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Home My WebLink AboutPermit Plumbing 2019-12-05OREGON Web Address: www.springfield-or.9ov Building Permit Residential Plumbing Permit I{u mber: 81 1-19-OO27 I s-PLItl IVR Number: 811024688544 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54t-726-3753 Email Address: permitcenter@springfield-or.9ov SPRINGTIELD tt, Permit Issued: December 05, 2019 Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Clothes washer and hose bib Type of Work: Replacement Worksite Address 159 C ST Springfield, OR 97477 Parcel 17033523 1 1400 Owner Address: BOWLSBY FAITH H & DAVID 159 C ST SPRINGFIELD, OR 97477 Business IIame OWNER - Primary License ccB License Number 000000 Phone f nspection 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: 811024688544 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 180 Days or longer depending on the issuing agency's policy. All provisions of laws and ordanances governing this type of work wall 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-OO!O through OAR 952-OO1-OO9O. You may obtain copaes of the rules by catling the Center at (503) 232-L987. All persons or entities performing work under this permit are required to be licensed unless exempted by oRs 7o1.olo (Structural/Mechanical), ORS 479.54O (Electricat), and ORS 693.01O-OZO (ptumbing), Printed on: 1215/19 Page 1 of 2 c:\myReports/reports//prcduction/01 STANDARD I \r TYPE OF WORK JOB SITE INFORMATION LICETTSED PROFESSIONAL IN FORMATION PENDING INSPECTIONS SCHEDULING INSPECTIONS Permit Number: all-19-OO271s-PLtl Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - plumbing Clothes washer Hose bib State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Printed on: 12l5/19 Quantity Fee Amount $s.10 $s2.00 $2s.00 $25.00 $t2.24 $119.34Total Fees: C:\myReports/reports//production/0 1 STAN DARD 1 1 Page 2 of 2 PERMIT FEES SPRINGFIELD $ OREGON www. sp ringf ield-or. gov Worksite address: 159 C ST, Springfield, OR97477 Parcel: 1 70335231 1400 Transaction Receipt 81 1 -l 9-00271 5-PLM IVR Number: 81 1024688544 Receipt Number:473{98 Receipt Date:1215119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 perm itcenter@springfi eld-or. gov Fees Paid Account codeTransaction Units date 1215119 1.00 Qty 12t51',t9 1.00 Qty 12t51't9 1.00 Automatic 1215t19 1,00 Ea 't2t5119 Description Clothes washer Hose bib Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (12o/o ol applicable fees) 224 -00000 -425603- I 034 224 -00000-425603- 1 034 224-00000 - 425603- 1 034 821 -00000-21 5004-0000 204-00000-425605-00001.00 Automatic Technology Fee Fee amount $25.00 $25.00 $52.00 $12.24 $5.10 Paid amount $25.00 $25.00 $52.00 $12.24 $5.1 0 Payment Method: Credit card authorization: 012752 Payer: BOWLSBY FAITH H & DAVID Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total:$l19.34 Printed: 12l5/19 1 1.28 am Page 1 of 1 FIN_TransactionReceipt_pr [,r o. .r' Cmv or SrmNGFrELo, ORncoN Plumbing Permit Application 225 Fifth Streer o Springfield,OR97477 . PH(541\726-3753 o FAX(541)726-1689 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 lE0 days ofissuance or ifwork is suspended for 180 days. FEE SCHEDULE Description Qty Cost ea, Total cost New residential I bathroom/l kitchen (includes : first 100feet ofwater/sewer lines, hose bibs, ice maker, underfloor low-point drains and rain-drain packages) $333.00 $ 2 bathrooms/l kitchen $s2r.00 $ 3 bathrooms/l kitchen $613.00 $ Each additional bathroom (over 3)1132.00 $ Each additional kitchen (over 1 )tr32.00 s Residential fire sprinklers (includes plan review) 0 to 2,000 square feet u02.00 $ 2,001 to 3,600 square feet u63.00 $ 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 $t 02.00 s Each fixture $25.00 $ Miscellaneous fees 100' storm, sewer, water line $r 06.00 $ Each fixture, appurtenance, and piping Z $25.00 sso Storm water retentionidetention facility $106.00 $ Irrigation systemsiBackfl ow t25.00 $ Piping or private storm drainage svstems exceedins the first 100 feet t25.00 $ Specialty fixtures t2s.00 $ Reinspection (no. ofhrs. x fee per hr.)$t02.00 $ Special requested inspections (no. of hrs. x fee per hr.)$l 02.00 $ Each additional inspection: (l)$102.00 $ Medical gas piping Minimurn fee $ Enter value of installation and equipment $ -.Enter fee based on installation and equipment value.$ DEPARTMENT USE (A)Enter subtotal ofabove (Minimum t /oz (B) Investigative fee (equal to [A])$q (C) Enter l2olo surcharge (.12 x [A+B])s lL,a (D) Technology Fee (5% of [A])$€,lD TOTAL fees and surcharges (A through D):$\4 ?. SPRINGFIELD €fr DEPARTMENT USE ONLY Permit no.:-OD?N Da*: /Z- I -Z'41 LOCAL GOVERNMENT APPROVAL Zoningapproval verified? ! Yes E No Sanitation approval verified? E Y". E No CATEGORY OF CONSTRUCTION fi-Resiaential ! Govemment E Commercial\ JoB SITE INFoRMATIoN AND LOCATTON Job site address: /^{7 C S f 1e State: ti{-zIP: Q7?tt Taxlot.: I Reference: DESCRIPTION OF WORK RE6"^e 4olL^ez Mts L,o'.- ,Lb PROPERTY OWNER Name:o Address: / t C3 ZtP:97ttllCity: J/fu^ o'A'o4 r(State: O{l- Phone: SV/- LZt-Zt "13 Fax: E-mail ALLATION L propert! and is being made on member of my:owned by me exempt from installationThis ts orresidential farm or a 8-695-0020 Business name:V{ Address ZIPCity:State Phone:Fax: E-mail: BCD license no.CCB license no Plumbing license no Print name: Signature: [-asr edited 7/l/2019 bjones Signature: