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Home My WebLink AboutPermit Plumbing 2019-12-18OREGON Web Address: www.springfield-or. gov Building Permit Residential Plumbing Permit Number: 81 1-19-OO2815-PLM IVR Number: 811078665904 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 Email Address : permitcenter@springfield-or. gov SPRINGFIELD tlfi Permit Issued: December 18, 2019 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Descraption of Work: Bathroom addition upstairs Type of Work: Addition JOB SITE INFORMATION Worksite Address 511 1OTH ST Springfield, OR 97477 Parcel 1703351407500 Owner: Address: HUKARI JAMES 511 1OTH ST SPRINGFIELD , OR 97477 LICENSED PROFESSIONAL INFORMATION Business Name A PLY CONSTRUCTION LLC - Primary License ccB License Number 206626 Phone 541-510-6562 PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Res Plumb Res Inspection Status Pending Pending SCH EDULING 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: 811078665904 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 180 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 ordinances governing this type of work will be complied with wh€ther 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 r€quires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-OO1-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-L947, 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'O1O-O20 (Plumbing)' printed on: 72t7817g page 1 of 2 c:\myReports/reports//production/01 STANDARD \r "r--r I Permit Number: 811-19-002815-PLM Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - plumbing Sink/basin/lavatory Tub/shower/shower pan Water closet SDC: Total Sewer Administration Fee SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater State of Oregon Surcharge - Plumb (t2o/o of applicable fees) Printed on: 72178/79 Quantity 1 1 1 89.07 1 193,5 587.93 Total Fees: Fee Amount $s.10 $27.00 $2s.00 $2s.00 $2s.00 $89.07 $ 1,193.50 $s87.93 $t2.24 $1,989.84 Page 2 of 2 C:\myReports/reports//production/01 STANDARD PERMIT FEES SPRINGFIELD '4rt Transaction Receipt 81 I -1 9-00281 5-PLM IVR Number: 8l I 078665904 Receipt Number: 473321 Receipt Date:12118119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 permitcenter@spri ngfield-or. govOREGON www.springf ield-or. gov Worksite address: 51 1 1OTH ST, Springfield , OR 97477 Parcel: 1 70335'1407500 Transaction Units date 12118119 1.00 Qty 12t18t19 1.00 Automatic 12118t19 1.00 Ea Description SinUbasin/lavatory Tub/shower/shower pan Water closet Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (12o/o oI applicable fees) SDC: lmprovement Cost - Local Wastewater 224-00000 -425603- I 034 224-00000- 425603- 1 034 224-00000 -425603- I 034 224-00000- 425603- I 034 821 -00000-21 5004-0000 12t18t19 1.00 Automatic Technology Fee 204-00000-425605-0000 't2t18t19 1 ,1 93.50 Amoun SDC: Reimbursement Cost - Local Wastewater 61 1 -00000-448024-8800 12t18t19 587.93 Amount 61 1 -00000-448025-8800 12t18t19 89.07 Amount SDC: Total Sewer Administration Fee 719-00000-426604-8800 Fees Paid Account code Paid amount $25.00 $25.00 $25.00 $27.00 $12.24 $s.1 0 $1 ,1 93.50 $587.93 $89.07 Fee amount $25.00 $2s.00 $25.00 $27.00 $12.24 $5.1 0 $1,193.50 $587.93 $89.07 Payment Method:Credit card authorization: 5'18123 Payer: sam ach Payment Amount:$1,989.84 Cashier: Katrina Anderson Receipt Total:$r,989.84 Printed: 12l18/19 'l:33 pm Page 1 of 1 Fl N_TransactionReceipt_pr ta 12t18t19 'tzt18t19 Ctrv or SpnrNGFIELo, 0Rrcox Plumbing Permit Application 225 Fifth Street o Springfield,OR9747'7 . PH(541\726-3753 0 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 1 80 days of issuance or if work is suspended for I 80 days. SPRINGTT€LD €x, ,4glt*"b) .;*f R^C/n-- C "i'.-.;- Si^ K -1rc', \tiJ- <;i"r^r-+ sbc-. 9 DEPARTMENT USE ONLY Permitno.: 11 OO>g t 5- (, Date: tx\taltq LOCAL GOVERNMENT APPROV Zoning approval verifi ed? NoSanitationapproval verified? ! Yes E Yes OF CONSTRUCTION f,Residential ! Govemment E Commercial JOB SITE INFORMATION AND LOCATION Jobsiteaddress: \ll l€.h^ 5T State d {L ZIPcity: t(r) anlL:rt Taxlot.Reference: DESCRIPTION OF WORK Uv ) gfats o € eY,g OLrlt.4- OWNER Name:1fl,,- 5 []ulrt-q,. t Address: (/7 JOlt^ <+ State:Q [L ZIP:City Phone: -U -ltln Fax: owned by me exempt from This ls or a licensing Signature: E-mail CONTRACTOR INSTALLATION ?tY f O1{rtnt7,'t\,1 / k- Address: nOq wcEf State: C(L np: alTLtcjlCity: CCR license no FrsL BCD no. cJ Plumbing license no.: Print FEE SCHEDULE Total costDescriptionQryCost ea. New residential $333.00 $ I bathroom/l kitchen (includes. first 100feet ofwater/saner lines, hose bibs, ice maker, tmderfloor low-point drains and rain-drain packoges) 2 bathrooms/l kitchen $521.00 $ 3 bathrooms/l kitchen $613.00 $ Each additional bathroom (over 3)$132.00 $ $Each additional kitchen (over l)$r32.00 Residential fire sDrinklers (includes plan review) s102.00 $0 to 2,000 square feet $r63.00 $2,001 to 3,600 square feet 3,601 to 7,200 square feet s243.00 $ $324.00 $7,201 square feet and greater Manufactured dwelling or pre-fab (circle one) $Connections to building sewer and water supply f102.00 Commercial, industrial, and dwellings other than one- or two-family $Minimum fee $102.00 $25.00 $Each fixture Miscellaneous fees $106.00 $100' storm, sewer, water line $ 75")Each,fxture, appurtenance, and piping Ms.oo $106.00 sStoffiilter retention/detention facility $25.00 $Irrigation systems/Backfl ow $25.00 $Piping or private storm drainage systems exceeding the first 100 feet $Specialty fixtures t25.00 1102.00 $Reinspection (no. of hrs. x fee per hr.) $102.00 $Special requested inspections (no. of hrs. x fee per hr.) $102.00 $Each additional inspection: (l) $Minimurn feeMedical gas piping Enter value of installation and equipment $ -.$Enter fee based on installation and equipment value. DEPARTMENT USE $ \o2-(A) Enter subtotal ofabove fees (Minimum Permit Fee $f 02.00) (B) Investigative fee (equal to [A]) $(C) Enter l2olo surcharge (.12 x [A+B]) $(D) Technology Fee (5% of [A]) $ Irq, 3(TOTAL fees and surcharges (A through D) Last edited 7/l/2019 bjones $rq bq,aq Business nurn.' y'J -,qr $