Works 225 Fifth Street Springfield. OR97477 541-726-3753 perm itcenter@spri ngfield-or. gov Fees Paid Transaction date 't0t28t19 10128t19 10t28t19 10t28t19 10128t19 10t28t19 Units 1.00 Qty 1.00 Qty 1.00 Qty 1.00 Automatic 1.00 Ea 1 00 Automatic Description Clothes washer SinUbasin/lavatory Tub/shower/shower pan Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (12% ot applicable fees) Technology Fee Account code 224-00000425603-1 034 224-00000425603-1 034 224-00000425603-1 034 224-00000425603-1 034 821 -00000-2 1 5004-0000 204-00000425605-0000 Fee amount $2s.00 $25.00 $25.00 $27.00 $12.24 $5 10 Paid amount $25.00 $25.00 $25.00 $27 00 $12.24 $s.1 0 Payment Method Credit card authorization 040740 Payer: DUSTIN J DAWSON PLUMB|NG L Payment Amount:$119 34 Cashier. Katrina Anderson Receipt Total:$1 19.34 Printed: 10/28119 2:08 pm Page 1 of 1 F I N_Tra nsaction Receipt_pr ARTMENT ONLYUSEDEP t.,(2mnno.Penrut Date: I D Lb r1Crrv oFS,PRTNGE.TEI.,D,OnncouPlumbing P ermit APP lication 9PRIN(iFIELD fr, I FAX(541 y26-3689 This permit is issued under oAR 91g-7g0-0060. ?ermits are issued only to the person-o-r contractor iloing the work' Permits expire if work is not started within 180 ilays of issuance or iI work is suspended for 180 days. 225 Fifth Stxeet 'Springfreld-oR 91,+f: . Pff(S+t LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zorung approvai verified?fves [xo Description Qtv Cost ea. Total cost Sanitation approvai venfied? f Ves E No New residential CATEGORY OF CONSTRUCTION I bathroom/1 kitchen (includes: first I 00 feet ofwater/sewer lines, hose bibs, ice maker, underJloor low-point drains and rain-drain packages) Residentiai n Government ! Commercial JOB SITE INFORMATION AND LOCATION $333.00 s Job site address:b t L t-2 bathrooms/1 kitchen r,I ZIP 11'{1X 3 bathrooms/l kitchen C I State:Each additional bathroom over Reference:Taxlot.:Each addidonal kitchen (over l) t521.00 $ t613.00 S t132.00 S t132.00 s DESCRIPTION OF WORK Residential fire rua- h l,'1L 0 to 2,000 square feet i102.00 s k'..n<jt 2,001 to 3,600 63.00 $ PROP 3,601 to 7,200 t'eet 5 h (7,201 square feet and greater S Name q_ Matrufactured or circle Address L Connections to sewer 02.00 s i I State:D ZTP:f water Commercial, industrial, and dwellings other than one- or Phone s Fax: E-mail:Minimum fee 02.00 $ This instailation is being made on residential or farm properry owned by me or a member of my immediate famiiy, and is exempt from licensing requirements under OAR 918-695-0020 Signature: Each fixture $ Miscellaneous fees 100' storm, sewer, water line $ Each fixture,and CONTRACTOR INSTALLA N Storm water retentiorvcietention faciiitv [106.00 S Business name Irri gation systemsr Backfl ow nL or pnvate stofin Address the first 1 feet t2s.00 s t25.00 s City:State: Q zrP:11"t 04 Specialt-v fixtures Reinspection (no. ofhrs. x fee per hr.) Fax: hrs. x fee hr.)E-maii:n L{ff BCD license no.:Each additional inspection: (i) t2s.00 S t102.00 s ir02.00 S $102.00 $ license no.:Medical Minimum t'ee $ Print name:Enter value of installation and $_. 5Enter fee based on installarion and equipment value. Signarure:DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee 5102.00) t loz- (B) Investigative fee (equal to [A])$ (C) Enter 12oZ surcharge (. 12 x [A+B])s (D) Technology Fee (5% of [A])$ TOTAL fees and s 1 Last edited 7/1r2019 bjones CCB license rc.:t) hl"U17