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Home My WebLink AboutPermit Plumbing 2019-12-03SPR,INGTIELD b OREGON Web Address: www.springfi eld_or.9ov Permit fssued: December 03, 2019 Building Permit Residential plumbing Permit Number: 8t t-19-002699-pLli IVR Number: 811036567294 CitY of SPringfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Email Address: permitcenter@springfield-or.9ov Category of Construction: SingSubmitted Job Value: g0.00 le Family Dwelling Description of Work: Replace bathtub with new tub Type of Work: Replacement and replace shower valve with new valve Worksite Address 7077 BLUEBELLE WAY Springfield, OR 97478 Business Name CASCADIA CONSTRUCTION AND PLUMBING LLC - primary Inspection 3999 Final plumbing 3500 Rough plumbing Parcel 1702353406806 License ccB Owner: Address: License Number 205034 JOHNSON KAREN M EDWARD A & 7077 BLUEBELLE WAY SPRINGFIELD, OR 97478 Phone 541-460-5060 fnspection Group Plumb Res Plumb Res fnspection Status Pending pending Various inspections are minimall y required on each project and often dependent on the scope of work Contactthe issuing jurisdiction indicated on the permit to determine required inspections for this project.Schedule or track inspections at www.build ingpermits.oregon. govCall or text the word "schedule,, to 1_888_2 gg_282t use IVR number: 977036567284Scheduleusing the Oregon epermitting Inspection App,search "epermitting,, in the app store Permits expire if work is nr.}re issuing-agl;"it'ffi#t started within 180 Davs of issuance or if work is suspended for 180 Days or ronger depending on All provisions of laws and ( cranrine "r . p;;;;;;; il$*rT:ffi,1'J:,T;#pe or work wi, be compried with whether specined herein or not.regulating construction or the performan". or "onrt.uli to violate or cancel the provisions "t "";;an;:;r;e or loca,awATTENTT'N: oregon law requires you to follow rules adopted by the oregon utirity.I{otification center. Those rures are set$lrl"9i" es2-ool-oo1o throueh oo^ ,-rr.oi-ioro. ,o, ,';;;,"-'";;,I" ..n. rures by ""rriig ir,".I..ter at (so3) iji:,1,ff;J.1'::ff::"Jfl;l.;;;-,:ffi,::i;,'"'jfi1ff".;#1."1[E,,JTni:.*"s exempted by oRs 7o1.o1o Printed on: 72/3/Lg Page 1 of 2 C: \myReports/reports//prcduction/o1 STANDARD \r TYPE OF WORK JOB SITE INFORMATION LICENSED INFORMATION PENDING INSPECTIONS SCHEDULING Page 2 of 2 Permit Number: 81f -19-002599-PLM Fee DescriPtion TechnologY Fee Balance of minimum permit fees - plumbing Tub/shower/shower Pan StateoforegonSurcharge-Plumb(l2o/oofapplicablefees) Printed on; 1213/19 QuantitY Total Fees: Fee Amount $s.10 $s2.00 $s0.00 $L2.24 $119.34 2 C:\myReports/reports//production/01 STANDARD Page 2 of 2 PERMIT FEES SPRINGFIELD $Transaction ReceiPt 811-19{02699-PLM IVR Number: 811036567284 Receipt Number:473123 Receipt Date: 12l3/i9 CitY of SPringfield Development and Public Works 225 Fifth Street SPringfield, OR 97477 541-726-3753 permitcenter@springfield-or. gov Paid amount $50,00 $s2.00 $12.24 $5.10 Transaction date 't2t3t19 OREGON Units 2.00 aty www.springfield-or. gov Worksite address: 7077 BLUEBELLE WAy, Springfietd, OR 9747gParcel: 1102353406806 12t3t19 1.00 Automatic 12t3t19 't.00 Ea Description Tub/shower/shower pan Balance of minimum permit fees - plumbing Payer: austin loveys Fees Paid Account code 224_00000 -425603_ 1 034 224-00000 -425603_.t os4 821 -00000-2.t 5o04_oo0o 204-00 0 00 _42 5605-oooo State of Oregon Surcharge _ plumb ('l2o/o ot applicable fees) Fee amount $50.00 $52.00 $12.24 $5.10 1213119 i.OO Automatic Technotogy Fee Payment Method: Credit card Cashier: Katrina Anderson Receipt Total: Payment Amount:$1 19.34 $r 19.34 Printed: 1213/19 3:49 pm Page 1 of .l Fl N_Tra nsactionReceipt_pr \-/ ARTMENT ONLYUSEDEP Permit no.:-00 Date: Cmv oF SPRINGBTELD, Onscox Plumbing Per mit APPlic ation SFEII{GTIELD zz5 Street . Springfleld, oR 97477 a PH(541 lZZe-:rsr . FAX(541)726-3689 This permit is issued under OAR 918-7E0-0060. 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 ifwork is suspended for 180 days. FEE SCHEDULE Description ary Cost ea. Total cost New residential I bathroom/l kitchen (includes : first 100 feet of water/sewer lines, hose bibs, ice maker. underfloor low-point dra ins and ro in-d ra i n' pa c ka gesj $333.00 $ 2 bathrooms/l kitchen $s21.00 $ 3 bathrooms/l kitchen $613.00 $ Each additional bathroom (over 3)sI32.00 $ Each additional kitchen (over 1)8132.00 $ Residential fire sprinklers (inc!udes plan review) 0 to 2,000 square feet $102.00 s 2,001 to 3,600 square feet $163.00 s 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 1102.00 $ Commercial, industrial, two-family and dwellings other than one- or Minimum fee $102.00 $ Each fixture $25.00 $ Miscellaneous fees 100' storm, sewer, water line il06.00 $ Each fixture, appurtenance, and piping L 125.00 $to Storm water retention/detention facility $106.00 $ Irrigation systems/Backfl ow [25.00 $ Piping or private storm drainage systems exceeding the first 100 feet t25.00 $ Specialty fixtures 125.00 $ Reinspection (no. ofhrs. x fee per hr.)N102.00 $ Special requested inspections (no. of hrs. x fee per hr.)$l 02.00 $ Each additional inspection: (l)s102.00 $ Medical gas piping Minirnum fee $ Enter value of installation and equipment S _. Enter fee based on installation and equipment value.$ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)$ lo?- $ (C) Enter l2o/o swcharge (. 12 x [A+B])$ (D) Technology Fee (5% of [A]) TOTAL fees and surcharges (A through D):$\ah\ LOCAL GOVERNMENT APPROVAL Zoning approval verified? E yes E No Sanitation approval verified? ! Ves E No CATEGORY OF CONSTRUCTION ff,Residential ! Government I Commercial JOB SITE INFORMATION AND LOCATION 3tue-Dzt\L VJlvJob site address; + city: $?rr,nqGq\a\State: O(L ZIP: q?\?A Referencl: v Taxlot.: DESCRIPTION OF WORK Stao, r"r rt(/t dec) ,&^, PROPERTY OWNER\ S'o*tJSonName: kqrgn ar^o e^ \DqyAddress: ?O?? T5toebef\<_ City: lp1,6q1ig1r\State: OA I ZIP:1?4?8 Phone: lof V*- fo-tA Fax E-mail This installation is being made on residential or farm property owned by me_or a member of my immediate family. ura js exempt from licensing requiremenrs under OAR 9i 8-695-0020. Signature: CONTRACTOR INSTALLATION (r'sc"'l.". Gnsru.l-.t lo$|tuc S; Business name Address City: E"gn-r,'.a State: OA ZIP:fl?{a3 Phone: Y 51h?10- lrsl Fax E-mail: QoS+in @.Ca-Sca-d..< . cO CCB license no.: ZOfo3 y BCD license no.: gW Plumbing license no.: G" ISA Itavty JPrintname: ftg$TlV Signature [,ast edited 7/l/2019 bjones "tY *, $ (B) lnvestigative fee (equal to [A]) $