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Home My WebLink AboutPermit Plumbing 2019-12-06OREGON Web Address: www.springfield-or.9ov Building Permit Residential Plumbing Permit Number: 8f 1-19-OO272A-PLM IVR Number: 811089694907 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54r-726-3753 Email Address : permitcenter@springfield-or.9ov SPRINGFIELD b Permit Issued! December 06, 2019 TYPE OF WORK Category of Construction: Single Family Dwelling Type of Work: Replacement Submitted Job Value: $0.00 Description of Work: Replace 15 ft water line, 40 ft sewer line, replace existing bathroom sink, tub/shower, toil re lace water heater,hose clothes washer **ADDED 3 res for the new master bathroom** Owner: Address: Worksite Address 830 G ST Springfield, OR 97477 Parcel 170335 1207100 TEN TALENTS INVESTMENTS LLC 830 G ST SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Business Name MICHAEL ANGELO BOBST - Primary License ccB Phone 541-689-5660 PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing 3200 Sanitary Sewer 3300 Water Service Inspection Group Plumb Res Plumb Res Plumb Res Plumb Res Inspection Status Pending Pending 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: 811089694907 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store permits expire lf 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-t987. 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: u3ol20 page 1 of 2 c:\myReports/reports//production/01 STANDARD ---. ,OB SITE INFORMATION License Number 165912 Permit Number: 81 1-19-0027 28-PLM Page 2 of 2 Fee Description Technology Fee Clothes washer Hose bib Sanitary sewer - Total linear feet S ink/basin/lavatory S ink/basin/lavatory Tub/shower/shower pan Tub/shower/shower pan Water closet Water heater Water service - Total linear feet Water closet State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Printed oni 1/30/20 Quantity Total Fees: Fee Amount $23. 10 $2s.00 $2s.oo $106.00 $2s.00 $s0.00 $2s.00 $2s.00 $2s.00 $2s.00 $ 106.00 $2s.00 $ss.44 $s40.s4 1 1 40 1 2 1 1 1 1 15 1 Page 2 ol 2 C:\myReports/reports//production/01 STAN DARD PERMIT FEES SPRINGFIELD tb OREGON www.springf ield-or. gov Worksite address: 830 G ST, Springfield, OR97477 Parcel: 1 703351207 100 Transaction Receipt 811-19-002728-PLM IVR Number: 8l ,l089694907 Receipt Number:473685 Receipt Date: l/30/20 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54r-726-3753 permitcenter@spri ngfield-or. gov Fees Paid Account codeTransaction Units date 1t30t20 1.00 Qty 'U30t20 1.00 Ea 1t30t20 Description Water closet State of Oregon Surcharge - Plumb (12% of applicable fees) 224-00000-425603- 1 034 821 -00000-21 5004-0000 204-00000-425605-00001.00 Automatic Technology Fee Fee amount $25.00 $55.44 $23.1 0 Paid amount $25.00 $39.65 $23.1 0 Payment Method: Check number: 140 Payer: Cruz General Construction Payment Amount:$87.75 Cashier: Katrina Anderson Receipt Total:$87.75 Printed: 1/30/20 11.42 am Page 1 of 1 Fl N_Tra nsactionReceipt_pr Plumbin g Perrnit Application 22s Fifth Street o oR97477.PH(54 This permit is issued under oAR 918-780-0060. SPEIIVCFTELD DEPARTMENT USE ONLY tltzo-stsi FAX(541 )726-3689 Permits are issued fo the person or contractor doing the work. permits 1/L^ expire if work is not sfarted within 180 days of issuance or if work ls su spended for I80 days. Crry or SpRrN GFrELDr ORrcoN Permit no. )4 APPROVALLOCAT Zoning approval verifi ed?!No! ves Sanitation approval verifi ed?Ev"s lNo CATEG ORY OF CONSTRUCTION ! Government ! Commercial FORMATIONJOBSITEIN AND Job site address Taxlot.; DESCRIPTIO N OF WORK PROPERTY OWNER Name: Address: City:State:ZIP: Phone:Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, andis exempt from licensing requirements under OAR 9l 8-695-0020. Signature: CONTRACTOR INSTALLATION /-tnwoAddress:+ State, O/(7+or1ZIP: F342<' ---"- E-mail:p,"/- c,a?'l@ BCD license no. Plumbing license no.: Print name: Signature: FEE SCHEDULE Description Qty Cost ea. Total cost New residential $ 2 bathrooms/l kitchen .00 3 bathrooms/1 kitchen Each additional bathroom (over Each additional kitchen r) Residential fire klers 0 to 2,000 square feet .00 $ 2,001 to 3,600 feet r63.00 $ 3,601 to 7,200 square feet $ 7,201 square feet and $ Manufactured or sewer andto water $ industrial, and dwellings other than one- orCommercial, Minimum fee .00 $ Each fixture $ Miscellaneous fees 100' storm, sewer, water line 06.00 $ Each fixture, appurtenance, and $ Storm water retention/detention 06.00 $ Irri gation systems/Backfl ow $ or feet storm the first I $ fixtures $ Reinspection (no. of hrs. x fee per hr.).00 $ (no. ofrequestedinspections x fee hr..00 $ Each additional inspection: (1)$ Medical Minimum fee $ Enter value of installation and equipment $ _. Enter fee based on installation and equipment value.$ DEPARTMENT (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) $ (B) Investigative fee (equal to [A]) (.12 x [A+B])(C)Enter 12%$ Fee of $ $1,1TOTAL fees and surcharges (A S\,\L () -t-o'..\**t') \<a l.ast edited 7/1/2019 bjones i) ,4 only L Date: I t LOCATION Business name: 1]l ;1 /1",,/- Anft<)- ln n<lLt,. 9"-z CiW: fttatr,.n<- CCB license no; / (eqQ I 7 rilr'' I 00 feet bibs, ice bathroom/l kitchen maker, anddrains