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Home My WebLink AboutPermit Plumbing 2019-12-19spRt NGFIETD $b OREGON Web Address: www.springfield_or. gov Permit Issued: December tg, ZOL} Building permit Residential plumbing Permit Number; al r-19-OO2825-pLM IVR Number: BttO44B2tOOg City of Springfietd Development and public Works 225 Fifth Street Springfietd, OR 97477 54t_726_3753 Category of Construction: Single Family Dwelling Submitted Job Value: g0.00 Description of work: Remove tub/shower combo and install new shower Type of Work: Replacement Worksite Address 1661 H ST Springfield, OR 97477 Parcel 1703362 109000 Owner: Address: SETTERA JERRY D 1661 H ST SPRINGFIELD , OR 97477 Business Name JOSEPH OSBORN PLUMBING INC - Primary License ccB License Number 213580 Phone 54L-942-6899 Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Res Plumb Res Inspection Status Pending Pending SCHEDULING INSPECTIONS 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: 811044827009 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permlts expire if work is not started within 18O Days of assuance or af 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 will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisaons of any other state or tocal law regulating construction or the performance of construction. ATTEITION: 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-OOI-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-L9a7, All persons or entities performing work under this permit are required to be licensed unless exempted by oRs 7o1.o1o (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.O10-O20 (Plumbing). Printed on: L2lr9/f9 Page 1 of 2 C :\myReports/reports//production/0 1 STAN DARD Email Address : permitcenter@springfield-or.9ov TYPE OF WORK JOB SITE INFORMATION LICENSED PROFESSIONAL INFORMATION PENDING INSPECTIONS Page 2 of 2 Permit Number: a1.t'-19-OO2A25-PLM Fee DescriPtion TechnologY Fee Balance of minimum permit fees - plumbing Tub/shower/shower Pan State of Oregon Surcharge - Plumb (l2o/o of applicable fees) Printed on: l2l19/L9 QuantitY Total Fees: Fee Amount $s. 10 $77.00 $2s.00 $t2.24 $1 19.34 1 Page 2 of 2 C: \myReports/reports//production/0 1 STAN DARD PERMIT FEES SPRINGFIETD ,b OREGON www.springfield-or. gov Worksite address: 1661 H ST, Springfield , OR 97477 Parcel: 1 7033621 09000 Transaction Receipt 811-19-002825-PLM IVR Number: 8{ 1044822009 Receipt Number: 413394 Receipt Date:12119t19 City of Springfietd Development and public Works 225 Fifth Street Springfield, OR 97477 547-726_3753 permitcenter@spri n gfield-or. gov Transaction Units date 12t't9t19 1.00 Qty 12t19t19 1.00 Automatic 12t19t19 1.00 Ea 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 224-00000-425603- 1 034 224-00000-425603- 1 034 821 -00000-21 5004-0000 204 -00 000 - 4256 0 5-000012t19t191.00 Automatic Technology Fee Fee amount $25.00 $77.00 $12.24 $5.1 0 Paid amount $25.00 $77.00 $12.24 $5.1 0 Payment Method: Credit card authorization: 01182q Payer: jerry mcauliffe Payment Amount:$119.34 Cashier: Katrina Anderson Receipt Total:$1 r 9.34 Printed: 12l19/19 9:41 am Page 1 of 1 F I N_Tra nsaction Receipt_pr -1a-I[r ^-. Ctrv or SrnrNGFIELo, ORncou Plumbing Permit Application 225 Fifth Street o Springfield, OR 97477 . PH(541)726-3753 0 FAX(541)726-3689 This permit is issued under OAR 918-7E0-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 'i\b h' vl,-\ DEPARTMENT USE ONLY 11,rn>$>Y'lPermit no. c1q.$Date:$-\t LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoningapproval verified? ! Yes E No Description Qty.Cost ea. Total cost Sanitation approval verified? ! Ves fl No New residential $ JOB SITE INFORMATION AND LOCATION maker. I icebibs. CATEGORY OF CONSTRUCTION ! Government E Commercial drains and rain-drain $333.00 ts2r.00 $Job site address: t.-11f , n Reference: 2 bathrooms/l kitchen 3 bathroonm/l kitchen Each additional bathroom (over Each additional kitchen (over I State:d t- s7- Taxlot.: ZIP:f )i613.00 $ $132.00 $ 1132.00 $ WORK Residential fire 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: ewloJ e--S ha 4)er.- 106.00 CONTRACTOR INSTALLATION 5 $ $ $ s $ $ $ $ $ $ Address 4 State:4) y-ZIPCity:s-1- ga 02.00E-mail: Name t:r. r S e}Ter<.- 57- t otJ Fax: 0 to 2,000 square feet feet2,001 to 3,600 3,601 to 7,200 square feet 7,201 square feet and greater Manufactured or Minimum fee Storm water retention/detention facility Each fixture Each fixture, appurtenance, and Miscellaneous fees 100' storm, sewer, water line Commercial, industrial, and dwellings other than one- or 102.00sewer water to PROPERW OWNER $25.00 $ -s+(3 2_ Address: Fa -8-s City:rJ I feet hrxhrs.fee per Or ZIP? Business name: 1Yl t & lu€ t - l.J Each additional inspection: (l) or private storm Specialty fixtures Reinspection (no. ofhrs. x fee per hr.) Fan-Y F3a-7 -a4! BCD license no.CCB 2z< e- (E-mail: 3a,1 a $25.00 $ $25.00 $ i102.00 $ $102.00 $ $102.00 $ Minimum fee $("r/l\no. $ DEPARTMENT USE Enter fee based on installation and equipment value. value of installation and Print name: Signature: $_. lo2$ (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) $tt(B) Investigative fee (equal to [A]) $(C) Enter 12o/o (.12 x [A+B]) $(D) Technology Fee (5% of [A]) s ID):TOTAL fees and Lasr edited 7/1/2019 bjones I kitchen I102.00 il06.00