HomeMy WebLinkAboutPermit Plumbing 2020-02-24SPRINGFIELD
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OREGON
Web Address: www.sprinqfield-or'9ov
CitY of SPringfield
Deveropment .}[?t.]ii :;[1
SPringfield' OR 97477
54t'726-3753
Building Permit
Residential Plumbing
Permit Number: El1-2O-ooO22a-PLM-O1
IVR Number: 811062160272
Email Address : permitcenter@springfield-or'9ov
Permit Issued: February 24,2O2O
Category of Construction: None Specified
Submitted
Descriptiol
Job Value: $0.00
n of Work: Master bathroom addition-shower/2 sinks/toilet
Type of Work: None SPecified
JOB SITE IN FOR}IATION
Worksite Address
1715 COTTONWOOD AVE
Springfield, OR 97477
Parcel
1703273305500
Owner:
Address
JOLICOEUR JOSHUA &
MICHELLE
T715 COTTONWOOD AVE
SPRINGFIELD , OR 97477
rIONINFORMALICENSED
Business Name
DOUGS PLUMBING INC - PrimarY
License
ccB
License Number
1 10 163
Phone
541-688-3385
Inspection
3999 Final Plumbing
3500 Rough Plumbing
Inspection GrouP
Plumb Res
Plumb Res
Inspection Status
Pending
Pending
permats expire if work is not started within 180 Days of issuance or if work ls suspended for 180 Days or longer depending on
the issuing agency's policy.
All provisaons of laws and ordinances governing this type of work will be complied with whether specified herein or not.
Granting of a permit does not pnesume to give authority to vlolate 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 Notlfication Center. Those rules are set
forth in OAR 952-OO1-OOIO through OAR 952-OOI-OO9O. You may obtain copies of the rules by calling the Center at (503)
232-1987,
all persons or entities performing work under this permit are reguired to be ticensed unless exempted by ORS TOl.OlO(structu'at/Mechan,cat), oRs 479.s4o (E edrtcat), and oRs 6gg.oto-o2o (plumbing).
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.
Scheduleortrackinspectionsatwww.buildingpermits.oregon.gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 8LL062L60272
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Pnnted on: 2/24/20
Page 1 of 2 C : \my Repofts/ re Nfts/ / producti on/ O I STA NDA RD
TYPE OF WORK
PENDING INSPECTIONS
SCHEDULING INSPECTIONS
Permit Number: alt-2O_OOO z2a_pLM_Ol
Fee Description
Technology Fee
Balance of minimum permit fees _ plumbing
Sink/basin/lavatory
Tub/shower/shower pan
Water closet
State of Oregon Surcharge - plumb (t2o/o of applicable fees)
Ptinted ont 2124/20
Page 2 of 2
Quantity Fee Amount
9s.10
$2.00
9s0.00
$2s.00
92s.00
9t2.24
$ 1 19.34
C :\myReports/reports//production,/0 1 STAN DARD
2
1
1
Total Fees:
Page 2 of 2
PERMIT FEES
SPRTNGFIELD
P arc,el 17 03273305500
Transaction Units
date
2t24t2o 2.00 QtY
2t24t20 1.00 Qty
2t24120 1.00 Oty
2124120
2124t20
2t24t20 1.00 Automatic
Transaction ReceiPt
81 1-20'000228-PLM-o{
IVR Number: 8t {062160272
ReceiPt Number:473899
ReceiPt DatetZl24l20
CitY of SPringfreld
Development and Public Works
225 Fifth Street
SPringfield' OR 97477
541'726'3753
permitcenter@spri ngfield-or' gov{6
OREG
www.springfield-or.gov
Worksite address: 1715 COTTONWOOD AVE' Springfield' OR 97477
'r.00 Ea
1.OO Automatic TechnologY Fee
DescriPtion
Sinkibasin/lavatory
Tub/shower/shower Pan
Water closet
State of Oregon Surcharge - Plumb
(12o/o oi apPlicable fees)
Balance of minimum Permit fees -
plumbing
Fees Paid
Account code
224 -OOOO0- 425603- 1 034
224-00000 -425603- 1 034
224-00000-425603- 1 034
821 -00000-21 5004-0000
204-00000 -425605-0000
224-00000-425603- 1 034
Fee amount
$50.00
$25.00
$25.00
$'t2.24
$5.10
$2.00
Paid amount
$s0.00
$2s.00
$25.00
$12.24
$5.1 0
$2.00
Payment Method Credit card
authorization: 1 35316
Payer: RAINBOWVALLEY
DESIGN & CONSTRUCTION
INC
Payment Amount:$119.34
Cashier: Katrina Anderson Receipt Total:$1 19.34
Printed: 2/24/20 1O:4O am Page 1 of 1 F I N_T n n sactio n Receipt_p r
Crry or SpnrNGFrELo, OREGON
Plumbing Permit Application
225 Fifth Street o Springfield,OR9l477 . 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 workis not started within 180 days of issuance or if workis suspended for 180 days.
P-f
SPRIruGFIELE
DEPARTMENT USE ONLY
permit ,r.,2D - @2)B -
Date q
LOCAL GOVERNMENT APPROVAL
Zoningapproval verified? n Yes n No
Sanitation approval verified? E yes E No
CATEGORY OF CONSTRUCTION
[I Residential n Government n Commercial
JOB SITE INFORMATION AND LOCATION
Job site address; l1t
City: h State:AP nPa1q17
' q)-
Kelerence:Taxlot.:
DESCRIPTION OF WORK
t r^
(t?l t ito't +
PROPERTY OWNER
Name er q+
Address
\A)State:np:A1Y,11
o3Phone:6 Fax
g lvo.@rx
0.
E-mail t)
CONTRACTOR t NSTALLATION
UrA,
,
I tL'Business name:
Address:
Cityt 6oqqLe_State;48-ZIP:17.qoL
Fax
297
l
C
Plumbi Pi iv
Phone:9ll-
E-mail
CCB license no.
Print name
Signature:
license no.: Zo -
FEE SCHEDULE
Qry Cost
ea.
Total
costDescription
New residential
S
I bathroom/l kitchen (includes : first
l00feet ofwater/sewer lines, hose
bibs, ice maker, underJloor
drains and rain-drain
2 bathrooms/l kitchen
3 bathrooms/l kitchen 13.00 $
Each additional bathroom (over 3)132.00
r32.00Each additional kitchen over I
Residential fire klers es an
0 to 2,000 square feet 02.00 $
$2,001 to 3,600 square feet 63.00
3,601 to 7,200 square feet .00 s
7,201 square feet and greater s
Manufactured or re-fab 'circle
Connections to sewer and
water s 102.00 $
Commercial, industrial. and dwellings other than one- or
Minimum fee 02.00 $
Each fixture $
Miscellaneous fees
100' storm, sewer, water line 106.00 $
Each fixture, appurtenance, and plplng CL$
Storm water retention/detention 106.00 S
Irrigation flow s
Piping or vate storm
$
5.00 $
Reinspection (no. ofhrs. x fee per hr.)r 02.00 $
inspections (no. ofrequested
xhrs fee hr 02.00 s
Each additional inspection: (l)r 02.00 s
Minimum fee s
Enter value of installation and $
feeEnter onbased instal Iation and value.equipment $
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $l 02.00)t t,oL
(B) Investigative fee (equal to [A])s
(C) Enter l2Yo 12 x [A+B )s
(s% of [A])(D)Technology Fee s
TOTAL fees and (A throu D)s
Last edited 7 / | /2019 bjones
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