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Home My WebLink AboutPermit Plumbing 2019-12-300tttG0N Web Addressj www.springfield-or.gov Building Permit Residential Plumbing Permit Number: 811-19-OO2884-PLM IVR Number: 8LL086767934 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54r-726-3753 SPRIN$TIELD ,& Permit Issued: December 30, 2019 Category of Construction: Single Family Dwelling Submi$ed Job Value: $0.00 Description of Work: Demo - plumbing cap Type of Work: Demolition Worksite Address 6185 MAIN ST Springfield, OR 97478 Parcel t702343400700 Owner: Address: ALLC LLC 88141 CHITA LOOP SPRINGFIELD, OR 97478 Business Name A.1 EXCAVATION & CONSTRUCTION LLC - Primary License ccB License Number 2L6520 Phone 54t-735-7541 Inspection 3999 Flnal Plumbing fnspection Group Plumb Res Inspection Status 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. Schedule or track inspections at www. buildingperm its.oregon. gov Call or text the word "schedule" to 1-BBB-299-2821 use IVR number: BILOB6767934 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Fee Description Technology Fee Fixture cap State of Oregon Surcharge - Plumb (l2o/o of applicable fees) Quantity Total Fees: Permits expire if work is not started within 180 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 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 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-OO1-OO9O, You may obtain copies of the rules by calling the Center at (503) 232-t947. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.O1O (Structural/Mechanical), ORS 479.540 (Electrical)f and ORS 593,010-O2O (Plumbing) Printed on: L2/30/f9 paqe 1, of 2 1 Fee Amount $s.10 $ 102.00 $12.24 $119.34 C | \my Reports/reports//production/01 STAN DARD Email Address: permitcenter@springfield-or. gov TYPE OF WORK JOB SITE INFQRMATION LICENSED PROFESSIONAL IN FORMATION PENDING INSPECTIONS SCH EDULING INSPECTIONS PERMIT FEES Permit Number:' 81 1-19-OO2884-PLM Printed onr !2130/19 Page 2 ol 2 Page 2 of 2 C : \myReports/reports//productron/0 1 STAN DARD SPRINI6FIELD & Transaction Receipt 811-19-002884-PLM IVR Number: 8'l 1086767934 Receipt Number: 473413 Receipt Date: 12130/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 permitcenter@spri ngfield-or. gov0nEG0i{ Transaction Units date 12130119 1.00 Qty 12t30t19 1.00 Ea Description Fixture cap State of Oregon Surcharge - Plumb (12o/o ol applicable fees) 224-00000-425603-1 034 821 -00000-21 5004-0000 204 -00000 - 42560 5-0000121301191.00 Automatic Technology Fee Fees Paid Account code Fee amount $102.00 $12 24 $5.1 0 Paid amount $102 00 $12.24 $5 10 Payment Method: Check number: '1030 Payer: A-'l EXCAVATION & CONSTRUCTION LLC Payment Amount:$119.34 Cashier: Katrina Anderson Receipt Total:$'r 19.34 Printed: 12130/19 2:55 pm Page 1 of 1 Fl N_TransactionReceipt_pr www. springfield-or. gov Woksite address: 6185 MAIN ST, Springfield, OR 97478 Parcel: 1 702343400700 Crrv on SrnrNGFIELu, ORtrcox Plumbing Permit Application 225 Fifth Street . Springfi eld, oR 97 477 . PH(541)7 26-3753 . FAX(54 1 )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. SPFIilGFIELD *, DEPARTMENT USE ONLY \?-Oo >&4 -(uPermit no Date: la b tq LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verifi ed?! Yes tr No Description 4ry.Cost Total costea. Sanitation approval verified?! ves tr No New residential CATEGORY OF CONSTRUCTION I bathroomil kitchen (includes : first l00feet ofwater/sewer ltnes, hoseResidential! Govemment E Commercial bibs, ice maker, undetfioor t JOB SITE I RMATION AND dratns ond rain-drain t333.00 $ Job site address:A lw\2 bathrooms/l kitchen State ZIP Y 3 bathrooms/l kitchen City: Each additional bathroom Taxlot.:Each additional kitchen over I ts21.00 $ $613.00 $ 8132.00 $ $132.00 $ WORK Residential fire feet110 to 2,000 $102.00 $ f 2,001 to 3,600 square feet f RTY 3,601 to 7,200 square feet $163.00 s $243.00 $ Name L 7,201 feet and .00 $ Manufactured or circle Address to sewer 02.00water $ ZIP Commercial, industrial, and dwellings other than one- or Phone:Fax: E-mail:Minimum fee 102.00 $ 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 91 8-695-0020. Each fixture $ Miscellaneous fees 100' storm, sewer, water line 06.00 $ Each fixture, appurtenance, and piping $ ALLATION Storm water retention/detention $r06.00 $ Business LL(Irrigation systems/Backflow or pnvate storm $25.00 $ 125.00 $ L/Specialty fixturesCityState:ZIP: I Reinspection (no. ofhrs. x fee per hr.) Fax hrs. x fee hr,E-mail:I t25.00 $ $102.00 $ 1102.00 s BCD license no.:Each additional inspection: (l)8102.00 $CCB license no I Plumbing license Medical Minirnum fee $ Print name Enter value of installation and equipment $ _. Enter fee based on installation and value.$ DEPARTMENT USESignature (A) Enter subtotal ofabove fees (Minimum Permit Fee $f02.00)$\o?- (B) Investigative fee (equal to [A])$ (C) Enter l2o/"(.12 x [A+B])$ (D) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):s t Lasr edited 7 ll/2019 bjones Referencge: ) State: Address: (;SZU,