HomeMy WebLinkAboutPermit Plumbing 2020-02-21OREGON
Web Address: www.springfield-or. gov
Building Permit
Residential Plumbing
Permit Number: 811-2O-OOO346-PLM
IVR Number: 811069243039
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
541-726-3753
Email Address : permitcenter@springfield-or.gov
SPRINGFIELD
Permit Issued: February 2L,2O2O
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: Bathroom remodel - adding a shower
Type of Work: New
JOB SITE INFORMATION
Worksite Address
3225 HAYDEN BRIDGE RD
Springfield, OR 97477
Parce!
1702 193 100403
Owner:
Address:
HOWARD MARLA L
3225 HAYDEN BRIDGE RD
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL INFORMATION
Business Name
FORESIGHT CONSTRUCTION LLC .
Primary
License
CCB
Lacense Number
218258
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: 811069243039
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 af work is suspended for 18O 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.
Grantang of a permit does not pnesume to give authorlty to vlolate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
ATTEilTION: Oregon law requlres you to follow rules adopted by the Oregon Utllity 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 (503)
232-L9A7.
All persons or entities performing work under this permit are required to be licensed unless exempted by oRS 7o1.o1o
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 593.O1O-O2O (Plumbing).
Printed on: 2127/20 Page 1 of 2 C;\myReports/reports//production/01 STANDARD
$
Phone
54L-2L4-6786
Permit Number: 81 1-20-OOO346-PLM Page 2 of 2
Fee Description
Technology Fee
Balance of minimum permit fees - plumbing
Sink/basin/lavatory
Tub/shower/shower pan
Water closet
State of Oregon Surcharge - Plumb (L2o/o of applicable fees)
Printed oni 2l2Ll2O
Quantity
Tota! Fees:
Fee Amount
$s.10
$27.O0
$2s.00
$2s.00
$2s.00
$L2.24
$ 1 19.34
1
1
1
Page 2 of 2 C:\myReports/reports//production/01 STANDARD
PERMIT FEES
SPRINGFIELD
$Transaction Receipt
811-20-000346-PLM
IVR Number: 81 1069243039
Receipt Number:473886
Receipt Date:2121120
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
permitcenter@spri ngfi el d-or. 9ov0REG0r{
www.springfield-or.gov
Worksite address: 3225 HAYDEN BRIDGE RD, Springfield, OR 97477
P arc,el: 1 7 021 93 1 00403
Transaction Units
date
2t21120 'l .00 Qry
2t21t20 1.00 Qty
2t21t20 1.00 Qty
2t21120 1.00 Automatic
2t21t20
2t21t20
Description
SinUbasin/lavatory
Tub/shower/shower pan
Water closet
Balance of minimum permit fees -
plumbing
State of Oregon Surcharge - Plumb
(12% ot applicable fees)
Fees Paid
Account code
1.00 Ea
1.00 Automatic Technology Fee
224-00000- 425603- 1 034
224-00000- 425603- I 034
224 -O0 0 00 - 42 5603- 1 0 34
224-OOOOO -425603- 1 034
82 1 -00000-2 1 5004-0000
204-00000-425605-0000
Fee amount
$25.00
$25.00
$25.00
$27.00
$12.24
$5.10
Paid amount
$25.00
$25.00
$25.00
$27 00
$12.24
$5.10
Payment Method: Credit card
authorization: 064843
Payer: HOWARD charles Payment Amounl:$1 19.34
Cashier: Katrina Anderson Receipt Total:$l 19.34
Ptinled: 2121 120 2:49 pm Page 1 of 1 F I N_Tra nsaction Receipt_pr
*. "/
Cmv or SrnrNGFIELu, ORncox
Plumbing Permit Apptication
225 Fifth Strect o Springfield, OR 97477 . 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 ifwork is not started within 180 days ofissuance or ifwork is suspended for 180 days.
FEE SCHEDULE
Description 4ry.Cost
ea.
Total
cost
New residential
1 bathroom/l kitchen (includes : first
100feet ofwater/saner lines, hose
bibs, ice maker, underfloor low-poin,
drains and rain-drain packages)
I 1333.00 s
2 bathrooms/l kitchen $s21.00 $
3 bathrooms/l kitchen 5613.00 $
Each additional bathroom (over 3)1132.00 $
Each additional kitchen (over 1)t132.00 $
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 s102.00 $
Commercial, industrial, and dwellings other than one- or
two-familv
Minimum fee $102.00 $
Each fixture E25.00 $
Miscellaneous fees
100' storm, sewer, water line il06.00 $
Each fixture, appurtenance, and piping -)5 t25.00 s-ls-
Storm water retention/detention facility il06.00 $
Irrigation systems/Backfl ow i25.00 $
Piping or private storm drainage
svstems exceedinq the first 100 feet t25.00 s
Specialty fixtures $25.00 $
Reinspection (no. ofhrs. x fee per hr.)s102.00 $
Special requested inspections (no. of
hrs. x fee per hr.)$102.00 $
Each additional inspection: (l)sI02.00 s
Medical gas piping Minimum fee $
Enter value of installation and equipment S
-.Enter fee based on installation and equipment value.$
DEPARTMENT USE
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)
$ \o7-
(B) Investigative fee (equal to [A])$
(C) Enter l2oZ surcharge (.12 x [A+B])$
(D) Technology Fee (5% of [A])$
TOTAL fees and surcharges (A through D):$7
SPBII{OFIELD
d=>C-
DEPARTMENT USE ONLY
Permit no.:b-0@
\Date w
LOCAL GOVERNMENT APPROVAL
Zoningapproval verified? E Y". E No
Sanitation approval verified? ! Yes E No
CATEGORY OF CONSTRUCTION
El*'esidential E Govemment E Commercial
JOB SITE INFORMATION AND LOCATION
'AvDe,,; Be FD
P4 State: 0 L zrP:47lV
Taxlot.Reference:
DESCRIPTION OF WORK
EzrnoPL l--
RTY OWNER
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Name:fuaraiD
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Stale:d
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orresidential farm
8-695-0020
E-mail
This installation is
owned meora
exempt
CONTRACTOR INSTALLATION
Business name:(1cd 9'tbta.c U
Address: jZU;D irJ 'Be D
City:Q 7trLP Sate:A 4-ztP:17 177
Fax:Phone:541 A4 b7{b
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CCB license n".ZlgL BCD license no.:
Plumbing license no.:
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Designed: l/26/2020
Printed: l/26/2020
All dimensions -size designations
given are subject to verification on
job site and adjustment to fit job
conditions.
This is an original design and must
not be released or copied unless
applicable fee has been paid or job
order placed.
LIr)\I/A P N ETP A I-T EI A-I-LI ,)a tt