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Home My WebLink AboutPermit Plumbing 2020-02-10OREGON Web Address: www.springfield-or.9ov Building Permit Residential Plumbing Permit Number: 811-2O-OOO260-PLM-O1 IVR Number: 81 1034403975 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54t-726-3753 Email Address : permitcenter@springfield-or.gov SPRINGFIELD tb Permit Issued: February tO,2O2O TYPE OF WORK Category of Construction: None Specified Type of Work: None Specified Submitted Job Value: $0.00 Description of Work: DEMO house only - 1048 sqft 2 bedroom/l full bath JOB SITE INFORMATION Worksite Address 819 HAYDEN BRIDGE PL Springfield, OR 97477 Parcel t70326120rLO2 Owner: Address: VIOLET JUNE BRICKLEY REVOCABLE LIV TRUST PO BOX 71394 SPRINGFIETD , OR 97475 PROFESSIONAL INFOR,MATION Business Name STANTON GREGORY PAYNE - Primary License CCB Phone 541-688-7038 PENDING INSPECTIONS Inspection 3999 Final Plumbing Inspection Group Plumb Res Inspection Status 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. Sched ule or track inspections at www.build ingpermits'oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811034403975 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store PERMIT FEES QuantityFee Description Technology Fee Fixture cap State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Total Fees: 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 proyisions of laws and ordinances governing this type of work will be complied with whether specified herein or not' cranting 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 952-001-0010 through OAR952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-L947. All persons or entities performing work under this permit are required to be licensed unless exempted by OR.S 7O1.O1O (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-O20 (Plumbing). Ptinled on; 2lfO/2O Page 1 of 2 1 Fee Amount $s.10 $ 102.00 $t2.24 $ 119.34 C:\myReports/reports//production/01 STANDARD License Number 27323 Permit Number: 81 f -20-OOO260-PLM-01 Prinled oil 2ltO/2O Page 2 of 2 Page 2 of 2 C: \myReports/reports//production/0 1 STAN DARD SPRINGFIELD ,b Transaction Receipt 811-20-000260-PLM-01 IVR Number: 81 1 034403975 Receipt Number: 473782 Receipt Date:2110120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@spri ngfield-or. govOREGON www.springfield-or.gov Worksite address: 819 HAYDEN BRIDGE PL, Springfield, OR97477 Parwl: 1703261201102 Transaction Units date 2t10120 1.00 Qty 2110t20 1.00 Ea 2t10t20 Description Fixture cap State of Oregon Surcharge - Plumb (12o/o ol applicable fees) 224-00000-425603- 1 034 82'r -00000-2 1 5004-0000 204-00000-425605-00001.00 Automatic Technology Fee Fees Paid Account code Fee amount $102.00 $12.24 $5.1 0 Paid amount $102.00 $12.24 $5.1 0 Payment Method: Check number: 59530 Payer: greg payne brenda payne Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total:$1 19.34 Printed: 2/10/20 3:06 pm Page 1 of 1 Fl N_Tra nsaction Receipt_pr w./ Cmv or SpnrNGFIELo, OnEGoN Plumbing Permit Application 225 Fiffh Strect o Springficld, oR 97477 . PH(541'1726-3753 . FAX(541)726-36E9 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 1E0 days. SPRINGFIELO fi, DEPARTMENT USE ONLY Permirno.:P OOO Date: L o M LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E Yes E No Sanitation approval verified? f] yes E No CATEGORY OF CONSTRUCTION I Govemment I Cornmercial! Residential JOB SITE INFORMATION AND LOCATION zL?-tJob site address: ZIPCity:{n^, no{) ,n1 Taxlot.:R"f..Io"", J' DESCRIPTION OF WORK PROPERTY OWNER Name:/fo ^ l,tt-..1I Address: {t*", Q rz-ZIP:City: FaxPhone 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 918-695-0020. Signature: CoNTRACTOR TNSJALLATION IBusiness State: $r ZrP: fig 6 yCity Fax E-mail d ccB [bJnise "1., Jf323 Plumbing license no.: Print name: a<- D2Signature: FEE SCHEDULE Cost ea. Total costQtyDescription New residential $333.00 $ I bathroom/l kitchen (includes : first l00feet of water/sewer lines, hose bibs, ice maker. underfloor low-point drains and rain-drain packages) $521.00 (2 bathrooms/l kitchen i613.00 $3 bathroonrs/l kitchen $132.00 $Each additional bathroom (over 3) u32.00 $Each additional kitchen (over 1) Residential fire sprinklers (includes plan review) $102.00 $0 to 2,000 square feet S$163.002,001 to 3,600 square feet $243.00 $3,601 to 7,200 square feet $324.00 $7,201 square feet and greater Manufactured dwelling or pre-fab (circle one) $102.00 $Connections to building sewer and water supply Commercial, industrial, and dwellings other than one- or two-family $Minimum fee i102.00 $25.00 $Each fixture Miscellaneous fees il06.00 $100' storm, sewer, water line s25.00 $Each fixture, appurtenance, and piping i106.00 sStorm water retention/detention facility $25.00 $Irrigation systems/Backfl ow $25.00 $Piping or private storm drainage svstems exceedinq the first 100 feet \$25.00 $L{Specialty fixtures Reinspection (no. ofhrs. x fee per hr.)I102.00 $ i102.00 $Special requested inspections (no. of hrs. x fee per hr.) Each additional inspection: (l)il02.00 $ $Medical gas piping Minirnurn fee Enter value of installation and equipment $ -.$Enter fee based on installation and equipment value DEPARTMENT USE to2$ (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) (B) Investigative fee (equal to [A])s -G)- (C) Enter l2o% surcharge (.12 x [A+B])S \L,LI) (D) Technology Fee (5% of [A])$t lo TOTAL fees and surcharges (A through D)S Last edited 7 I I 12019 bjones BCD license no.: