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Home My WebLink AboutPermit Plumbing 2019-11-05OREGON Web Address: www.springfi eld-or. gov Building Permit Residential Plumbing Permit Number: 81 1-19-OO2488-PLltl M Number: 8tt075284737 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Email Add ress : permitcenter@springfield-or.9ov SPRINGFIELD # Permit Issued: November 05, 2019 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Relocate clothes washer / new laundry room Type of Work: Alteration JOB SITE INFORMATION Worksite Address 1742 DELROSE AVE Springfield, OR 97477 Parcel 1703243 10 130 1 Owner: Address: REIGN WEALTH LOGIC LLC 1742 DELROSE AVE SPRINGFIELD, OR 97477 LICENSED FORMATION Business Name OWNER - Primary License CCB License Number 000000 Phone PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Res Plumb Res Inspection Status Pending Pending SCH EDULING 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. Sched ule or track inspections at www. building permits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 8LLO75284737 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 permlt does not presume to Cive 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 ilotification 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 (503) 232-L947. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (StructuraUMechanical), ORs 479'540 (Electrical), and ORS 593'o1O-O2o (Plumbing). printed on: 11/5/19 page 1 of 2 C:\myReports/reports//production/01 STANDARD Permit Number: 81 1-19-OO24Ea-PLM Page 2 of 2 Fee Descraption Technology Fee Balance of minimum permit fees - plumbing Clothes washer S ink/basin/lavatory SDC: Total Sewer Administration Fee SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater State of Oregon Surcharge - Plumb (l2o/o of applicable fees) Printed on: 11/5/19 Quantity 1 1 L2.72 170.5 83.99 Total Fees: Fee Amount $s.10 $52.00 $2s.00 $2s.00 $12.72 $170.s0 $83.99 $L2.24 $386.ss Page 2 of 2 C:\myReports/reports//production/01 STANDARD PERMIT FEES SPRINGFIELD t6 Transaction Receipt 81 I -19402488-PLM Receipt Number: 472891 Receipt Date: 11/5/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54t-726-3753 permitcenter@spri ngfield -or. gov OREGON www. sprin gfi eld-or. gov Worksite address: 1742 DELROSE AVE, Springfield, OR97477 P arcnl 17 03243 1 0',l 301 Fees Paid Transaction date 11tst19 11t5t19 11t5t19 11tst19 11t5t19 't1tst19 11t5t19 11t5t19 Units 1.00 Qty 1.00 Qty 1.00 Automatic 1.00 Ea '1 .00 Automatic 170.50 Amount 83.99 Amount 12.72 Amount Description Clothes washer SinUbasin/lavatory Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (12% ot applicable iees) Technology Fee SDC: Reimbursement Cost - Local Wastewater SDC: lmprovement Cost - Local Wastewater SDC: Total Sewer Administration Fee Account code 224-00000-425603- 1 034 224-00000425603-1 034 224-00000425603-1 034 82 1 -00000-2 1 5004-0000 20 4 -00000 -425605-0000 61'l -00000-448024-8800 61 1 -00000-448025-8800 71 9-00000-426604-8800 Paid amount $2s.00 $25.00 $52.00 $12.24 $s.1 0 $170.50 $8s.99 $12.72 Payment Method Credit card authorization 005576 Payer: REIGN WEALTH LOGIC LLC Payment Amount:$386 s5 Cashier: Katrina Anderson Receipt Tota!:$386.55 Printed: 11/5/19 1:55 pm Page 'l of 1 Fl N_Tra nsactionReceipt_pr h Fee amount $25.00 $25.00 $52.00 $12.24 $s.10 $170.50 $83.99 $12.72 Crry on SpruNGFrELo, 0Rncox Plumbing Permit Application 225 Fifth Street o Springfield,OR97477 . 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 if work is not started within 180 days of issuance or if work is suspended for 180 days. FEE SCHEDULE Description Qty.Cost ea. Total cost New residentiel I bathroom/l kitchen (includes : first l00feet ofwater/sewer lines, hose bibs, ice maker, underfloor low-point drains and rain-drain packages) $333.00 $ 2 bathrooms/l kitchen $s2r.00 s 3 bathrooms/l kitchen $613.00 ( Each additional bathroom (over 3)$132.00 $ Each additional kitchen (over I )$r32.00 $ 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 $324.00 $ 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 $102.00 $ . Each fixture $25.00 $ Miscellaneous fees 100' storm, sewer, water line 5106.00 $ Each fixture, appurtenance, and piping 1.)_$25.00 $ 5?) Storm water retention/detention facilitv a t106.00 $ Irrigation systems/Backfl ow $25.00 $ Piping or private storm drainage systems exceeding the first 100 feet $2s.00 $ Specialty fixtures $25.00 $ Reinspection (no. ofhrs. x fee per hr.)$102.00 $ Special requested inspections (no. of hrs. x fee per hr.)$102.00 $ Each additional inspection: (l)$102.00 $ Medical gas piping Minirnum 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 $f02.00)r [oz- (B) Investigative fee (equal to [A])$ (C) Enter l20% surcharge (.12 x [A+B])$ (D) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):$ frG.5' )DL -*<-N*k- UPW-7 c,., 64\^"-/ '^. ^X%d DEPARTMENT USE ONLY Permit no.) 1_oa ItDate:sllq LOCAL GOVERNMENT APPROVAL Zoningapproval verified? ! yes n No Sanitation approval verified? E yes E No CATEGORY OF CONSTRUCTION S Residential ! Govemment I Commercial JOB SITE INFORMATION AND LOCATION Job site address: it.tU D"t fo<, Ar< State: OL Zrp: ;1t-ttt? Reference) U DESCRIPTION OF WORK !,.-ovrta(a-{ (-.:a f.rt Pluulniu"r L^) PROPERiY-OWIEN 6Address Name: City:State:Qp ztv1m7-+ Phone: 1 - \)- qflZZfraOl Fax: owned by me exempt from ora being made on member of my c'il.c o.v\E-mail: This installation is ALLATION Brrir"r. rl#" Address City:State ZIP Phone:U Fax: E-mail: BCD license no. Plumbing license no. Print name Signature: Last edited 7/l/2019 bjones (*r"A f v 1/ SPPINGTiELD h, Taxlot.: CCB license no.: Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 7O'1.325 (2ll I have read and understand the lnformation Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate' affi,4 Ap."D Print Name of nl Date This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the aPProPriate box. I own, reside in, or will reside in the completed structure and my general contractor is: Name ccB#Expiration Date I will inform my general contractor that all subcontractors who work on the struclure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. lf I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. lf I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. 4ob vPermit #:"0u+ \I 7--Address. Date:lssued q- {t1 t,l ":96) W- This Copy for Permit Offices tr