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Home My WebLink AboutPermit Plumbing 2019-11-08OREGON Building Permit Residential Plumbing Permit Number: 811-19-O01214-PLM-O1 IVR Number: 81 1069121149 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 547-726-3753 SPRINGFIELD # Permit Issued: November 08, 2019 TYPE OF WORK category of construction: None specified Type of work: None specified Submitted Job Value: 90.00 Description of Work: ADU - garage conversion *NEED TO SIGN ENCROACHMENT APPLICATION* JOB SITE INFORMATION Worksite Address 632 6TH ST Springfield, OR 97477 638 6TH ST Springfield, OR 97477 Parcel L703352400700 Owner: Address: Owner: Address: BUSSJULIAS&MATTHEW J 638 6TH ST SPRINGFIELD , OR 97477 BUSS]ULIAS&MATTHEW J 638 5TH ST SPRINGFIELD, OR 97477 LICENSED PROFESSIOilAL INFORMATION Business Name SEE PROPERTY OWNER INFORMATION - Primary License Owner (Property) License Number OWNER Phone PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Res Plumb Res Inspection Status 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 project. Schedule or track inspections at www,buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811069121149 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire If work is not started wathin 18O Days of issuance or if work ls 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 (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 479.540 (Electrical), and ORS 693.O10-O20 (Plumbing). Printed on; 11/8/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD Email Add ress: permitcenter@springfield-or.9ovWeb Address: www.springfield-or. gov Permit Number: 811-19-001214-PLM-01 Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - plumbing Clothes washer Dishwasher Sink/basin/lavatory Tub/shower/shower pan State of Oregon Surcharge - Plumb (12o/o of applicable fees) Printed on: 11/8/19 Quantity Total Fees: Fee Amount $s. 10 $2.00 $2s.00 $2s.00 $2s.00 $2s.00 $L2.24 $ 119.34 1 1 1 1 Page 2 of 2 C :\myReports/reports//prcduction,/o1 STAN DARD PERMIT FEES SPRINGFIELD # Transaction Receipt 8{ 1-19-001214-PLM-01 Receipt Number: 472943 Receipt Date: 11/8/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permitcenter@spri ngfield-or. govOREGON www. sp ri n g fi eld-or. gov Worksite address: 632 6TH ST, Springfield, OR97477 Parcel: 1 703352400700 Fees Paid Transaction date 11t$t19 11t8119 11t$t19 11t8,t19 11t8,t19 11t8119 11tgt19 Units 1.00 Qty 1.00 Qty 1.00 Qty 1.00 Qty 'l .00 Automatic 1.00 Ea 'l .00 Automatic Account code 224-00000425603-1 034 224-00000-425603-1 034 224 -00000-425603-1 034 224-00000-425603- 1 034 224-00000-425603-1 034 82 1 -00000-2 1 5004-0000 20 4 -00000 -425605-0000 Fee amount $25.00 $25.00 $25.00 $25.00 $2.00 $12.24 $5.1 0 Description Clothes washer Dishwasher Sink/basin/lavatory Tub/shower/shower pan Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (12% ot applicable fees) Technology Fee Paid amount $25.00 $25.00 $25.00 $2s.00 $2.00 $12.24 $s.1 0 Payment Method Credit card authorization 01 328d Payer: BUSS JULIA S & MATTHEW J Payment Amount:$119.34 Cashier: Katrina Anderson Receipt Total:$119.34 Printed: 11/8/19 2:09 pm Page 1 of 1 Fl N_TransactionReceipt_pr h^ Crry or SpmNGFrELo, ORrcox Plumbing Permit Application DEPARTMENT USE ONLY Permitno.: H -oO lZt\ -0t r'ts{'qDate FEE SCHEDULE Description 4ry.Cost ea. Total cost New residential 1 bathroom/l kitchen (includes : first l00feet ofwater/sewer lines, hose bibs, ice maker, ttnde(loor low-point drains and rain-drain packages) $333.00 $ 2 bathrooms/l kitchen $s21.00 $ 3 bathrooms/l kitchen $613.00 $ 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 $r02.00 $ 2,001 to 3,600 square feet $163.00 $ 3,601 to 7,200 square feet s243.00 $ 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 $106.00 $ Each fixture, appurtenance, and piping q $2s.00 $ idr) Storm water retention/detention facility $106.00 $ lrrigation systems/Backfl ow $2s.00 $ Piping or private storm drainage svstems exceedins the first 100 feet $25.00 $ Specialty fixtures $2s.00 $ Reinspection (no. ofhrs. x fee per hr.)s102.00 $ Special requested inspections (no. of hrs. x fee per hr.)$102.00 $ Each additional inspection: (1)$r02.00 $ Medical gas piping Minimum 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 $f 02.00)tloL (B) Investigative fee (equal to [A])$ (C) Enter 120% surcharge (.12 x [A+B])$ (D) Technology Fee (5% of [A])s TOTAL fees and surcharges (A through D):$((q. ]r gPNtiIGFIELD t\ 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. 225 Fifth Street o Springfield, oR97477 . pH(541)726-3753 . FAX(541)726-3639 LOCAL GOVERNMENT APPROVAL Zoning approval verified? ! Ves E No Sanitation approval verified? E Yes E No CATEGORY OF CONSTRUCTION $Residential ! Government ! Commercial JOB SITE INFORMATION AND LOCATION Job site address: bit (rf \Y City: <" F l)State: OR zIP: a ? 1?'1 Reference:Taxlot. DESCRIPTION OF WORK A)),^, +* €-*4|;... ^[.*\p^.\l PROPERW OWNER Name: P1<Llkt* (\osS Address: (o? g 6t<^ City: S., S t:State: O(ZIP: 1-1L\-l-l phone:So3-jt&-?.{f (2 Fax: E-mail: CONTRACTOR INSTALLATION Business name Address: City State ZIP Phone:F/Cu;- E-mail: CCB license noY BCD license no Plumbing license no. Print name Signature: l,asr edited 7/l/2019 bjones JK *, 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 701.325 (2ll 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 structure 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. 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. h^Vll*u Bus 1 Print Name of Permit APPlicant }L q 201 Signature of Permit Date Permit #:\1-Co t>-\r\ - Qt-'W.- Address:7 u_{- lssued by Date t.Is\tt This Copy for Permit Offices 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. M ----).- +'P. lnformation Notice to Owners About Construction ResPonsi bi I ities (oRS 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 973095052 Telephone: 503-378-4621 - Fax: 503-373-2007 Website Address: www.oregon. oov/ccb Homeowners acting as their own general contractorc to construct a or make a substantial improvement to an existing structure, can prevent by biing iware of the following responsibilities: new home many problems a a a a a a Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: Oregon,s Withholding Tax Law: Employers must withhold income taxes from employee wages at th-e time employeesire paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. Unemployment lnsurance Tax: Employers are required to pay a tax for unemployment insurance purposes -on the wages of all employees. For more information, call the Oregon Employment Department at 503-947 -1 488. Oregon,s Business ldentification Number (BlN): is a combined number for both Oregon With-holding and Unemployment lnsurance Tax. To file for a BlN, go online to the Oregon Business Registry. For questions, call 503-945-8091. Workers Compensation lnsurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation lnsurance for their employees. lf you fail to obtain Workers Compensation lnsurance, you could be subject to penalties and be liable for all claim costs if one of your workers ls injured on the job. For more information, call the Workers Compensation Division at tn" Department of Consumer and Business Services at 800-452-0288. Tax Withholding: Employers must withhold Social Security Tax and Federal lncome Tax from employee wageJ. you may be liable for the tax payment, even if you didn't actually withhold the tax. For a Federal EIN number, go online to www.irs.oov. a a Other Responsibilities of Homeowners: Code Compliance: As the permit holder for a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections. property Damage and Liability lnsurance: Homeowners acting as their own contractors should coniact iheir insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liabiiity lnsurance must be sufiicient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation lnsurance. Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. f/nrnnarhr nurner adnnfFri q-?O1 5 This Copy for Permit