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Home My WebLink AboutBuilding Plumbing 2019-11-210Rt60.{ Web Address: www.springfield-or.gov Building Permit Residential Plumbing Permit Number: 8 1 1- l9-002624-PLM IVR Number: 811081630590 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address : permitcenter(g)springfield -or.9ov SPRINGFIELD {s Permit Issued: November 2L,29tg TYPE OF WORK Category of Construction: Detached Accessory Struct Type of Work: Alteration Submitted Job Value: $0.00 Description of Work: Plumbing associated w,th garage conversion to ADU (Structural permit # 19-001404-STR Worksite Address 1OO4 sTH ST Springfield, OR 97477 Parcel 1 703352 1 03 100 Owner: Address Owner: Address: SIDDON AMY L 1OO4 5TH ST SPRINGFIELD, OR 97477 WILKES ]AMES T 1OO4 5TH ST SPRINGFIELD, OR 97477 JOB SITE INFORMATION LICET{SED PROFESSIOT{AI INFORMATION Business Name DUSTIN J DAWSON PLUMBING LLC - Primary License CCB License Number 206473 Phone 54 1 -953-8760 PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing 3300 Water Service Inspection Group Plumb Res Plumb Res Plumb Res Inspection Status Pending Pending Pending SCHEDULIT{G 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: 811081630590 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits exPire if work ls not started wlthin 18O Oays of lssuanco or lf work ls ruspended for t8O Days or longer dependlng on the lssulng agency's pollcy. All provlslons of laws and ordinances governing thls type of work wlll be complled wlth whether specifled herein or not. Granting of a Permlt does not pr€sume to giv€ authority to violate or crncel the provlsions of any other stat€ or local law regulating construction or the performance o, construction. ATTENTIONT Oregon taw requlres you to follow rules adopt€d by the Oregon Utiltty Notlflcatlon Center, Thosc rule3 are s€t forth in OAR 952-001-OO10 through OAR 952-OO1-OO90, You may obtain coples ofthe rules by calling the Center at (sO3) 232-1987. All persons or sntities performlng work under this permlt arG required to be llcensGd unle6s ercmpted by ORS 701.O1(, (Structural/Mechanical), ORS 479.54O (Electrical), and ORS 693.010-020 (Plumblng). Pnnted onl ll/21/19 page I of 2 c \myReports/r€pofts/lptoducton/o1 STANDARD Permit Number: 81 1-19-002624-PLM Page 2 of 2 Fee Description Technology Fee Sin k/basi n/lavatory Tub/shower/shower pan Water heater Water service - Total linear feet Water closet State of Oregon Surcharge - Plumb (tTo/o of applicable fees) Pflnted on: 11/21l19 Quantlty Total Fees: Fee Amount $ 1r.55 $s0,00 $25.00 $25.00 $ 106,00 $25,00 $27,72 $270,27 2 1 1 30 1 Paqe 2 ol 2 C : \myReports/reports//production/0 1 STANDARO PER!,IIT FEES SPRINGFIETD tfr OREGON www.springfield{r.gov Worksite address: 1004 sTH ST, Springfield , OR 97477 Parcel: '1 7033521 03100 Transaction Receipt 811-19-002624-PLM IVR Number: 81 1 081630590 Receipt Number: 473077 Receipt Date: 11121119 City of Springfield Development and Public Works 225 Fifth Street Springfi€ld, OR 97477 541-726-3753 permitcenter@springfield-or. gov Transactlon Units date 11121119 30.00 LnFt 11t21t19 2.00 Qty 11t21119 I 00 Oty 11121t19 1.00 Oty 11t21t19 1.00 Qty Descrlptlon Water service - Total linear feet SinUbasin/lavatory Tub/shower/shower pan Water closet Waler heater State of Oregon Surcharge - Plumb (12o/o ol applicable fees) 224-00000- 425603- 1 0 34 224-00000425603-1034 224-00000425603-1034 224- 00000 -42560 3, 1 034 224-00000425603-1034 82 1 -00000-21 5004-0000 204-00000-425605-0000 11t21119 1.00 Ea 11t21t19 1.00 Automatic Technology Fee Fees Paid Account code Fee amount $106.00 $50.00 $25.00 $25 00 s25 00 $27.72 $11.55 Paid amount $106.00 $50.00 $2s.00 $25.00 $25.00 $27.72 $11.55 Paymenl Method:Credit card authorization: 095040 Payer. Dustin Dawson Payment Amount:$270.27 Cashier: Thayne Smith Receipt Total:s270.27 Printed 11/21119 9:51 am Page 1 of 1 F lN_TransactionReceiptJer -/ Plumbing Permit Application Permit no. 225 Fifth Street . Springfield, OR 97477 ) PH(541)726-3753 . FA.X{541)726-3689 Date L 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 1E0 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approvai verified? ! Yes D Xo Description Cost cost Sanitation approval verified? [ Yes E Xo CATEGORY OF CONSTRUGTION 1 bathroonvl kitchen \includes: Jirst I 00 feet ofwaterisewer lines, hose bibs, ice maker, underfloor low-point drains and rain-drain ZW 171 3 bathroomsi 1 kitchen Each addirional bathroom (over 3) Commercial, industrial, and dwellings other than one'or Total ea. S S DEPARTMENT USE ONLY Crrv oF SPRTNcFTELD' Onucon n CommercialnResidential iEGovernment JOB SITE INFORMATION AND LOCATION Job site address: 76 6{ < 11^ S }- City: 10r i,nG', L,/State: pf( Taxlot.n"r"r"i'.l' J DESCRIPTION OF WORK PROPERTY OWNER Name: tl,^q \,'Ofn-- Address: I o;0 Stk <h zw J)1't'tState: ftCity: \fu i,r..r|'"kl Fax:Phone]' - u E-mail: Tlus installation is being made on residentiai or farm properry owned by me or a member of my immediate family, an! is - exempt from iicensing requirements under OAR 918-695-0020 Signature: CONTRACTOR INSTALLATION Business name: v4tEAddress: hA uJ. tloUl,oL zIP fl)(6(State:2ftCityt F,,,)o,^, Phone:Fa"r: E-mail: .l arr, yrrt -t|O1d CCB license no. Print name 1 BCD license rc: [f 6<) Signature \ew residential $2 bathrooms/l kitchen 13.00 s .00 S Each additionai kitchen (over 1) Residential fire sprinklers (includes plan review) S02.000 to 2,000 square feet 63.00 S2,001 to 3,600 square feet S3,601 to 7,200 square feet S7,201 square t-eet and greater Manufactured dwelling or pre-fab (circle one) 02.00 02.00 S $ sewer and Minimum t-ee to water SEach tixture Miscellaneous fees 06.00 S100' storm, sewer, water line sEach fixture, appurtenance, and piping Storm water retendorudetention faciliry SIrrigation systemVBackllow s sSpecialty fixtures 02.00 sReinspection (no. of hrs. x i'ee per hr.) SSpecial requested inspections (no. of hrs. x fee per hr.) 102.00 SEach additional inspection: (l) Minimum tte SIledical gas piping Enter value of installation and equipment S SEnter fee based on installation and equipment value. DEPARTMENT USE S (A) Enter subtotal ofabove fees (Minimum Permit Fee 5102.00) s(B) Investigative fee (equal to [A]) $(rC) Enter l27o surcharge (.12 x [A-B]) (D) Technology Fee (5% of [A])S STOT.{I fees and surcharges (A through D): t ast edited 7/1/2019 bjones SPRI NGFI EL) ',' Al, Plumbing license no.: J "r9 ,/a ? Qt-v. s Piping or private storm drainage svsterns exceedins the first 100 feet