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Home My WebLink AboutPermit Plumbing 2020-03-06NGF'TI.D ,*# 0 IEGON Web Address: www.springfield-or. gov Permit Issued: March 06, 2020 Building permit Residential plumbing Permit Number: 8tt-2O_OO O44}_'|LM IVR Number: 811002335464 Email Address: permitcenter@springfield_or. gov SPR' Category of Co Submitted Job nstruction: Single Family Dwelling Value: 90.00 Type of Work: New Description of Work: Enclosing closet to add a new bathroom (toliet/shower/sink) JOB SITE INFORMA'TION Worksite Address 374 S 37TH ST Springfield, OR 97479 Parcel 77023L4302t06 Owner: Address: LEMUS JUAN C 374 S 37TH ST SPRINGFIELD , OR 97478 LICENSED PROFESSIONAL INFORITIATION Business Name OWNER - Primary License ccB License Number 000000 Phone Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Res Plumb Res Inspection Status Pending Pending Varlous 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. Schedule or track inspections at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811002335464 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started withln 180 Days of issuance or if work is suspended for 18O 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 give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTENTTON: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set torth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the center at (so3) 232-1987. All persons or entities performing work under this permit are required to be licensed un iit u.tur"flU"chanical), ORS 47-9'540 (Electrical)' and oRs 693'010-020 (Plumbing)' Page 1 of 2 Printed on: 3/6/20 less exempted bY oRs 7o1'o1o C:\mYReports/reports//production/o1 STANDARD City of Springfield Development and public works 225 Fifth Street Springfield, OR 97477 547_726_3753 TYPE OF WORK PENDING SCHEDULING Page 2 of 2 Permit Number: 811-20-000449-PLM Fee DescriPtion TechnologY Fee Balance of minimum permlt fees - plumbing Sink/basin/lavatory Tub/shower/shower Pan Water closet SDC: Total Sewer Administration Fee SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Quantity 1 1 1 76.35 1023 503.94 Total Fees: Fee Amount $5.10 $27,00 $2 s.00 $2s.oo $2s.00 $76.3s $1,023.00 $503.94 $12.24 $L,722.63 Printed on: 3/6/20 Page 2 of 2 C: \myReports/reports//prcduction/01 STAN DARD PERMIT FEES Receipt Number: 414016 Receipt Date: 3/6/20 www.springfield-or. gov Worksite address: 374 S 37TH ST, Springfield, OR 9747g Parcel: 1702314302106 PRINGFIEI.D ONEGON Transaction Units date 3t6t20 1.00 Qry 3t6t20 Transaction Receipt 811_20-000449-PLM IVR Number: 81 1 002335464 City of Springfietd Development and public Works 225 Fifth Street Springfield, OR 97477 547-726_3753 permitcenter@sprin gfield_or. gov Paid amount $25.00 $25.00 $25.00 $27.00 $12.24 $s.10 $1,023.00 $s03.94 $76.35 3t6t20 1.00 Qty Tub/shower/shower pan 3t6t20 1.00 Oty Water closet 3t6t20 1.00 Automatic Balance of minimum permit fees - plumbing 3t6120 1.00 Ea State of Oregon Surcharge - plumb (12o/o of applicable fees) 3t6t20 1.00 Automatic Technology Fee 1,023.00 Amoun SDC: Reimbursement Cost - Local Wastewater 316t20 503.94 Amount SDC: lmprovement Cost - Local Wastewater 316120 Description SinUbasin/lavatory Fees Paid Account code Fee amount $25.00 $25.00 $25.00 $27.00 $12.24 $5.10 $1,023.00 $503.94 $76.35 224-00000-425603- 1 034 224-00000 -425603- 1 034 224-00000-425603- I 034 82 1 -00000-2 1 5004-0000 204-00000-425605-0000 61 1 -00000-448024-8800 61 I -00000-448025-8800 76.35 Amount SDC: Total Sewer Administration Fee 719-00000-426604-8800 Payment Method: Cash Payer: Juan Carlos Lumus Mendez Payment Amount:$1,722.63 Cashier: Katrina Anderson Receipt Tota!:$1,722.63 Printed: 3/6/20 2:10 pm Page I of 1 Fl N_Transaction Receipt_pr $ 224-00000 -425603- 1 034 PIum Permit Applica yl\Sheet o 97477 r PII(541 This permit is issued under OAR 9lg-7E0-0060. permitsexpire if work is not started within 180 days ofissuance are issued only to the person or contractor doing the work permitsor if work ts suspended for lg0 days. -a Llo 5$n^-c+.."t*A ('a"A-A- (flrrv/*l, i ^S c&,l'a-k d"o ^VJ\^* - o"') SL-^^airoi t4-f :N\A * + Sfc': oo qq-Pemrit no. U Zorung appr ov al veri fi ed?I yes ENo ! yes fl No I Commercial bt 5 ?S State: Reference: Sanitation verified?approval Job site address: S Taxlot. ZIP: o(i oS c o*\ M n a- S ?h5 Name: Address: CiU: 5pfrtnaf-re_tcl State: OR ZTP: \?Y}? '|no Fax: E-mail: Business name: Address: City:State:ZIP: Fax: E-mail: CCB license no.BCD license no. Plumbing license no.: Print name: Signature: $ New residential 2 bathroomVl kitchen $ 3 bathroomVl kitchen $ Each additional bathroom (over $ I $ Each additional kitchen Residential lire 0 to 2,000 feet 2,001 to 3,600 square feet 63.00 $ 3,601 to 7,200 square feet $ $ $ 7,201 square feet and greater Manufactured or to sewer water Commercial, two-family and dwellings other than one- or Minimum fee 02.00 $ $ $ Each fixture 100' storm, sewer, water line Miscellaneous fees Each fixture, appurtenance, and piping $7, Stomr water retention/detention facility $ Irrigation systemslBackfl ow s $ Specialty fixtures $ Reinspection (no. ofhrs. x fee per hr.)$ Special requested inspections (no. of hrs. x fee per hr.)$ Each additional inspection: (l)$ Medical gas piping Minimum fee $ Enter value of installation and equipment $ _. (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) Enter fee based on installation and s (o2_ value.$ @) Investigative fee (equal to [A])$ (C) Enter l2% surcharge (.12 x [A+B])$ (D) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):$1,3u I.ast edited 7 I I l20l 9 bjones -J-Ll .6 l1>>- Q 3 Crry oF SpRly GFrELD,ORrcoN{l- ,' a Date: I >o ffResidential E Government OF to<, I ,a yrnrr< Phone: ea. kitchen Jirst hose ;521.00 1613.00 t132.00 1243.00 125.00 i106.00 3 ;25.00 ;106.00 i25.00 stormPrpmg feet ;25.00 i25.00 1102.00 t102.00 t102.00 USE _ R.r,rln?BH;#i,L'lx,:fr*lbi,ities oregon Law requires residential construction.permit appricants who are not licensed with theconstruction contractors Board to rig; ff. foliowing.ii"r"rt before a buirding permit can beissued. (ORS t01.s25 (zll This statement is for residentialrequired electrical mechanbuilding ndaical,permits.plumbing Licensed architect nd nee I licefromengapplicants ns derun ORSexempt 70 .011 need not0ing(71, su bm thisit ment.state statementThis IIwt fibe withled the it.perm I own, reside in, or will reside in the completed structure and my general contractor is I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. lf I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. lf I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. Please check the appropriate box: Name CCB#Expiration Date I have read and understand the lnformation Notice to Homeowners About Construction Responsib ilities, and t hereby certify that the information on this homeowner statement is true and accurate. S.l Qnq \ Print Name of Permit APPlicant Ssoo ( \qr,-03-o6- ,-u)o Signature of Permit APP|icant Date ln&11 {tlbl }t LIZPermit #: lssued by: ()/\>o tg2-- Z{)3Date: Address:3Bt q 3f4. This Copy for Permit Offices lnformationNoticetoownersAbout Gonatinition Responsi bi I ities (oRS 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 97309-5052 Telephone: 503-378-4621 - Fax: 503-373-2007 Website Address: www. oregon. gov/ccb Homeowners acting as their own or make a substantial improvement to bY being aware of Homeowners who use labor provided by workers not licensed by the construction contractors Board, may be considered an employer, and the workers who provide the labor may be considered employeej. As an employer, you must comply with the following: oregon,s withholding Tax Law: Employers must withhold income taxes from employee wages at the time employ""i-rr" paid. you will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, callthe Department of Revenue at 503-378-4988. Unemployment tnsurance Tax: Employers are required to pay a tax for unemployment insurance purposestn the wages of all employees. For more information, callthe Oregon Employment Department at 503-947 -1 488. Oregon's Business ldentification Number (BlN): is a combined number for both Oregon Withholding and Unemployment lnsurance Tax. To flle for a BlN, go online to the Oregon Business Registry. For questions, call 503-945-8091. Workers Compensation lnsurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation lnsurance for their employees. lf you fail to obtain Workers Compensation lnsurance, you could be subject to penalties and be liable for all claim costs if one of your workers is injured on the job. For more information, call the Workers Compensation Division at the Department of Consumer and Business Services at 800-452-0288. Tax Withholding: Employers must withhold Social Security Tax and Federal lncome Tax from employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax. For a Federal EIN number, go online to wu,rw.irs.gov. general contractors to construct a new home in "iGting structure, can prevent many problems the following resPonsibilities: o o a o o Other Responsibilities of Homeowners: o Gode Compliance: As the permit holder for a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections. o Property Damage and Liability lnsurance: Homeowners acting as their own contractors should contact their insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liability lnsurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation lnSurance. o Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. f/property_owner adopted 9-20 16 This Copy for Permit