HomeMy WebLinkAboutPermit Plumbing 2018-09-105PRINGFIILD
,b
City of Springfield
Development and Publrc Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
OREGOd
web Address: www.springfield-or.9ov Email Address: permitcenter@sgnngfield-or.gov
Permit lssued: September 10 2018
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submi(ed Job Value: $0 00
Description ol Worki New sewer line (195ft) and new water line (195)
Type of Work: New
JOB SITE INFORMATION
Worksite address
Springfaeld, OR 97477
Parcel
17 03252301901
Owner:
Address:
GORILLA CAPITAL SO 3
LLC
1342 HIGH ST
EUGENE. OR 97401
LICENSED PROFESSIONAL INFORMATION
Business name
C&R HOME AND CONSTRUCTION
SERVICES LLC - Primary
License
cc8
License number
208850
Phone
541 -222-9481
PENDING INSPECTIONS
lnspection
3999 Final Plumbing
3500 Rough Plumbing
3200 Sanitary Sewer
3315 Water Line
lnEpection group
Plumb Res
Plumb Res
Plumb Res
Plumb Res
Inapection status
Pending
Pendrng
Pendrng
Pending
SCHEDULING INSPECTIONS
Various inspections are minimally required on each prorect and often dependent on the scope of work. Contact the issurng
jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www.buildingpermits.oregon.gov
Schedule by phone call l-888-299-2821 use IVR number: 811006035144
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
Permits must b€ Posted in clear vi€w on the worksite. Permits expire if work is not started within 180 Oays 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 conplied with whether specified herein or not cranting of
a permit does not Presume to give authority to violato or cancel the provisions ot any other state or local law rcgulating construction
orthe performanc€ of construction.
ATTENTION - CALL BEFORE YOU OIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Centsr.
Those rules ar€ set Iorth in OAR 952-00't-o010 through OAR 952-OO't-OO9O. You may obtain copies ot the rutes by calling the Center at
(877) 668-400l or dial 811.
All persons or entities performing wo.k under this permit are required to be licens6d unless ex6mpted by ORS 7O1-O1O
(Slructural/lt/l€chanical), ORS 479.540 (Electrical), and ORS 693-010{20 (ptumbing).
Pnnled on 9/10/18 page I of 2 sld_BurldingPermil_pr
Building Permit
Residential Plumbing
Permit Number: 81 1 -1 8-0021 51-PLM
IVR Number: 81 1006035144
Permit Number: E'l 'l -18-002151-PLM Page 2 ol 2
Fee Descrlption
Technology Fee
Sanitary sewer - Total linear feet
Water service - Total linear feet
State of Oregon Surcharge - Plumb (12olo of applicable fees)
Page 2 ol 2
Quantity
195
195
Total Fees:
Fee Amount
$ 12.70
$t2t.0o
$ 12 7.00
$ 30.48
$297.14
std BuildrngPelrn _prPinled ofl 9x0/18
PERMIT FEES
SPRINGFIELD
tn
oRic0N
www.springfield-or. gov
Worksite address: '1375 S ST, Springfield, OR 97477
Parcel:'170325230'190'1
Transaction Receipt
811-18-002151-PLM
Receipt Number: 467965
Receipt Oate: 9/10r18
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
permitcenter@springfi eld-or. gov
City of Springfield
Fees Paid
Transaction date
9t10t18
9/10/18
9t10t18
Fee amount
$127 00
$127 OO
$30 48
Description
Water service - Total linear feet
Sanitary sewer - Total linear feet
State of Oregon Su.charge - Plumb (12% of
applicable Iees)
Paid amount
$127.00
$127.00
$30.48
9/10t18 1.00 Automatic Technology Fee 1 00-00000-425605'0000 $12 70 $12 70
Payment Method: Credit card authorization
07365d
Payer nicholas chaney Payment Amount $297 18
Transaction Commentt vla phone
Cashrer: Katrina Anderson Receipt Total:$297.18
Pr nled 9X0/18 933am FIN TransactionRecerpi_pr
Units
195 00 LnFt
195.00 LnFt
100 Ea
Account code
224-00000-425603-1 034
22 4 -OOOO O - 425603 - 1 034
821-00000-21 5004-0000
Crrv or SpnrNcrrnr-,o, OnrcoN
Plumbing Permit Application
rZ 1qo
DEPARTMENT USE ONLY
9:/l
2
125 Fifi.h Slrca . Springfield. OR 97477 . PH(541)726-3753 . FAX( 541 )726-3689
Zoning approval verified? ! Yes E No
Sadtation approval verified? E yes E lo
idential I Government | ! Commercial
JOB SITE INFORMATION AND LOCATION
Job site address
State e 7.1P 1
Reference Taxlor
DESCRIPTIOI,I OF WORX
aAdWLk-r Uru-0 to :.000 square feer
rr.yrgta.l l-001 ro 3.600 square feel
PROPERTY OWNER 3.601 to 7.200 square feel
NaII]e
Ygnufactured or re-frb {circle oDe
.4ddress n\ -c.-Connections to building sewer and
warcr supplvCir\Sute ZIP
Far
E-mail: Qggn @22r.c.czw\
This installalion is being made on residential or farm property
ov,ned br me or a member of m)' immediate fami)1. and is
exempt from licensing requirements mder OAR 918-695-0020
Siprnature:
CONTRACTOR INSTALLATION
Business name +
Address e+v'QL+
State ZIP q')
Phone
Dare:
\e* residential
I ba0rroodl kittchen (includes: _first
) 0(t .feet ofwater/sewer lines. hose
bibs. ice rnaket. uruierfloor lov-point
dlaiw and raihirair' pockages)
: bathrooms I kiEben S
-1 bathrooms/l kirchen
Residenrial firr rinklers (includes aD revierrl
s99.00 s
s236.00 s
s99.00
Commercial. industrial. etrd dwellings other thxn otre- or
tllo-famil
s99.00
524.00
!
s
l00 slorm. sewer. water line s103.00 5
Each fixure. appurtcnanc€. and piping s24.00 S
Storm warer retention/dereft ion facilin t103.00 s
l,-g""or-1.""*r8"aki-a"1--r4ot\
I Plping or private storm drainage
i svsrems exceeding the first 100 feer
()L
Tbis permit is issued utrder OAR 918-780-0060. Permits are issued olIlt to the person or cotrtractor doing the nork. Permits
expire if *ork is rot started within 180 days ofissuarce or if work is suspended for 180 davs.
FEE SCHEDULE
' $323.00 S
s
524.00 S
S pecialt\ fixrures $24.oor sCin
i Reinspection (no. of hrs. x fee per hr. t s99.00 s
Mrnrmum fee S
Fa;i
E-mail f*p
L LIJ ilcense no
Piumbrng license no
I Print na-.
Srglarure
@ fia4l.(6YV'l
Special requested inspections (no of
hrs. x fee per hr.)$99.00 S
BCD license no I $se.oo | $I Each additionsl inspection: ( I )
Enrer vaiue ofinstaliation and equipmenl S
-I Enter fee based on insrallation and equipmen! value
DEPARTMENT USE
s
w^br 4w tqs
Sa,lo/L -- X)$S
(A) Enrer sublotal oiabove Iees
(Minin um Permit Fe. $99.00)
(B) lnvesrigative fee {equal [o i-4.],
s <-+l
!
(C
(Dl Technolos Fee (59; oflAlr
) Enter 1270 surcharge (.12 x [A-B])s
1
Minimum fee
Miscellatreous fees
s158.00 s
?.201 square feel aod geater s315.00 S
Description QtJ-Cost
ea-
Total
cost
s595.00 is
Each addiional bathroom tover i )!l s t28.oo
Each additional kitchen (over I )I ls12s.oo rs
CATEGORY OF CONSTRUCTION
Cirv
Phone. $c 5L4Ao2
cI,
Ia$ €drled 7ri,?01[ biones
TOTAL fees rnd surcbsrges (A through D):
Pemrit no.la-
LOCAL GOVERNMENT APPROVAL
?*n$tn.tv'
Each fixture
I Medicrl gas piping
I