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HomeMy WebLinkAboutPermit Plumbing 2020-02-21OREGON Web Address: www.springfield-or. gov Building Permit Residential Plumbing Permit Number: 81 1-2O-OOO345-PLM IVR Number: 811030737597 City of SPringfield Development and Public Works 225 Fifth Street Springfield, OR97477 54r-726-3753 Email Address : permitcenter@springfield-or.9ov SPRINGFIELD ,% TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Shower pan replacement Type of Work: New JOB SITE INFORMATION Worksite Address 775 S 57TH ST Springfield, OR 97478 Parcel 1802041 105103 Owner: Address: BECKENHAUER CALI 775 S 57TH ST SPRINGFIELD, OR 97478 LICENSED PROFESSIONAL INFORMATION Business Name TANNER DREY SERVICES LLC - Primary License ccB License Number 243423 Phone 541-833-007 1 PENDING INSPECTIONS Inspection 3650 Shower Pan 3999 Final Plumbing Inspection Group Plumb Res Plumb Res Inspection Status Pending Pending SCHEDULIilG 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: 8tL030737597 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 18O 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 glve 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-OO1-0O10 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 €xempted by ORS 7O1.O1O (Structural/Mechanical), ORS 479.54O (Electrical), and ORS 593,O1O-O2O (Plumbing) Prinled ot 2l2U2O page 1 of 2 C: \myReports/reports//production/0 1 STAN DARD Permit Issued! February 2L,2020 Permit Number: 81 1-20-O00345-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) Printed oni 2l2rl21 Quantity Total Fees: Fee Amount $s.10 $77.00 $2s.00 $t2.24 $119.34 1 Page 2 of 2 C : \myReports/reports//production/01 STAN DARD PERMIT FEES SPRINGFIELD tb OREGON www.springfield-or. gov Worksite address: 775 S 57TH ST, Springfield, OR 97478 Parcel:1802041105103 Transaction Receipt 811-20-000345-PLM IVR Number: 811030737597 Receipt Number: 473881 Receipt Date:2121120 City of Springfield Development and Public Works 225 Fifth Street Spdngfield, OR 97477 541-726-3753 perm itcenter@spri n gfield -or. gov Fees Paid Account codeTransaction Units date 2121120 1.00 Qty 2121120 1.00 Automatic 2t21t20 1.00 Ea 2t21t20 1.00 Automatic Technology Fee Description Tub/shower/shower pan Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (12olo of applicable fees) 224-00000-425603-1 034 224-00000-425603-1 034 821 -00000-21 5004-0000 204-00000-425605-0000 Fee amount $25.00 $77.00 $12.24 $5.1 0 Paid amount $25.00 $77 00 $12.24 $5.1 0 Payment Method: Credit card authorization: 001 997 Payer: TANNER DREY SERVICES LLC Payment Amount:$1 19.34 Cashier: Thayne Smith Receipt Total:$r 19.34 P(inled: 2121 120 1 :10 pm Page 1 of 1 F I N_Tra nsaction Receiptlcr Cmv or SpnrxcFrELD, Onncou Plumbing Permit Application 225 Fifth Street . 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 if work is not started within 180 days of issuance or if work is suspended for 180 days. iffi 4 DEPARTMENT USE ONLY Permit no.: Date a LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E Yes E No Sanitation approval verified? ! Ves E No CATEGORY OF CONSTRUCTION E Commercial6.&esidential ! Government JOB SITE INFORMATION AND LOCATION Jobsiteaddress: 175 S, S?+h Sl ztP: q7 VWCityState: 6 ( Reference:Taxlot. DESCRIPTION OF WORK PROPERTY OWNER ZP: 17 7 State:,( huuQ.r' City:t^t Nu'ne: /a li Address: 775 Ptrone:591-X 6l Ltl Fax E-mail: This installation is being made on residential or farm properry 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 oD Address: (d 75 /Y1CL State: 0R I 7q0AZIPCity: e uOe,ne- U Phone Fax: pro, Lol\ CCB license no. v BCD license no.: Plumbing license no. Signature: FEE SCHEDULE Description Qty Cost ea. Total cost New residential I bathroom/ l kitchen (inc lude s : first l00feet ofwater/sewer lines, hose bibs, ice maker, underfloor low-point drains and raindrain packages) 5333.00 $ ts21.00 $2 bathrooms/l kitchen t613.00 $3 bathrooms/l kitchen Each additional bathroom (over 3)i132.00 $ Each additional kitchen (over l)i132.00 s Residential Iire sprinklers (includes plan review) $0 to 2,000 square feet N102.00 $163.00 $2,001 to 3,600 square feet 3,601 to 7,200 square feet S2,13.00 $ $324.00 $7,201 square feet and greater Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply s 102.00 $ Commercial, industrial, and dwellings other than one- or two-family sMinimum lee $r02.00 s2s.00 $Each fixture Miscellaneous fees $106.00 $100' storm, sewer. water linc Each fixture, appurtenance, and piping I $25.00 s?5 s106.00 $Storm water retention/detention facility Irri gation systems/Backfl ow i25.00 $ $Piping or private storm drainage svstems exceedins the first I 00 feet t25.00 t25.00 $Specialty fixtures ir 02.00 $Reinspection (no. ofhrs. x fee per hr.) Special requested inspections (no. of hrs. x fee per hr.)$102.00 $ $Each additional inspection: ( I )s102.00 Minimum fee $Medical gas piping Enter value of installation and equipment $ -.$Enter fee based on installation and equipment value. DEPARTMENT USE '\o?z (A) Enter subtotal ofabove fees (Minimum Permit Fee S102.00) $-{(B) lnvestigative fee (equal to [A]) s \>.x(C) Enter l2Tosurcharge (.12 x [A+B]) $ 5.0(D) Technology Fee (5% of [Al) $,\9.TOTAL fees and surcharges (A through D): Last edired 7/l/2019 bjones E-mail: le-*rn Q o