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Home My WebLink AboutPermit Plumbing 2020-02-06OREGON Web Address: www.springfield-or.9ov Building Permit Residential Plumbing Permit Number: 811-2O-OOO242-PLM IVR Number: 811097081309 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 547-726-3753 Email Address : permitcenter@springfield-or. gov SPRINGFIETD {& Permit Issued: February 06,2O2O TYPE OF WORK Category of Construction: Single Family Dwelling Type of Work: New Submitted Job Value: $0.00 Description of Work: 100ft storm line for carport and single family dwelling JOB SITE INFORMATION Worksite Address 6492 MAIN ST Springfield, OR 97478 Parcel 1702344204500 Owner: Address: HORTON DON M 780 S 57TH ST SPRINGFIELD, OR 97478 LICENSED PROFESSIONAL INFORMATIOI{ Business Name OWNER - Primary License CCB License Number 000000 Phone PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing 3400 Storm Sewer Inspection Group Plumb Res Plumb Res Plumb Res Inspection Status Pending Pending Pending SCHEDULING 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. Sched ule or track inspections at www. buildingpermits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811097081309 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started withan 180 Days of issuance or if work is suspended for 18O Days or longer depending on the issuing agency's poticy. 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-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.O10 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.O1O-O2O (Plumbing). printed oni 2/6120 page 1 of 2 C:\myReports/reports//production/01 STANDARD Permit Number: 81 1-20-OOO242-PLM Page 2 of 2 Fee Description Technology Fee Storm sewer - Total linear feet State of Oregon Surcharge - Plumb (t2o/o of applicable fees) Ptinted on: 216/20 Quantity Fee Amount $s.30 $ 106.00 $12.72 $t24.O2Total Fees: C: \myReports/reports//production/01 STAN DARD 1 Page 2 of 2 PERMIT FEES SPRINGTIETD ,irt Transaction Receipt 811-20-000242-PLM IVR Number: 81 1097081309 Receipt Number: 473749 Receipt Date:216120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 547-726-3753 permitcenter@spri ngfield-or. govOREGON www.springfield-or.gov Worksite address: 6492 MAIN ST, Springfield, OR 97478 Parrel: '1702344204500 Transaction Units date 216120 1.00 LnFt Description Storm sewer - Total linear feet State of Oregon Surcharge - Plumb (12olo of applicable fees) 224-00000-425603- I 034 82 1 -00000-21 5004-0000 204-00000 -425605-0000 2t6t20 1.00 Ea 216t20 Fees Paid Account code Fee amount $106.00 $12.72 $5.30 Paid amount $106.00 $12.72 $5.30 Payment Method: Check number: 1376 Payer: don horton Payment Amount:$124.02 Cashier: Katrina Anderson Receipt Total:$'124.02 Printed: 2/6/20 8:55 am Page I of 1 Fl N_Tra nsactionReceipt_pr .*/ 1.00 Automatic Technology Fee Crrv or SpmNGFrELn, ORrcou Plumbing Permit Application 225 Fifth Street . Springfield, OR 97477 . PH(541\726-3753 . 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. h, LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E Y". E No Sanitation approval verified? ! Yes E No CATEGORY OF CONSTRUCTION E6sidential ! Govemment E Commercial JOB SITE INFORMATION AND LOCATION Job site address: b4Zt /Tu,i't S( City: )Xtqa6'r)Slate: gd zrP:J74 t s ReferencJ:Taxlot. DESCRIPTION OF WORK t-I r*--.'[&) A,-,9,'.; ;' c*-;'l PROPERTY OWNER' Name Address s City: S,rn, €.1,State: gP.ztP,?7'/74 Fax: E-mail:nLv r rh&l This installation is being made on member of myownedmeora exempt w\ EdrrnncroR r ilsrALLATroN Business name Address: City:State:ZIP: Phone: t,Fax: E-mail CCB license no.BCD license no.: Plumbing license no. Print name: Signature: FEE SCHEDULE Description 4ry.Cost ea. Total cost New residential I bathroom/1 kitchen (includes : first l00feet ofwater/sewer lines, hose bibs, ice maker, undettloor low-point drains and rain-drain packages) $333.00 $ 2 bathrooms/1 kitchen $s2t.00 $ 3 bathrooms/l kitchen $613.00 $ Each additional bathroom (over 3)1132.00 $ Each additional kitchen (over I )i132.00 s Residential fire sprinklers (includes plan review) 0 to 2,000 square feet il02.00 $ 2,001 to 3,600 square feet 8r63.00 $ 3,601 to 7,200 square feet t243.00 s 7,201 square feet and greater $324.00 $ Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply $t02.00 $ Commercial, industrial, and dwellings other than one- or two-familv Mininrum fee $102.00 $ Each fixture $25.00 $ Miscellaneous fees 100' storm, sewer, water line 1 $106.00 $lo? Each fixture, appurtenance, and piping $25.00 $ Storm water retentionidetention facility $106.00 $ Irrigation systems/Backfl ow $25.00 $ Piping or private storm drainage svstems exceedins the first 100 feet $25.00 $ Specialty fixtures $25.00 $ Reinspection (no. ofhrs. x fee per hr.)u02.00 $ Special requested inspections (no. of hrs. x fee per hr.)il02.00 $ Each additional inspection: (l)1102.00 $ Medical gas piping Minimum 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 $102.00) s lob (B) Investigative fee (equal to [A])$ (C) Enter l2%o surcharge (.12 x [A+B])$lz. (D) Technology Fee (5% of [A])$9.3D TOTAL fees and surcharges (A through D):$D DEPARTMENT USE ONLY Permit no.: )?-*'t, 2t1 L' 2Date .Plul Lasr edired 7/l/2019 bjones t)/ n(\,-' / Propefi Owner Statement Regarding Gonstruction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 {2ll This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, 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 lwill 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. 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. I +t.h- 2 lrr.\ Name of Permit APPlicant Applicant 7wl,r L *o Date Permit #: Address: \u-"-.1" -J C--:-r tssued by, t1A tu This Copy for Permit Offices /" t+ 9a w\^-l,.:i CC lnformation Notice to Owners About Construction ResPonsi bi I ities (oRS 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 97309-5052 Telephone: 503-378-4621 - Fax: 503-373-2007 Website Address: www. oregon. oov/ccb a Homeowners acting as their own general contractors to construct a new home or make a substantial improvement to an existing structure, can prevent many problems by being aware of the following responsibilities: Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: oregon,s withholding Tax Law: Employers must withhold income taxes from employee wages at th-e time employ""rlr" paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. Unemployment lnsurance Tax: Employers are required to pay a tax for unemployment insurance purposes bn the wages of all employees. For more information, call the Oregon Employment Department at 503-947 -1 488. Oregon,s Business ldentification Number (BlN): is a combined number for both Oregon With'irolding and Unemployment lnsurance Tax. To file for a BlN, go online to the oregon Business Registry. For questions, call 503-945-8091. Workers Compensation lnsurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation lnsurance for their employees. lf you fail to obtain Workers Compensation lnsurance, you could be subject to penalties and be liable for all claim costs if one of your workers is injured on the job. For more information, call the Workers Compensation Division at the Departmeni of Consumer and Business Services at 800452-0288' Tax Withholding: Employers must withhold Social Security Tax and Federal lncome Tax from employee wageJ. vou'may be liable for the tax payment, even if you didn't actually withhold the tax. For a Federal EIN number, go online to www.irs.gov' o a a Other Responsibilities of Homeowners: Code Compliance: As the permit holder for a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections. property Damage and Liability lnsurance: Homeowners acting as their own contractors should contact their insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liabiiity lnsurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation lnsurance' Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. a a a f/nrnnar.hr nrrrner :rlnntpd q-701 6 This Copy for Permit