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Home My WebLink AboutPermit Plumbing 2019-12-16SPRINGFIELD tf, CitY of SPringfietd Development and Public Works 225 Fifth Street SPringfield, OR 97477 54r-726-3753 OREGON Web Address: www.springfield-or. gov Building Permit Residential Plumbing Permit Number: 811-19-OO28O1-pLM IVR Number: 811013051922 Email Address: permitcenter@springfield-or.gov Permit Issued: December 16, 2}l-g Category of Construction: Single Family Dwelling Submitted Job Value: g0.00 Type of Work: Addition Description of Work: 2nd story addition 6 bathrooms/1 kitche n/1 utility room Worksite Address 2889 HAYDEN BRIDGE RD Springfield, OR 97477 Parcel 7702t93200402 Owner: Address: LOVDOKKEN FAMILY TRUST 2889 HAYDEN BRIDGE RD SPRINGFIELD, OR 97477 Business Name CASCADE VALLEY PLUMBING INC - Primary License CCB License Number 200430 Phone 541-689-4291 Inspection 3999 Final plumbing 3500 Rough plumbing fnspection Group Plumb Res Plumb Res fnspection Status Pending Pending Various inspections are minimally 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_gg8_299_2g21 use IVR number: 911013061922Schedule using the Oregon epermitting Inspection App,search "epermitting,, in the app store Permits expire if work is n, ttre issuing-;g-e;;'il;:t started within 180 Davs of 'ssuance or if work is suspended for 18o Days or ronger d€pending on :L','.:"";TT#.i1X".il: il:I*,T:ffi,1,::,1il:tvp€ or work wir be compried with whether specined herein or not.regulating const.ucion o, the performance of construli to ,iolate or cancel the provisions or .nv o$,", liate or local lawATTENTToil: oregon law requires you to fotlow rul€s adopted by the oregon utirity Notification center. Those rures are setllllr';"';- es2-ool-oolo throush oo" '-u"oi-i-o,o. tou .i, .u."ir-".p,1" ,,n" rules by carrins tl,e'ienter at (so3) iill,e;,H;J.1'::i:i:H#l::;-,:i:H::i;,,.Til'#..;T;ltilt,,lfiHi:'""s exemp,ed by oRs 7o1 o1o Printed on: 72tr6/rg Page 1 of 2 c:\mvReports/reports//production/or 'TANDARD TYPE OF WORK JOB SITE INFORMATION LICETTSED PROFESSIONAL INFORMATION PENDIilG INSPECTIONS SCHEDULING INSPECTIONS Permit l{umber: 811-19-OO28Ol-PLM Page 2 of 2 Fee Description Technology Fee Dishwasher Ice maker S inlVbasin/lavatory Tub/shower/shower Pan Water closet State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Printed on: 72176/t9 Quantity Total Fees: Fee Amount $30.00 $2s.00 $s0.00 $2s0.00 $ 125.00 $ 150.00 $72.O0 $702.00 1 2 10 5 6 C :\my Reports/reports//production/o 1 STAN DARD Page 2 of 2 PERMIT FEES SPRINGTIELD ,b Transaction Receipt 811-19{02801-PLM IVR Number: 81 1 01 3061922 Receipt Number: 473302 Receipt Date:12116119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@spri ngfl eld-or. govOREGON www.springf ield-or.gov Worksite address: 2889 HAYDEN BRIDGE RD, Springfield, OR97477 Parccl 1702193200402 Fees Paid Account codeTransaction Units date 12t16t19 1.00 Qty 12t16t19 2.00 Oty Description Dishwasher lce maker 12t',t6t't9 10.00 Qty Sink/basin/lavatory 't2116t19 5.00 Qty Tub/shower/shower pan 12116119 6.00 Oty Water closet 224-00000- 425603- 1 034 224 -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 Fee amount $25.00 $50.00 $250.00 $125.00 $150.00 $72.00 $30.00 Paid amount $25.00 $50.00 $250.00 $125.00 $150.00 $72.00 $30.00 12t16t19 1.00 Ea 12l'.t6t't9 1.00 Automatic Technology Fee State of Oregon Surcharge - Plumb (12o/o ot applicable fees) Payment Method Credit card authotizalion. 14274d Payer: LOVDOKKEN FAMILY TRUST Payment Amount:$702.00 Cashier: Katrina Anderson Receipt Total:$702.00 Printed: l2l16/19 4;15 pm Page 1 of 1 F I N_Tra nsaction Receipt_pr [r "r. Plumbing Permit Application 225 Fifth Street I Springfield, OR 97477 . PH(541)726-3753 r FAX(541)726-3689 This permit is issued under OAR 918-780-0060. 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. SPRINGFIELD h,Crrv or SPRTNGFIELD, OREGoN DEPARTMENT USE ONLY Permitno.: 9-OOrbU Da*: lLlruln LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E Yes E No Sanitation approval verified? ! Yes E Uo CATEGORY OF CONSTRUCTION M.esidential E Government E Commercial JOB SITE INFORMATION AND LOCATIONf) Jobsiteaddress: ).8t1 l-hn&n B,,cl.,a {Zroil Crty:5o.,^^[,"1c!state:Ov2^zrP:1-l417 R"f".ent", J Taxlot. DESCRIPTION OF WORK lpatn"rqr,r:l6)lv\tc).1 St cond $, *la,*e Lu^. ,dan PROPERTY OWNER Name: -ffg, Lvd"tz.,( pru F.^"".(r. --[-rusf Address: (*58A E S*.<e1 City:Jpc, ^r .f,* i4 State:Ct<ZIP: c(l478 Phone:dut -&Azo- 3161 Fax: hn.lov<[oKt(to e I e by me from ora property and is or farm 8 -695-0020 E-mail: This N 12 -cr, u5 owned exempt / CONTRACTOR INSTALLATION Business name: (6.5 q6.6!.4 !br n Address City:State ZIP: Phone:Fax: E-mail: CCB license no.: /ocs -lJg BCD license no. Plumbing license no. Print name: Signature: FEE SCHEDULE Description Qry.Cost ea. Total cost New residential I bathroom/l kitchen (includes : firsr l00feet ofwater/sewer lines, hose bibs, ice maker, underJloor low-point drains and rain-drain packages) t333.00 $ $2 bathrooms/l kitchen 1521.00 t613.00 $3 bathrooms/l kitchen $Each additional bathroom (over 3)u32.00 $Each additional kitchen (over 1)t132.00 Residential fire sprinklers (includes plan review) 0 to 2,000 square feet $102.00 $ 2,001 to 3,600 square feet ir63.00 $ 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 s102.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee s102.00 $ Each fixture $25.00 s Miscellaneous fees 100' storm, sewer, water line st 06.00 $ Ee"h.-futolg, appurtenance, and piping 1q $25.00 {,m.r Storm water retention/detention facility $106.00 $ Irri gation systems/Backfl ow $25.00 $ Piping or private storm drainage svstems exceedins the first I 00 feet t25.00 $ Specialty fixtures 125.00 $ Reinspection (no. ofhrs. x fee per hr.)sl 02.00 $ Special requested inspections (no. of hrs. x fee per hr.)$102.00 $ Each additional inspection: (1)s102.00 $ Medical gas piping Minirnum fee $ Enter value of installation and equipment $ _. Enter fee based on installation and equipment value.$ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)s [ooo (B) Investigative fee (equal to [A])$ (C) Enter 120lo surcharge (.12 x [A+B])s 1l'@ (D) Technology Fee (5% of [A])$ 90.oo TOTAL fees and surcharges (A through D):S1OA.C =- &*l..rosrzr,.-(FT L2Jq\z,L.. S,nK. B {rrsb = I (\r.ol-r'r ' 5 )ro r \e-\ =-6 i Dr5hwattut- t wqli.rtt&I wakt- Lasr edired 7/l/2019 bjones 11a.,4-