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HomeMy WebLinkAboutPermit Plumbing 2020-02-10OREGON Web Address: www.springfield-or. gov Building Permit Residential Plumbing Permit Nu mber: 81 1-2O-OOO258-PLM IVR Number: 811040567876 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Email Add ress : permitcenter@springfield-or. gov SPRINGTIELD ,b Permit Issued: February lO,2O2O TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Adding prep sink and relocating kitchen sink Type of Work: New JOB SITE INFORMATION Worksite Address 615 72ND ST Springfield, OR 97478 Parcel L702352406700 Owner: Address: NISSEN STACY L 615 72ND ST SPRINGFIELD , OR 97478 LICENSED PROFESSIONAL INFORMATION Business Name LAWSONS PLUMBING LLC - Primary License CCB Lacense Number 213535 Phone 54L-729-7t45 PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Res Plumb Res Inspection Status 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. Schedule or track inspections at www.buildingpermits'oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811040567876 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. ATTEilTION3 Oregon law requires you to follow rules adopted by the Oregon Utiliw Notification Center, Those rules are set forth in OAR 952-OO1-O010 through OAR 952-OO1-OO9O, You may obtain copies of the rules by calling the Center at (5O3) 232-L987, All peEons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1,O1O (structuraUMechanical), ORS 479.540 (Electrical), and ORS 693.010-O20 (Plumbing). Printed on: 2/10/20 Page 1 of 2 C : \myReports/reports//production/0 1 STAN DARD Permit Number: 81 1-20-OOO258-PLM Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - plumbing Sin k/basin/lavatory SDC: Improvement Cost - Local Wastewater SDC: Reimbursement Cost - Local Wastewater SDC: Total Sewer Administration Fee State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Printed oni 2llOl2O Quantity 2 83.99 t70.5 t2.72 Total Fees: Fee Amount $5.10 $52.00 $s0.00 $83.ee $170.50 $12.72 $12.24 $386.55 Page 2 of 2 C :\myReports/reports//prcduction/01 STAN DARD PERMIT FEES SPRINGFIELD tb OREGON www.sprin gf ield-or. gov Worksite address:615 72ND ST, Springfield, OR 97478 Parcel: 1 702352406700 Transaction Receipt 811-20{00258-PLM lVR Number: 81'l 040567876 Receipt Number: 473778. Receipt Date= 2l10l20 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@springfi eld-or. gov Fees Paid Account codeTransaction Units date 2110120 170.50 Amount 2110t20 2t10t20 2110t20 2t10t20 2110120 '1 .00 Ea 2t10t20 Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb ('l2o/o ot applicable fees) Description SDC: Reimbursement Cost - Local Wastewater 61 1 -00000-448024-8800 83.99 Amount SDC: lmprovement Cost - Local Wastewater 6'r 1 -00000-448025-8800 '12.72 Amounl SDC: Total Sewer Administration Fee 719-00000-426604-8800 2.00 Oty SinUbasin/lavatory 224-00000 -425603- I 034 1.00 Automatic 224-00000-425603- 1 034 821 -00000-2 1 5004-0000 204-00000-425605-0000 Fee amount $170.50 $83.99 $12.72 $50.00 $52.00 $12.24 $5.10 Paid amount $170.50 $83.99 $12.72 $50.00 $52.00 $12.24 $5.1 01.00 Automatic Technology Fee Payment Method:Credit card authorization: 065382 Payer: LAWSONS PLUMBING LLC Payment Amount:$386.55 Cashier: Katrina Anderson Receipt Total $386.55 Printed: 2/'10/20 'l:'16 pm Page 'l of 1 Fl N_Tra nsactionReceipt_pr *". J Cmy or SrnrNGFIELn, ORncoN Plumbing Permit Apptication LOCAL GOVERNMENT APPROVAL Zoningapproval verified? f] Yes E No Sanitation approval verified? ! Yes E No CATEGORY OF CONSTRUCTION El{esidential E Govemment E Comrnercial JOB SITE INFORMATION AND LOCATION Job site address: bL< )Z^). Sl- City: (a,.i^. f,lr\ I State: Q7 nP: f1q1Q Reference:Taxlot. DESCRIPTION OF WORK I PROPERTY OWNER Name: 6a. F F; " A Address: 6l< )).". ) <+ City: (rrr.',*- A-l/State: fl..ztv: clle-lg Phone:Fax: E-mail This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 9l 8-695-0020 Signature: CONTRACTOR INSTALLATION Business name: Address:LLC P".r City: A€<.<..^I U:\\State:$.!ztPt 112155 Phone$Q1:1t|1 I Ll ,Fax: E-mail CCB license no.: /l353S BCD license no. Print name: FEE SCHEDULE Description ary.Cost ea. Total cost New residential 1 bathroom/1 kitchcn (includes : first l00feet ofwater/sauer lines, hose bibs, ice maker, unde(loor low-poin, drains and rain-drain packages) t s333.00 s 2 bathrooms/l kitchen $52I.00 S 3 bathrooms/l kitchen $6t3.00 $ 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 $102.00 $ 2,001 to 3,600 square feet $163.00 $ 3,601 to 7,200 square feet $243.00 $ 7,201 square feet and greater $324.00 s Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply $ I 02.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee $102.00 $ Each fixture t25.00 s Miscellaneous fees 100' storm, sewer, water line il 06.00 $ Each fixture, appurtenance, and piping 7-t25.00 sqo Storm water retention/detention facility il06.00 s Irrigation systems/Backfl ow i25.00 $ Piping or private storm drainage svstems exceedinc the first 100 feet 825.00 $ 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 S Each additional inspection: (l)$102.00 $ 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 $102.00)$t6', (B) lnvestigative fee (equal to [A])$ (C) Enter l20% surcharge (.12 x [A+B])$ (D) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):$tq.7q €N, 225 Fifth Street o Springfield. OR97477 . 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. C1. ?-L DEPARTMENT USE ONLY Permit no.: Date F Lasr edited 7/l/2019 bjones +sbc f,7 3 Ao,5S- 2 Plumbing license no.: qlq q7?