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Home My WebLink AboutPermit Plumbing 2019-12-31OREGON Web Address: www.springfield-or.gov Building Permit Residential Plumbing Permit Number: 811-19-OO2691-PLM-01 IVR Number: 8LLO65L47 42O City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Add ress : permitcenter@springfield-or.9ov SPRINGTIELD nfi OF WORK Category of Construction: None Specified Type of Workl None Specified Submitted Job Value: $0.00 Description of Work: Addition 1BxlB living area, adding a shower and kitchen sink JOB SITE INFORMATION Worksite Address 321 72ND ST Springfield, OR 97478 Parcel 1702353 101800 Owner: Address: WILSON CHRISTOPHER J & JONI L 321 72ND ST SPRINGFIELD, OR 97478 LICENSED PROFESSIONAL INFORMATION Business Name OWNER - Primary License ccB License Number 000000 Phone PEilDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Res Plumb Res Inspection Status Pending Pend ing SCHEDULIilG INSPECTIONS Various inspections are minimally required on each project and ofiten dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project. Sched ule or track inspections at www. buildi ng permits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 8LLO65147420 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permlts explre if work is not started wlthln 180 Days of lssuance or if work is suspended for 18O Days or longer depending on the issuing agency's pollcy. All provisions of laws and ordinances governing this type of work will be complied ueith whether specified herein or not. Granting of a permat does not presume to give authority to violate or cancel the provislons of any other state or local law regulating construction or the performance of constructlon. ATTET{TION: Oregon law requires you to follow rules adopted by the Oregon Utillty Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-OOI-0O9O. You may obtain copies of the rules by calling the Center at (503) 2il2-1947. All persons or entities performing work under this permit ar€ required to be licensed unless exempted by ORS 701'O1O (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Printed on: t2l3Lll9 Page I of 2 C: \myReports/reports//production/01 STAN DARD [l ---z Permit Issued: December 3L,2019 Permit Number: 81 1-19-002691-PLM-O1 Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - plumbing Ice maker Sin k/basin/lavatory Tub/shower/shower pan State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Printed on: 7U3Ll19 Quantity Fee Amount $s.10 $27.00 $2s.00 $2s.00 $2s.00 $12.24 $ 119.34Total Fees: C:\myReports/reports//production/01 STANDARD L 1 1 Page 2 of 2 PERMIT FEES SPRINGFIELD tw OREGON www. sprin gf ield-or. gov Worksite address: 321 72ND ST, Springfield, OR 97478 Parcel: 17023531 01 800 Transaction Receipt 811-19-002691-PLM-01 IVR Number: 81 10651 47 420 Receipt Number: 473421 Receipt Date:12131119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 perm itcenter@spri ngfield-or. gov Fees Paid Account codeTransaction Units date 12t31t',t9 1.00 Qty 't213'U19 1.00 Automatic 12t31119 1.00 Ea Description lce maker SinUbasin/lavatory Tub/shower/shower pan Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (12olo of applicable fees) 224-00000 - 425603- 1 034 224-00000-425603- I 034 224-00000-425603- 1 034 224-00000-425603-'1 034 821 -00000-21 5004-0000 204 -00000 - 42s605-0000 Fee amount $25.00 $25.00 $25.00 $27.00 $12.24 $s.1 0 Paid amount $25.00 $25.00 $25.00 $27.00 $12.24 $5.1012t31t191.00 Automatic Technology Fee Payment Method: Check number:'1888 Payer: ronda rust Payment Amount:$119.34 Cashier: Katrina Anderson Receipt Total $r 19.34 Printed: 12l31/19 11:23 am Page 1 of 1 Fl N_Tra nsactionReceipt_pr 1213',U19 12t31t19 Plumbing Permit Application 225 Fifth Street t Springfield,OR97477 . PH(541)726-3753 . FAX(541)726-3689 Cmy oF SPRTNGFTELD, OREGoN DEPARTMENT USE ONLY P"r-it rro., H I Date:3 Lq LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verifi ed?! Yes ENo Description Cost Total costea. Sanitation approval verified?I ves ENo New residential CATEGORY OF 1 bathroom/l kitchen (includes : Jirst 100feet ofwater/sewer lines, hose bibs, ice maker, unde(loor low-poin, drains and rain-drain packages) ! Govemment E Commercial I JOB SITE INFORMATION AND LOCATION 1333.00i $ Job site address Z znJ t 2 bathrooms/l kitchen State f ZIP:7 3 bathrooms/l kitchenfEach additional bathroom Taxlot.Each additional kitchen 'over I 5s21.00 $ 8613.00 $ 1132.00 $ $132.00 $ DESCRIPTION OF WORK Residential fire 5i,n 0 to 2,000 square feet $102.00 $ 2,001 to 3,600 square feet PROPERTY ER 3,601 to 7,200 square feet $163.00 $ $243.00 $ Name:7,201 feet and $ ManufacturedfiJ or Address:to sev/er water supply $ City:f'fl e State:ZIP:Commercial, industrial, and dwellings other than one- orzi q Fax: E-mail: fe-t,n'-ltt^..Ca r2<Minimum fee 02.00 $ This installation is residential farmL property and is -695-0020. Each fixture 5.00 $or or of my immediate Miscellaneous fees under 9 8 100'sewer, water line 06.00 $ and piping $ INSTALLATION Storm water retention/detention facility $106.00 s Business name $25.00 $ or pnvate storm Address:$25.00 $ ZIP:Specialty fixtures Phone Fax: Reinspection (no. ofhrs. x fee per hr.) E-mail hrs. x fee hr. $25.00 $ $102.00 $ $102.00 $ CCB license no.:BCD license no.:Each additional inspection: (1)s102.00 $ Plumbing license no.Medical Minimurn fee $ Print name:Enter value of installation and equipment $ _. Enter fee based on installation and equipment value.$ Signature DEPARTMENT (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)s loL (B) Investigative fee (equal to [A])$ (C) Enter l2%o surcharge (. 12 x [A+B])$ (D) Technology Fee (5% of [A])$ TOTAL fees and (A $l\q,3\ "fla"]( d l\rOO -l Boo SbC's ,^f 9r.€-, *- -5iwF Lasr edited 7/l/2019 bjones gPRINGIIELD rf ,l &, 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. owned me a exempt Propefi Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Conitruction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2ll I have read and understand the lnformation Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. TN 15o Print of Applica of Permit lL-3 - l'1 Date :So^d'"'*A E(Fl^{V\A-"tdJ Fto,^ This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicanb, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with 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 be licensed with the Construction Contractors Board. or @\I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. lf I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. lf I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. -oo ^bql-Permit #: lssued by Date: Address:32L ale t* This Copy for Permit Offices ta \tt\rq