The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2014-09-30SPRINGFIELD - 225 Fifth Sl CITY OF SPRINGFIELD Springfield,OR97477 { s 6-6—E� Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-02111 w .spmlgfieldor.gov permitcenter@spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 09/30/2014 EXPIRES: 03/29/2015 STATUS DATE: 09/30/2014 APPLIED: 09/30/2014 SITE ADDRESS: 435 RIVERVIEW BLVD, Springfield, OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703341403900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replacing sewer line from house to property line. OWNER: MURPHY DENNIS & MARY Phone Number: ADDRESS: 88000 RUNNING SPRING DR SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lie Exp Phone Plumbing Contractor JENCOURT ENVIRONMENTAL SERVICES LLC CCB 182531 06/11/2016 541-689-1711 Inspections 3200 Sanitary Sewer INSPECTIONS REQUIRED Sanitary Sewer Line: Prior to filling trench and including required testing. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Own r.or ConTraclor Sig a e-�' Dae t ATTENTION: Oregon lar/ requires you to et lot th follow rules adopteci by the Oregon Utility 952-001 inoOlicationAR952-OOi100101througsoiIn h 5ules 0090. You may obtain copies of the rules y Calling the center. (Note: the telephone number for the Oregon Utility Notitication Center Is i•800.332.2344). POTIM TINS PERMIT SHALL EXPIRE IF THE WORK /ill"H-IORIZED UNDER THIS PERMIT IS NOT COi iN1ENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 9130/2014 1:16:23PM Page 1 of 1 RECEIPT NO: 2014002157 RECORD NO: 811-SPR2014.02111 DATE: 09/30/2014 Continuing Education Fee Sanitary sewer State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) GhecK Jencourt Environmental Services LLC / 1320 DBA Roto Rooter 224-00000-425606 2.50 224-00000-425603 1005 - 85.00 821-00000-215004 1099 10.20 100-00000-425605 2099 4.25 TOTAL DUE: 101.96 _U 101.95 TOTAL PAID: 101.96 CITY OF SPRINGFIELD 6SPRINIGANIELD- __ TRANSACTION RECEIPT 8pnng�eid St +l L 97477 - OREGON 811-SPR2014-02111 547-726-3753 w v.spdngfieldar.gov 436 RIVERVIEW BLVD, permito nter@spdngfield-or.gov RECEIPT NO: 2014002157 RECORD NO: 811-SPR2014.02111 DATE: 09/30/2014 Continuing Education Fee Sanitary sewer State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) GhecK Jencourt Environmental Services LLC / 1320 DBA Roto Rooter 224-00000-425606 2.50 224-00000-425603 1005 - 85.00 821-00000-215004 1099 10.20 100-00000-425605 2099 4.25 TOTAL DUE: 101.96 _U 101.95 TOTAL PAID: 101.96 Plumbing Permit Application 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 SPFMGFIELCI i � - ?. t :'s DEPARTMENT USE ONLY' Permit no.: Date: This permit is issued tinder 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. LOCAL GOVERNMENT APPROVAL Zoning approval verified? ❑ Yes ❑ No Sanitation approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION Residential ❑ Government I ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: L t /O ` City: State ZI L Reference: Taxlot.: Q DESCRIPTION OF WORK` r t. v 1 PROPERTY- OWNER Name: Address: S City: State: ZIP: Phonet`((-,;,G 9LM 5 1 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 INSTA LATION Business name: Address: 'Vt City: State ZIP: Phon ( ( Fax - E -mail: CCB license no.: S j BCD license no.: Plumbing license no.: Print name: $21.00 Signature: 440-2500-J (512M014/COM) FEE SCHEDULE . DescriptionQty, Cost Total New residential I bathroom/I kitchen (includes: first 100feet ofwater/sewer lines, hose $268.00 $ bibs, ice maker, underfloor low point drains and rain -drain packages) 2 bathrooms/1 kitchen $420.00 $ 3 bathrooms/1 kitchen $494.00 $ Each additional bathroom (over 3) $107.00 $ Each additional kitchen (over 1) $107.00 $ Residential firesprinklers includes plan review 0 to 2,000 square feet $82.00 $ 2,001 to 3,600 square feet $131.00 $ 3,601 to 7,200 square feet $196.00 $ 7,201 square feet and greater $261.00 $ Manufactured dwelling or pre -fab circle one Connections to building sewer and water supply $82.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee $82.00 $ Each fixture $21.00 $ Miscellaneous fees 100' sto ;sew , water line / $86.00 o $ pO Each fixture, appurtenance, and piping $21.00 $ Storm water retention/detention facility $21.00 $ Irrigation systems $21.00 $ Piping or private storm drainage systems exceedingthe first 100 feet $21.00 $ Specialty fixtures $21.00 $ Reinspection (no. of hrs. x fee per hr.) $62.00 $ Special requested inspections (no. of hrs. x fee per hr.) $82.00 $ Each additional inspection: (1) $82.00 $ Medical gas piping Minimum fee $ Enter value of installation and equipment $ _. Enter fee based on installation and equipment value. $ APPLICANT USE (A) Enter subtotal of above fees $Qr (Alinimmn Permit Fee $82.00) (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ „i (D) Technology Fee (5% of [A]) $ (E) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through E): $