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.:
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DEPARTMENT USE ONLY
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SPFINGFI€LO
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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.
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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
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Plumbing license no.:
Print name:
Signature:
TOTAL fees and