HomeMy WebLinkAboutPermit Plumbing 2019-12-05SPRINGFIELD
$
OREGON
web Address: www.springfield-or.9ov
Building Permit
Residential Plumbing
Permit Nu mber: 81 1-f 9-0027 L?-PLM
IVR Number: 8110,14801808
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-726-3753
Email Add ress: permitcenter@springfield-or.9ov
Permit Issued: December 05, 2019
Category of Construction: Single Family Dwelling Type of Work: Replacement
Submitted Job Value: $0.00
Description of Work: Replace tub/shower, toilet, lav, kitchen sink, clothes washer
Worksite Address
1578 16TH ST
Springfield, OR 97477
Parcel
1703253 10 1600
Owner:
Address:
TY HOMES LLC
1574 COBURG RD #397
EUGENE, OR 97401
Business Name
READY ROOTER DRAIN CLEANING
& REPAIR SERVICE INC - Primary
License
ccB
License Number
92524
Phone
54t-744-799t
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: 811044801808
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 18O Days or longer depending on
the issuing agency's policy.
All provisions of laws and ordinances governlng this type of work will be complied wlth 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'
ATTENTTON: Oregon law requires you to follow rules adopted by the Oregon Utility Notafication 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
(structural/ltechanical), oRs 479.540 (Electrical), and oRs 693.o1o-o20 (Plumbing),
printed on: 1215/19 page 1 of 2 c:\myReports/reports//production/01 STANDARD
h^l
\
TYPE OF WORK
JOB SITE INFORMATION
LICENSED PROFESSIONAL IN FOR]TiATION
PENDING INSPECTIONS
SCH EDULING INSPECTIONS
Permit Number: 81 1-19-0027 l2-PLJq Page 2 of 2
Fee Description
Technology Fee
Clothes washer
Sink/basin/lavatory
Tub/shower/shower pan
Water closet
State of Oregon Surcharge - Plumb (t2o/o of applicable fees)
Printed on: 1215/19
Quantity Fee Amount
$6.2s
$2s.00
$s0.00
$2s.00
$2s.00
$1s.00
$ 146.25Total Fees:
C:\myReports/reports//prcduction/o1 STANOARD
1
2
1
1
Paqe 2 of 2
PERMIT FEES
SPRINGTIETD
{6
OREGON
www. sp rin gf ield-or. gov
Worksite address: 1 578 1 6TH ST, Springfield , OR 97 477
Parcel: 1 7032531 01 600
Transaction Receipt
81 I -1 9-00271 2-PLM
IVR Number: 81 1044801808
Receipt Number: 473194
Receipt Date:1215119
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
permitcenter@spri n gfield-or. gov
Fees Paid
Account codeTransaction Units
date
12t5t19 1.00 Qty
12t5t19 2.00 Oty
12t5119 1.00 Qty
12t5t19 1.00 Qty
12t5t19 1.00 Ea
12t5t19
Description
Clothes washer
Sink/basin/lavatory
Tub/shower/shower pan
Water closet
State of Oregon Surcharge - Plumb
(12o/o ol applicable fees)
1.00 Automatic Technology Fee
224 -00000 -425603- 1 034
224-00000- 425603- 1 034
224-00000 -425603- 1 034
224-00000 - 425603- 1 034
82 1 -00000-21 5004-0000
204-00000-425605-0000
Fee amount
$25.00
$s0.00
$25.00
$25.00
$15.00
$6.25
Paid amount
$25.00
$s0.00
$25.00
$25.00
$15.00
$6.2s
Payment Method Credit card
authorization: 00032d
Payer: READY ROOTER
DRAIN CLEANING &
REPAIR SERVICE INC
Payment Amount:$146.25
Cashier: Katrina Anderson Receipt Total:$r46.25
Printed: 12l5/19 10:10 am Page 1 of 1 F I N_Tra nsaction Receipt-pr
h
Cmv or SpnrNGFrELn, ORrcoN
Plumbing Permit Application
225 Fifth Street I Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689
This permit is issued under OAR 9lE-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.
LOCAL GOVERNMENT APPROVAL
Zoringapproval verified? E Ye. E No
Sanitation approval verified? f] yes D No
CATEGORY OF CONSTRUCTION
p Residential I Govemment E Commercial
JOB SITE INFORMATION AND LOCATION
Jobsiteaddress: i(,; B letu SI
City: $-11 1' "e{iotA State: u'rL zrP: J7q21
Reference:Taxlot.:
DESCRIPTION OF WORK
/L-^o'.|*C Aa'S''Snl*
It",t ?uJ slr,*<s l"l Lau L,
PROPERTY
Name
Address
City: #State:ZIP:
Phone:Fax
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family, and is
exempt from licensing requirements under OAR 9l 8-695-0020.
Signature:
CONTRACTOR INSTALLATION
Business name: lloo rLq houi*, ) C lr,p nun
Addr"- , oi i- ' L,'nh n,)
City: EU.-S4 r-,-State: D)?-zlP: c77ft\
Phone:}V/ -),/q-f i"i I Fax:
E-mail tl t@ It lvL L,5, c
CCB license no.!;v BCD license no.:
Plumbing license no.: 4 V'; F
Print name: al4l.-/ t < L
Signature:
SPRIiOFIILD
DEPARTMENT USE ONLY
4oPermit no./
Date q
FEE SCHEDULE
Description Qry Cost
ea.
Total
cost
New residential
I bathroom/l kitchen (includes : first
I 00 feet of water/seu,er lines, hose
bibs, ice maker, underfloor low-point
drains and rain-drain packrges)
$333.00 $
2 bathrooms/l kitchen $s21.00 s
3 bathrooms/l kitchen $613.00 $
Each additional bathroom (over 3)$132.00 $
Each additional kitchen (over l)$132.00 $
Residential fire sprinklers (includes plan review)
0 to 2,000 square feet $102.00 $
J,001 to 3,600 square feet u63.00 s
/3,601 to 7,200 square feet $243.00 $
7,201 square feet and greater 8324.00 $
Manufactured dwelling or pre-fab (circle one)
$
Connections to building sewer and
water supply $r02.00
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 8r06.005825.00 $ lr(Each fixture, appurtenance, and piping
h6ffi water retentior/detention facility 1106.00 $
sIrrigation systems/Backfl ow t25.00
$
Piping or private storm drainage
svstems exceeding the first 100 feet $25.00
$2s.00 $Specialty fixtures
Reinspection (no. ofhrs. x fee per hr.)$102.00 $
sSpecial requested inspections (no. of
. hrs. x fee per hr.)$r02.00
$Each additional inspection: (l)$102.00
Minimum fee $Medical gas piping
Enter value of installation and equipment $
-.$Enter fee based on installation and equipment value.
DEPARTMENT USE
'QA(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)
(B) Investigative fee (equal to [A])$g
$(C) Enter 12oZ surcharge (.12 x [A+B])
$(D) Technology Fee (5% of [A])
$ lqle,?TOTAL fees and surcharges (A through D):
Last edited 7/l/2019 bjones