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Home My WebLink AboutPermit Plumbing 2019-12-11CitY of SPrinqfield Development and Public Works 225 Fifth Street SPringfield' OR97477 541-726-3753 // SPRINGIIELD OREGON Web Address: www.springfield-or'9ov Building Permit Residential Plumbing Permit Number: 81 t-19-0027s8-PLti -01 IVR Number: 811026208017 Email Address: permitcenter@springfield-or'9ov Permit Issued: December Lt,2OLg Category of Construction: None Specified Submitted Job Value: $0'00 Description of Work: Electrical for new ADU Type of Work: None SPecified Worksite Address 13OB F ST Springfield, OR 97477 Parcel 1703362208000 Owner: Address: ROTHMAN DAVID E 1306 F ST SPRINGFIELD , OR 97477 License Number 000000 Phone Business Name OWNER - PrimarY License ccB Inspection 3999 Final Plumbing 3500 Rough Plumbing 3300 Water Service Inspection GrouP Plumb Res Plumb Res Plumb Res Inspection Status Pending 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' Scheduleortrackinspectionsatwww.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811026208017 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store An persons or entities pertor:nllq work under this permit are required tO be licer::::::.::i,:::ani@t). oas azi.seo ct.nit"iii,Zino o*s o"s._irr_;;;i;;;;;:;.untess exempted by oRS z0t.0t0 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 governing this type of work will be complied with whether specified herein or not' Granting of a permlt 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 ln oAR 952-Ool-oolo through OAR 952-OO!-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-4987. Page 1 of 2 SIA/VDARD {fi tA -&..1 TYPE OF WORK ]OB SITE INFOR}IATION INFORMATIONPROFESSIONALLICENSED PENDING INSPECTIONS SCHEDULI NG INSPECTIONS --_______-___ Permit Number: 811_19-OO2758_pLM_OI Fee Description Technology Fee S ink/basin/lavatory Tub/shower/shower pan Water service - Total linear feet Water closet State of Oregon Surcharge - plumb (L}o/o of applicable fees) Printedonr t2/111$ Quantity Page 2 of 2 Fee Amount 910.30 $s0.00 $2s.00 g 106.00 $2s.00 924.72 $247.02 2 1 90 I Total Fees: c:\myReports/repots//prcdudion/o1 STANDARD Page 2 of 2 PERMTT FEES SPRINGFIELD 'lrOREGON www.springfield-or. gov Worksite address: 1308 F ST, Springfield, OR97477 Parcel: 1 703362208000 Transaction Receipt 811-19-002758-PLM-01 IVR Number: 81 1026208017 Receipt Number: 473258 Receipt Date = 121 1'l I 19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@spri n gfi eld -or. gov Fees Paid Account codeTransaction Units date 12t11t19 2.00 Qty 12t1'.U19 1.00 Qty 12111t19 1.00 Qty 12111t19 90.00 LnFt Description SinUbasin/lavatory Tub/shower/shower pan Water closet Water service - Tolal linear feet State of Oregon Surcharge - Plumb (12o/o ot appliceble fees) 224-00000-425603-1 034 224-00000- 425603- 1 034 224 -00000 -425603- 1 034 224-00000 -425603- 1 034 821 -00000-21 5004-0000 204-00000-425605-0000 12111t19 1.00 Ea 12t',t1t19 1.00 Automatic Technology Fee Fee amount $50.00 $25.00 $25.00 $106.00 $24.72 $10.30 Paid amount $s0.00 $2s.00 $25.00 $106.00 $24.72 $10.30 Payment Method: Check number: 1634 Payer: ROTHMAN DAVID E Payment Amount:$241.02 Cashier: Katrina Anderson Receipt Total $241.02 Printed:'12l11/19 1:18 pm Page 1 of 1 Fl N_Transaction Receipt_pr I \r 3Ptaxtrll5-D 225 Finb Shc.r o $ringficl4 OR.ln4Tl o PlJ(54ryn3}753 . fAX(541fI26-3669 Thir peruit b iscued undcr OAR 9l&7t0{ff0. Pcrmits erc isued only to tLc pcrson or conhcfor doing tbc worlc Permitr erpirc lf work is not strrtcd within t S deys of kcurnce or if work is rurpctrdcd for I t0 dryr. Plumbing Permit Application LOCAL GOVERilMEXTAPPROVAL Zooing approval vcdficd?flxo approval verificd?es No CATEGORY OF CONSTRUCNOiI Edoia""tA El Goverorcnt EI Commc,rcial JOB SITE lltlFORllATlOll At{D LOGATtOttI Jobsit€address: lSOg p 51 rct cty: 50n,x /itlat,Sws: O R ?.D,?7llil7 Rcferet'ce:Taxlot: DHTGRIPTK}II OF WORK Narc: Address: /o W*:O R zIP 7747'7 Fax: E-mail: This installation is on residential or farm owncd mcora immediarccxcqt 8{954020. 'toI{TRAcroR ms/Alt ATx)il Business name: Address: State:TP: Phne:Far E-mail: CtB licenseno.:BCD license no-: Phmbing liccrse m-: Print nanp: gigmg6- K:t"l^^ tNr^.K Sr\K {o\"d Sn-O.^-ttf FEE SCHEDULE Doscdpfron 4ry.Coct GL Totrl cort rerllentiel l-htuoodl brr&a (inclads : fustI(Nfa ofwotu/s*,e lina, ho* bibs, icc aaks, urd*tlar lau,aoint dmins oad mbdruia pchags)*xI33.00 J 2batkoomdl kitchen 1521.00 $ 3 bafuooms/l kitch€n t6t3-00 $ Each additiond batbroom (ovcr 3)5r32-00 3 Each additioDal kitchen (over l)1132.00 s Reridhrtid firesorinl&rs dnclndg Dlrr rtvitr) 0 to 2,0CI squae fcct \f tr02.00 3 2,001 to 3,600 squac ftGt tr6,.00 t 3,CI1 to 72fl1 squarc frct 51,t3.00 $ 7t0l squuc fcct aod grca&r sI24.00 $ Mrnsfrctucd dwelliryor pre-feb (circh one) Comectioos b buiHing scrcr od urucrorpply $r0r.00 3 Coacrcir[ idrfiirl rd drtlErgt dcr-"n o[t-.trtrcfrnfy Minimrmfec lro2.m 3 Each 6xure t25.00 $ Mircclhncous fccr 100' $m, scnacr, watcrlinc I tr0G00 $ IDG Each frnq apgromcc, ed prpitrC trl t25.[ -J loo Storm watcr rctcntioddctcotion fuility tr116.00 3 trigation sygcmslBackflow ps.00 $ Piping orprivue strm drainage svlstcns cxccedine tte ftst 100 fcct t25.0 s Spccialtyfixtrcs t25.00 s Rcinspcctioa (m. ofhrs. x fcc pcr hr.)1r02.00 T Spccat rcquc*oa inspcctlms (no. of hs.xfrcpcrh.),102.00 $ Erch eddtiurl irpcctior: (l)3rq2.00 $ Mcdicel grr pipirg Minimumfee $ Enfer vrlrc of inslldion d eryipment S _. E!&rftGbssGd on instalhtio md cquip,mcnt wlue-3 USE (A) htcrn$total ofabovc fccs (MLiorr Pcnit Fcc tl02IC)t ?d* (B) Invc$igrtirc fEe (c$ral to [A])j,e (C) Eutcr 12?6 arcLErgG (-12 r [A+BI)$ @) TechologrFcc (5?6 of [A])$lD ,o TOTAL fees eld nrchergcs (A tbronrh D):s 0 Plu.^ir"r {"o* $*cee* --7 ? ?o ? tIEPARTtEilT USE Ol,lLY Pemrit no-:-00 Ir{edit d7U2019bjmcs o i-Jrre CmT OT SPRINGFIELI}, OREGON (1 PropertY Owner Statement Regarding -Construction Res ponsi bilities oregon Law requires residential construction permit applicants who are not licenSed with the construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) I have read and understand the lnformation Notice to Homeowners About Construction Responsibilitiesand I hereby certify that the information on this homeowner statement is true and accurate T o Print Applicant t.r\ ,'. \ tr of Applicant Date This stateme tsnt uired for residentialreq build electrical mecha nrca andng its.permplumbing nsedLice rcha itect and neereng fromapplicants,underexempt ORS .01701llcensing 0 need not(7 ),bmsu thir statement.ts This statement bewill withfiled the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is Name ccB#Expiration Date I will inform my general contractor that all subcontractors who work on the structure must belicensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that r reside in, or a residence that lwillreside in' lf I hire subcontractors, I will hire only subcontractors ricensed with the constructioncontractors Board' lf I change my mind and hiie " g"n"r"l "ontractor, I will select a contractorwho is licensed with the ccB and will immediate[ live the name of the conlractor to the officeissuing this Building permit. Permit #: lssued by ..} Date.\2 l."\ rr Address:\30 n-at G(e_ This Copy for permit Offices w \