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?