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Home My WebLink AboutPermit Plumbing 2020-01-240RE60r{ Web Address: www.sprinqfield or. gov Building Permit Residential Plumbing Permit Number: 81 1-20-OOOO78-PLM-Ol IVR Number: 811063194231 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 547-726-3753 Email Add ress : permitcenter@springfield-or. gov SPRINGFITLD ,& Permit Issued: January 24, 2O2O Category of Construction: None Specified Submitted Job Value: $0.00 Description of Work: Kitchen Remodel Type of Work: None Specified JOB SITE INFORMATION Worksite Address 256 ALLEN AVE Springfield, OR 97477 Parcel 1 703233303800 Owner: Address: MARTINDONALDL&CA 256 ALLEN AVE SPRINGFIELD, OR 97477 IN Business Name SHAD CHASAN SURRETT - Primary License ccB License Number 1 58295 Phone 54t-741-3553 Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Res Plumb Res Inspection Status Pend ing 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.buildingpermits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811063194231 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 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. ATTENTIONT Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-OOI-OO10 through OAR 952-OO1'OO9O. You may obtain copies of the rules by calling the Center at (503) 232-L987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701,010 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.O10-020 (Plumbing). ptnted on: t/24120 page 1 of 2 C:\myReports/reports//production/01 STANDARD **- J TYPE OF WORK PENDING INSPECTIONS SCHEDULING INSPECTIONS Permit Number: 81f-20-OOOO78-PLM-01 Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - plumbing Ice maker SinlVbasin/lavatory State of Oregon Surcharge - Plumb (tZo/o of applicable fees) Pnnled on: Ll24/2O Quantity Total Fees: Fee Amount $s.10 $s2.00 $2s.00 $2s.00 $t2.24 $119.34 1 1 Page 2 of 2 c : \myReports/reports//production/0 1 sTAN DARD PERMTT FEES SPRINGTIELD b OREGON www.springfield-or. gov Worksite address: 256 ALLEN AVE, Springfield, OR 97477 Parccl. 1703233303800 Transaction Receipt 811-20-000078-PLM-o1 lVR Number: 811063194231 Receipt Number: 473628 Receipt Date:1124120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@springfi eld-or.gov Transaction Units date 1124120 1.00 Oty 1t24t20 1.00 Qty 1t24t20 1.00 Automatic 1t24t20 1.00 Ea 1t24t20 Description lce maker Sinkibasin/lavatory Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (12o/o oI applic-able fees) Fees Paid Account code 1.00 Automatic Technology Fee 224 -00000- 425603- 1 034 224 -00000 -425603- 1 034 224-00000- 425603- 1 034 821 -00000-21 5004-0000 204 -OO000 -425605-0000 Fee amount $25.00 $25.00 $52.00 $12.24 $5.1 0 Paid amount $25.00 $25.00 $52.00 $12.24 $5.1 0 Payment Method: Credit card authorization:042819 Payer: Mark Covet Payment Amount:s1 19.34 Cashier: Katrina Anderson Receipt Total $1 19.34 Ptinled: 1 124120 8:40 an Page 1 of 'l Fl N_Tra nsactionReceipt_pr ,t Ctrv ot' SpnINGFIELD, ORUGoN Plumbing Permit Application gPNI}IGTIELD 225 Fifth Str€et o o PH(541)726-3753 o This permit ls issued under OAR 9f8-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire lf work is not started within 180 deys of issuance or if work is suspended for 180 days. DEPARTMENT USE ONLY Permit no.: '/'20 AB V.\?oDate: FEE Yes CottQty.ea-fl No ENo Zoning approval verified? Sanitation approval verifi ed? Description New residential [333.00 s I bathroonr/l kitchen (includes : first 100 feet ofwater/sewer lines, hose JOB SITE maker,lcebibs, raindrainanddrains CATEGORY OF CONSTRUCTION E Govemment E Commercial AND $521.00 $IJob site address: 5613.00 sZlP: 2 bathroomsil kitchen Each additional bathroom 3 bathrooms/l kitchen (:State:$n.r.i.i'[' J )'$132.00 $Each additional kitchenTaxlot. OF WORK Residential fire il02.00 sr.qlv A(\,0 to 2,000 feet 63.00 OWN s zlP Phone: $ $ $ feetto 3,600 3,501 to 7,200 square feet feet and7,201 Manufactured or to building sewer water Name: other than one- or 02.00 State Fax: 2 CONTRACTOR $ $ $ s $ owned by me exempt from lsThis aor licensing E-mail:Minimum fee Storm water retentioddetention facility Each fxture Miscellaneous fees 100'sewer, water line andEach fixture, t25.00 $ $[25.00 $2s.00 $ I102.00 S $102.00 s tu.) or ZIP: BCD no. x storm CCB license no.: Phone E-mail: Each additional inspection: (l) frxtures Reinspection (no. of hrs. x fee (no. $102.00 s Minimum fee $ s sEnter fee based on installation and Enter value of installation and Medicallicense no.: Print name Signature value. usE $ P2-(A) Enter subtotal of above fees (Minimum PermitFee $€-(B) lnvestigative fee (equal to [A]) g l7/'")A(.12 x [A+B])Enter l2% $r-(o(D) Technology Fee (5% of $ hq.4\TOTAL fees end Lsst cdited 7/l/2019 bjones -AF Total cost I 8132.00 I Address: tr06.00 Business name: l) Address:] t fee DEPARTMENT