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HomeMy WebLinkAboutPermit Plumbing 2020-02-24OREGON Web Address: www.springfield-or. gov Building Permit Residential Plumbing Permit Number: 811-2O-OOO353-pLM IVR Number: 811093509248 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 Email Address: permitcenter@springfield-or,gov SPRINGTIELD # Permit Issued: February 24, 2020 TYPE OF WORK Category of Construction: Single Family Dwelling Type of Work: Replacement Submitted Job Value: $0.00 Description of Work: master bath remoVe tub and add shower pan, 2nd bath replace tub JOB SITE INFORTTIATION Worksite Address 536 S TOTH ST Springfield, OR 97478 Parcel 1702353304100 Owner: Address: MILLER ROBERT C 536 S TOTH ST SPRINGFIELD, OR 97478 LICEI{SED PROFESSIONAL IN FORMATION Business Name KENDALL ROBERT BEARD - Primary License ccB License Number 220270 Phone 54t-579-O2t6 PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing 3650 Shower Pan Inspection Group Plumb Res Plumb Res Plumb Res Inspection Status Pending 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. Sched ule or track inspections at www. build ing permits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811093509248 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 lssuing 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. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-OO1-OO10 through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-L987. 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 693.010-020 (Plumbing). pilnted on: 2/24120 page 1 of 2 c:\myReports/reports//prcduction/01 STANDARD Permit Number: 81 1-20-OO0353-PLM Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - plumbing Tub/shower/shower pan State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Ptinled oil 2124120 Quantity Fee Amount $s.10 $52.00 $s0.00 $12.24 $ 1 19.34Total Fees: C:\myReports/reports//prcduction/01 STAN DARD 2 Page 2 of 2 PERMIT FEES SPRINGTIE 'qrtOREGON www. sprin gf ield-or. gov Worksite address: 536 S 70TH ST, Springfield, OR 97478 Parcnl. 17023533041 00 Transaction Receipt 81 1 -20-000353-PLM IVR Number: 8l'1093509248 Receipt Number:473896 Receipt Date:212412O City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54r-726-3753 permitcenter@spri ngfi eld -or. gov Transactaon Units date 2l24l2o 2.00 Oty 2t24t20 1.00 Automatic 2t24t20 2t24t20 1.00 Ea 1.00 Automatic Technology Fee Description Tub/shower/shower pan Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (12o/o ot applicable fees) 224 -00000- 425603- 1 034 224-00000- 425603- 1 034 821 -00000-21 5004-0000 204-00000 -425605-0000 Fees Paid Account code Fee amount $50.00 $52.00 $12.24 $5.1 0 Paid amount $50.00 $52.00 $12.24 $5.1 0 Payment Method Credit card authorization: 000216 Payer: KENDALL ROBERT BEARD Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total:$1 19.34 Ptinted: 2124120 10:04 am Page 1 of 1 Fl N_Transaction Receipt_pr I Cmv or SpnrNGFIELo, OnncoN Plumbing Permit Application 225 Fifth Street o Springfield,ORgT4T'7 . PH(541)726-3753 o FAx(541)726-3689 LOCAL GOVERNMENT APPROVAL Zoningapproval verified? [ Yes E No Sanitation approval verified? ! Ves E No CATEGORY OF CONSTRUCTION EResidential E Government E Commercial JOB SITE INFORMATION AND LOCATION Jobsiteaddress: 63G .S ZOru tPzzef City?!2uAe-*Cr-,State: OZ ZIP:Q ? q ?? Reference:Taxlot.: DESCRIPTION OF WORK .*?o t, PROPERTY OWNER Narn":Q6.l * -jaoprup tn t// atq. Address: City:State ZIP Phone:Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 918-695-0020. Signature: CONTRACTOR INSTALLATION Business name: ?ETt?lqt-,r rl< euSZZ,o qoA Address: // u/5 .S .V@4t7 City:$l&NQf s"a>State:-X nPg 24 7? Phonvtil-Or;yt - oL/o Fax: E-mail: V Ereru+rz Oa.tstasctzoF e q rwt t-.e t+- CCB license no.i L2O2?O BCD license no.: ^Jtniill/\ DEPARTMENT USE ONLY permitno.iO 4@ bf3- oute, e/3+ /aoao SPFINGFI€LO &, fc,^ 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. g*SJr ( B-^^E5qi cLz tnJW ? l tt r*,lzt p q a.*'o ,'J*2cpaes> 6 *- 2/22?? FEE SCHEDULE Description aty.Cost ea. Total cost New residential I bathroom/l kitchel (includes: ftrst l00feet ofwater/sewer lines, hose bibs, ice maker, unde(loor low-point drains and rain-drain packages) $333.00 $ 2 bathrooms/l kitchen ss2l.00 s 3 bathrooms/l kitchen $6r3.00 $ Each additional bathroom (over 3)s132.00 $ Each additional kitchen (over l)il32.00 $ Residential fire sprinklers (includes plan review) 0 to 2,000 square feet $r02.00 $ 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 $ Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply $t02.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee $102.00 $ Each fixture 2 s25.00 $50 Miscellaneous fees 100' storm, sewer, water line $106.00 s Each fixture, appurtenance, and piping $25.00 $ Storm water retention/detention facilitv $106.00 $ Irri gation systems/Backfl or.r'$25.00 $ Piping or private storm drainage systems exceeding the first I 00 feet $2s.00 $ Specialty fixtures $25.00 $ 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 )$r02.00 $ Medical gas piping Minimum fee $ Enter value ofinstallation and $ Enter fee based on installation and equipment value.s DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)$IDL (B) Investigative fee (equal to [A]) (C) Enter 12%(.12 x[A+B]) (D)Technology Fee (5%of tA1) $ $ $ $ last edited 7/1 /201 9 bjones fSzt Slqx-no sDcS Plumbing license no.: Print name: Signature: TOTAL fees and