HomeMy WebLinkAboutPermit Plumbing 2020-02-13SPRINGFIETD
th
OREGON
Web Address: www.springfield_or.9ov
Permit fssued: February L3, 2O2O
Building permit
Residential plumbing
Permit Number: 8t1-2O-OOO28S_PLM
IVR Number: 811017506574
Type of Work: Replacement
City of Springfietd
Development and public Works
22S Ftfth Street
Springfield, OR 97477
54L_726_3753
Email Address: permitcenter@springfield-or,gov
Category of Construction :
Submitted Job Value: g0.0
Townhouses
0
Description of Work: Remove tub and replace with a
TYPE OF WORK
shower (enclosed ADA shower)
Worksite Address
2727 GATEWAY ST APT 22
Springfield, OR 97477
Parcel
L703223490049
Owner:
Address:
HEMMING LAURENCE
PO BOx 13687
SALEM, OR 97309
JOB SITE TNFORMATION
LICENSED PROFESSIONAL INFORMA TIONBusiness Name
DABELLA EXTERIORS LLC -
Primary
License
ccB
License Number
194160
Phone
503-64t-7676
fnspection
3999 Final plumbing
3500 Rough plumbing
fnspection Group
Plumb Res
Plumb Res
fnspection Status
Pending
Pending
Various inspections
the issuing jr
r are minimally required on each project and often dependent on the scope of work, contacturisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www. build ing permits.oregon. gov
call or text the word "schedule" to 1-g8g-299-2g21 use IVR number: Bttol7so6574
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 18o Days or longer depending on
the issuing agency's policy.
Att 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 requlres 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 (5O3)
232-1987.
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1'O1O
(Structural/Meā¬hanical), ORS 479.54O (Electrical), and ORS 693.010-O2O (Plumblng).
printed on: 2/13/20 page 1 of z C:\myReports/reports//prcduction/01 STANDARD
-&.
PEilDING INSPECTIONS
SCHEDULING IT{SPECTIONS
,/,
Permit Number: 811-20-OOO285-PLM
Fee DescriPtion
TechnologY Fee
AbsorPtion valve
Balance of minimum permit fees - plumbing
Other - Plumbing
Tub/shower/shower Pan
State of Oregon Surcharge - Plumb (L}o/o of aPPlicable fees)
QuantitY
Total Fees:
Page 2 ot 2
Fee Amount
$s.10
$25.00
$2.00
$s0.00
$2s.00
$r2.24
$ 119.34
1
2
1
Page 2 of 2 C: \myReports/reports//production/01 STAN DARD
Printed on: 2/13/20
PERMIT FEES
SPRINGTI
Transaction Receipt
81 1 -20-000285-PLM
IVR Number: 811017506574
Receipt Number: 473812
Receipt Date:2113120
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
permitcenter@spri n gfield -or. gov
tt,
OREGON
www. sprin gfield-or. gov
Worksite address: 2727 GATEWAY ST, APT# 22, Springfield, OR97477
Parcnl: 1703223490049
Fees Paid
Account codeTransaction Units
date
2113120 1.00 Oty
2t13t20 1.00 Qty
2t13t20 2.00 Qty
2t13120 '1 .00 Automatic
2t13t20 1.00 Ea
2t't3120
Description
Absorption valve
Tub/shower/shower pan
Other - plumbing
Fee Notes: shower neck and tail piece drain
Balance of minimum permit fees -
plumbing
State of Oregon Surcharge - Plumb
(12o/o of applicable fees)
1.00 Automatic Technology Fee
224 -OOOO0 - 425603-'1 034
224-00000 -425603- 1 034
224-00000 -425603- 1 034
224-00000- 425603- 1 034
821 -00000-21 5004-0000
20 4 -00 000 - 4256 0 5-0000
Fee amount
$25.00
$25.00
$50.00
$2.00
$12.24
$5.1 0
Paid amount
$25.00
$25.00
$s0 00
$2.00
$12.24
$5.1 0
Payment Method Credit card
authorization: 099643
Payer: laurence Hemming Payment Amount:$1 19.34
Cashier: Katrina Anderson Receipt Total:$1 r 9.34
Printed: 2/13/20 4:10 pm Page 1 of 1 Fl N_Transaction Receipt_pr
=". /
Cmv or SpnrNGFIELuo ORecon
225 Fifth Street . Springfield, oR 97477 . PH(541)726-3753 . FAX(541)726-3689
Plumbing Permit Apptication
l,^i\ e'Y^,]Arain-
S\6, i uo0-.jr c)S
DEPARTMENT USE ONLY
permit no.: )o4b?05 _Quw
rl
Date: A\\)\7D
SPRINGFIELD
h,
3
!r
This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits
expire ifwork is not started rvithin 180 days ofissuance or ifwork is suspended for 180 days.
FEE SCHEDULE
Description ary.Cost
ea.
Total
cost
New residential
I bathroomi I kitchen (includes:first
l00feet ofwater/saner lines, hose
bibs, ice maker, underfloor low-point
drains and rain-drain pockages)
t333.00 $
2 bathrooms/l kitchen Is2r.00 $
3 bathrooms/1 kitchen i613.00 s
Each additional bathroom (over 3)$132.00 $
Each additional kitchen (over I )$132.00 $
Residential fire sprinklers (includes plan review)
0 to 2,000 square feet $r 02.00 $
2,001 to 3,600 square feet $163.00 $
3.601 to 7,200 square feet $243.00 $
7,201 square feet and greater s324.00 $
Manufactured dwelling or pre-fab (circle one)
Connections to building sewer and
water supply s102.00 $
Commercial, industrial, and dwellings other than one- or
two-familv
Minimum fee s102.00 $
Each fixture i25.00 $
Miscellaneous fees
100' storm, sewer, water line il06.00 $
Each fixture, appurtenance, and piping \t25.00 $ loa
Storm water retention/detention facility i106.00 $
lrrigation systems/Backflow t25.00 (
Piping or private stom) drainage
systems exceeding the first 100 feet
t25.00 $
Specialty fixtures i2s.00 $
Reinspection (no. ofhrs. x fee per hr.)$102.00 $
Special requested inspections (no. of
hrs. x fee per hr.)$102.00 $
Each additional inspection: (l)$ 102.00 $
Medical gas piping Minimurn 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 $102.00)s Y22/
(B) Investigative fee (equal to [A])
(C) Enter 127o surcharge (.12 x [A+B])$ lL.L'4
(D) Technology Fee (5% of [A])s 5'to
TOTAL fees and surcharges (A through D)$ \\1. 3.SOc a',---L-rt
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e's t
e)>
LOCAL GOVERNMENT APPROVAL
Zoningapproval verified? E Ye. E No
Sanitation approval verified? E Yes E No
CATEGORY OF CONSTRUCTION
E CommercialE Residential I Govemment
JOB SITE INFORMATION AND LOCATION
City:ZIP
n.r.."ot", 'U
Taxlot.
DESCRIPTION OF WORK
Rawrtv- c.tu1
PERTY OWNER
Name:
City:
Address
Phone:
E-mailr
This instailaii.in is Liing made i-n residdh"6-r farm iroperty
owned by me or a member of my immediate family, and is
exemDt from licensins reouirements under OAR 918-695-0020
sign^*$1w; /,4h"-,,*
ALLATIONI
Business name:/
Address:
City:State:ZIP
Phone Fax
\ 9'{ l tzoE-mail
CCB license no.license no.
Plumbing license no.
Print name:
Signature:
[.asr edited 7 I I 12019 bjones
I
Job site address: -22,-
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