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