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Home My WebLink AboutPermit Plumbing 2019-12-03SPRINGTIELD OREGON Web Address: www.springfield-or.9ov Building Permit R.esidentia! Plumbing Permit Nu mber: 81 1 -19-OO2698-PLltl IVR Number: 811094364981 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Email Address: permitcenter@springfield-or.9ov Permit Issued: December 03, 2019 Category of Construction: Single Family Dwelling Type of Work: Replacement Submitted Job Value: $0.00 Description of Work: Replace shower with new tub and replace shower valve Worksite Address 1101 57TH ST Springfield, OR 97478 Parcel 170233 1 10530 1 Owner: Address: VANWEY ALLISON JOY 1101 57TH ST SPRINGFIELD , OR 97478 Business Name CASCADIA CONSTRUCTION AND PLUMBING LLC - Primary License ccB Llcense Number 205034 Phone 541-460-5060 Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Res Plumb Res Inspectaon 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: 811094364981 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store permits expire lf 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 lvill be complied with whether specified herein or not' Granting of a permit does not presume to give authority to vlolate 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-OO1O through OAR 952-OO1-OO9O. You may obtaln 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 (Structural/Mechanical), ORS 479.54O (Electrical), and ORs 593.o10-O20 (Plumbing). printed on; 1213/19 page 1 of 2 c:\myReports/reports//production/01 STANDARD t0& TYPE OF WORK JOB SITE INFORMATION LICEI{SED PROFESSIONAL IN FORMATION PENDING IT{SPECTIONS SCHEDULING INSPECTIONS Permit Number: 81 1-19-0O2698-PLM Page 2 of 2 Fee Descriptaon Technology Fee Balance of minimum permit fees - plumbing Tub/shower/shower pan State of Oregon Surcharge - Plumb (l2o/o of applicable fees) Printed on: 1213/19 Quantity Fee Amount $5.10 $s2.00 $s0.00 $12.24 $119.34Total Fees: C:\myReports/reports//prcduction/01 STANDARD 2 Page 2 of 2 PERI{IT FEES SPRINGTIELD $ OREGON www.springfield-or. gov Worksite address: 1101 57TH ST, Springfield, OR 97478 Parcel:1702331105301 Transaction Receipt 811-19{02698-PLM IVR Number: 8l 1094364981 Receipt Number: 473174 Receipt Date= 1213119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 perm itcenter@spri ngfield-or. gov Transaction Units date 't2t3t19 2.00 Qty 12t3t19 1.00 Automatic 12t3t19 1.00 Ea 12t3t19 Description Tub/shower/shower pan Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (12o/o ot applicable fees) Fees Paid Account code 1.00 Automatic Technology Fee 224-00000-425603- 1 034 224-00000-425603- 1 034 821 -00000-21 5004-0000 20 4 -00000 - 425605-0000 Fee amount $50.00 $52.00 $12.24 $5.1 0 Paid amount $50.00 $52.00 $12.24 $5.1 0 Payment Method: Credit card authorization: 32057p Payer: austin loveys Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total:$r r 9.34 Printed:'1213/19 3:51 pm Page 1 of 1 Fl N_Tra nsactionReceipt_pr \r^r.-r Plumbing P ermit APPlication SPAINGFIELD & 225 Fifth Street a Springfield,oR 97477 i pH(s+t)zze-:''lsr r FAX(54 r)726-3689 This permit is issued under OAR 918-780-0060' Permits expire if work is not started within 180 days of issuance are issued only to the person or contractor doing the work' Permits or ifwork is suspended for 180 days' CrrY oF SPRINGFTELD, OnEcoll ONLYUSEARTMENTDEP Permit no.: 0- rqbDate ALAPPROVMENTGOVERNLOCAL Zoning approval verifi ed?EYes ENo ENoSanitation approval verified?flYes CATEGORY OF CONSTRUCTION E CommercialE Government TIONLOCAANDNINFORMATIOSITEJOB Job site address: ll 5?ta State:@(LCity: Taxlot. DESCRIPTION OF WORK hol^rgr t L PROPERTY OWNER Address:o s +u State: O ZIP:t+r-\A. -zsl FaxPhone E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, a!!_is^ ^ ^ ^exempt from licensing requirements under OAR 9l 8-695-0020. Signature: CONTRACTOR INSTALLATION Business name Address /orLq ZIPCity 0 -ts1Phone:5'+/Fax: E-mail: Orrtflr/t b.j4do. . (-o CCB license no.: 2o5O3{BCD license no. Plumbing license ,o., $? Print name: Signature: FEE SGHEDULE Total costatyCost ea.Description New residential $ drains and rain-drain 2 bathrooms/l kitchen 13.003 bathrooms/l kitchen .00 132.00Each additional kitchen over I ) Residential fire $0 to 2,000 feet $2,001 to 3,600 square feet $3,601 to 7,200 square feet $7,201 square feet and gteater (102.00sewer andto water Commercial, industrial, and dwellings other two- than one- or $02.00Minimum fee $Each fixture Miscellaneous fees r06.00 $100' storm, sewer, water line $and pipingEach fixture, 106.00 $ sIrrigation systems/B ackfl ow $or feet storm first 1 $Specialty fixtures $Reinspection (no. ofhrs. x fee per hr.) $ lnspectlons hrs. x fee per hr.) Special Each additional inspection: (l)$ Medical Minimun-r fee $ Enter value ofinstallation and $_. Enter fee based on installation and value $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)$ to?- (B) Investigative fee (equal to [A])$ (C) Enter 12%o (.12 x [A+B])$ (D) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):$ Last ediled 7 ll/2019 blones zrP: Q ?t{?B ReferencJ: L)e- {.n(&ota.<.e- Name: All rSon Ua,n DeAl Sbl State: OC* I 00 feet bibs. ice kitchen first hose I52t 00 s SEach additional bathroom (over 3) s t102.00 lr63.00 i243.00 t324.00 Manufactured dwelling or pre-fab (circle one) _ 125.00 ?-t25.00 Storm water retention/detention facility t25.00 t25.00 t25.00 il02.00 il02.00 0r02.00