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Web Address: www.springfield-or. gov
GON
Building Permit
Residential Plumbing
Permit Number: 811-20'000245-PLM-01
IVR Number: 811009593528
Email Address: permitcenter@springfield-or.gov
Permit Issued: February 06,2020
TYPE WORK
category of construction: None specified Type of work: None specified
Submitted Job Value: 90.00
Description of work: DEMO house 3bedroom 2 bath 1680 sqft and a shed SEWER cAp
Worksite Address
1565 F ST
Springfield, OR 97477
Parce!
1703362300300
Owner:
Address:
ST ALICE CATHOLIC
CHURCH
1520 E ST
SPRINGFIELD , OR 97477
Business Name
MARTIN ENTERPRISES LLC
License
ccB
License Number
202tt8
Phone
541-525-3101
various inspections are minimally required on each project and often dependent on the scope of work. contactthe issuing jurisdiction indicated on the permit to determine required inspections for this project.
Schedure or track inspections at www.buirdingpermits.oregon.gov
Call or text the word "schedule" to 1_888_299-2821
Schedule using the Oregon epermitting Inspection App,
use IVR number: 81100959352g
search "epermitting,, in the app store
Fee Description
Technology Fee
Fixture cap
State of Oregon Surcharge _ plumb (l2o/o ofapplicable fees)
Quantity Fee Amount
gs.10
g 102.00
$12.24
g 119.34
1
Permits explre if work isttre issuiie-;ge;";';.',"d:t started within 18o Davs of issuance or if work is suspended for 180 Days or tonger depending on
All provisions of taws and ordinances governing this.H;,'ii,il[f":Xffiff":m*:::$;- :,'fi: o* or work wi't be comDried-with whether specined herein or not.
A,'Eil,,oN: oreson ,awr
the Perrorma;:';;;#".t'XtoYiolate or cancel tie provisions a.iy-Ir-#]"te or roca, ,aw
lTr,I#;;-ffiff;"Hffi;t^-i:1r"-[Jrfi#:g:rjjff;fi:#]lll#"T#ii,,"iii],il;lfii.,Trffiff,
:::Y:::rffiu:fi.J83.ffii:,:H:il:T?".Tur;; y"::,tr,:::iffun,essexernp,ed by oRs To, o,o
Total Fees:
Cr
Page I of 7
\m y Re ports/ reports/ /production/O
1 SIANDARD
{fi
TOB SITE INFORMATION
LICENSED PROFESSIONAL IN FORMATION
SCHEDULING INSPECTXONS
PERMIT FEES
SPRINGTIELD
ORIGON
www. springfield-or. gov
Woksite address: 1565 F ST, Springfield, OR97477
Parcel: 1 703362300300
Transaction Receipt
811-20-000245-PLM-01
IVR Number: 81 1009593528
Receipt Number: 473757
Receipt Dale:216120
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
permitcenter@springfield-or. gov
{.fi
Fees Paid
Account codeTransaction Units
date
216120 1.00 Qty
2t6t20 1.00 Ea
216t20
Description
Fixture cap
State of Oregon Surcharge - Plumb
(12o/o of applicable fees)
224 -00000 -425603- 1 034
82 1 -00000-21 5004-0000
204-00000 -425605-0000'l.00 Automatic Technology Fee
Fee amount
$102.00
$12.24
$5.10
Paid amount
$102.00
$12.24
$5.1 0
Payment Method: Credit card
authorization: 673135
Payer: justin martin Payment Amount:$119.34
Cashier: Katrina Anderson Receipt Total:$1 19.34
Printed:2/6/20 1:3g pm
Page 1 of 1
Fl N_TransactionReceipLpr
Plumbing Permit APPlication
h,
225 Fifth Strcet 0 Springficld,-oR 97 477 o PH(s4l )726-3',ZS: o EaX(SAt)726'3689
This permit is issued under OAR 918-780-0060' Permits
expi.e if wo.k is not started within 180 days of issuance
are issued only to the person or contractor doing the work' Permits
or ifwork is suspended for 180 days'
Crrv oF SPRTNGFIELD, OREGoN
DEPARTMENT USE ONLY
Permit no.,o-ooo2.l
Out"r 2 b
ALAPPROVLOCAL
ENo! Ye.Zoning approval verified?
Sanitation approval verifi ed?flYes E No
CATEGORY GONSTRUCTIONOF
E CommercialEl GovemmentE Residential
AND LOCATIONSITEJOB
Job site address:
ZIP
Taxlot.
DESCRIPTION OF WORK
PROPERTY OWNER
I
Name
Address
ZIP:City:
FaxPhone
.16Or1E-mail:
owned by me
exempt from
This
CONTRACTOR INSTALLATION
Business name
Address:
State:6 zIP: q1t{Ot
Fax:
E-mail
BCD license no.no.: ZoZliECCB
Signature:
FEE SCH EDULE
Total
costaryCost
ea.Description
New residential
s
rain-drainonddrains
S2 bathrooms/l kitchen
3 bathrooms/l kitchen
$32.00Each additional bathroom (over
sEach additional kitchen (over 1
Residential fire revlew
$02.000 to 2,000 square feet
S2,001 to 3,600 feet
.00 $3,601 to 7,200 square feet
$feet and7,201
orManufactured
$02.00
$Minimum fee
5.00 sEach fixture
Miscellaneous fees
$06.00100' storm, sewer, water line
sEach fixture,and
sStorm water retention/detention facility
$systems/Backflow
$feet
or storm
Ifirst
$Specialty fixtures
r02.00 $Reinspection (no. ofhrs. x fee per hr.)
102.00 $hr.)x fee per
$Each additional inspection: (l)
Medical Minimum fee $
Enter value of installation and equipment $
-.
$Enter fee based on installation and value
DEPARTMENT USE
$l0L(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)
(B) Investigative fee (equal to [A])$
$(C) Enter l2%.(.t2 x
Fee (5% of [A])(D)$
$TOTAL fees and surch
Last ediled 7/l/2019 bjones
State:ciw, 5pdr'rL;J,,
State 1fo{
LrtlzcnfM
City: f,l^.^-
Plumbing license no.: P[ t 5 i'l
Printname: - )a.scl t t4l..Lr'n
kitchcnbathroom/1I
t00 feet
icebibs,
ts2l -00
1613.00 $
i163.00
t324.00
one)
Connections to building sewer and
water supply
Commercial, industrial, and dwellings other than one- or
two-family
i102.00
t25.00
il06.00
t25.00
t25.00
i25.00
il02.00
lot.7l