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Home My WebLink AboutPermit Plumbing 2018-09-10SPRINGfIELD ,b Building Permit Residential Plumbing Permit Number: 81 1-18-002156-PLM IVR Number 81 1 048264293 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-7 26-37 53 Emarl Address permrtcenter@spnngfield-or.9ov OREGON web Add.ess: www.spnngfield'or gov Permit lssued: September 10 2018 TYPE OF WORK Category of Construction: Single Family Dwelling Submifted Job ValuE: $0.00 Description of Work: Replace sewer septic line 70ft Type of Work: Repa r JOB SITE INFORMATION Worksite address 4OO 21ST ST Springfield, OR 97477 Parcel 1703361307100 Owner: Address: MARTIN WLLIAM N 4OO 21ST ST SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Business name BRAUN EXCAVATING INC - Primary License ccB License number 101388 Phone 541-935-5940 PENDING INSPECTIONS lnspection 3999 Final Plumbing 3500 Rough Plumbing 3200 Sanitary Sewer lnspection group Plumb Res Plumb Res Plumb Res lnspection status Pending Pending Pending SCHEDULING INSPECTIONS Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issutng 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 1-888-299-2821 use IVR numbet:8110482 293 Schedule using the Oregon ePermitting lnspection App, search 'epermitting' in the app store PERMIT FEES Fee Oescription Technology Fee Sanitary sewer - Total linear feet State of Oregon Surcharge - Plumb (12olo of applicable fees) Quantity 70 Total Fees: Fee Amount $5.15 $ 103.00 $ 12.36 $120.51 Permits must be posted in clear view on the worksite. Permits expire if work is not startod within 180 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 lhis type of work will be complied with whether specified herein or not. Granting of a permit does not paesume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performanc€ of constauction. ATTENTION - CALL BEFORE YOU OIG: Oregon law requires you to foltow rules adopted by the Oregon utility Notification Center. Those rules are set forth in OAR 952-001{010 through OAR 952-001-0090. You may obtain copies oI the rules by calling the Center at (877) 668.4001 or dial 811. All persons or entities performing work under this permit are required to be lic€nsed unless exempted by ORS 701.0'10 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010{20 (Plumbing). Pfinted on 9/10/18 Page 1 ol I sld-BlrldrngPermrl-Pr SPRINGFIELD OiIEGON www.springfield-or. gov Development and Public Works 225 Flfth Street Springfield, OR 97477 541-7 26- 37 53 permitcenter@springfi eld-or.gov Transaction Receipt 811-18-002156-PLM Receipt Number: 467974 Receipt Date: 9/10/18 City of Springfield Fees Paid Transaction date 9t'lot18 Description Sanitary sewer - Total linear feet State of Oregon Surcharge - Plumb (12% of applicable fees) Account code 22 4 - OOOOO - 42 5603- I 034 Fee amount $103.00 Paid amount $103 00 $12.36 $5.15 9/10t18 9t10/18 1.00 Ea 1 00-00000-425605-0000 $12.36 $5.15 Payment Lrethod Credit card authorization 03573s Payer] james straub Payment Amount:$120 51 Cashier: Katrina Anderson Receipt Total:$120.51 Prinled 9/10/18 145 pm FIN_TransacnonReceipt pr Worksite address: 400 21ST ST, Springfield, OR 97477 Parcel: 1703361307100 U nits 70.00 LnFt 1.00 Automatic Technology Fee 821-00000-215004-0000 Plumbing Permit Application A,oh DEPARTMENT USE ONLY '- " -",. o.#-*. h*l&- !2fl\; Permit no /B@at 5k 225 Fifth Srce1 . Spnngfield OR 97477 . PH{511)726-3753 . FAx(541)726,3689 L)ale (4 (o B D t'es E xo Sanitation approval verified? D Yes E t,.-o This permit is issued under OAR 9t8-780-0060. Permits are issued onh to the person or contractor doitrg the lvork Permits expire if work is not started within 180 dals ofissuance or if work is suspended for 180 da1's. FEE SCHEDULE j Zonrne approval verified'Tot!l cost \e\r resideDtial O Residential n Commercial I balhrootu-l y,ltchen (includes .lirst )00 -feet ofwater/sewer lines. hose bibs. ice maker. underfloor loN-point drains and roin-drain pockages) s323.00 5 Taxlot Each additional bathoom (over i ) $595.00 s128.00 s s SReferenceEach additional kitchen lover I )128.00 Residendal frre trkl€rs (includes Ian revie$ h lc /.a "0 ro 2.000 square feer i s99.oo s M t{, n zlP:?ryo/ Phon 74 /7 E-mall: 6,'/Lq et/-.. {? LXe y'.cant This instaliation is being made on residential or farm propeq owned b\ me or a member of mr i ediate famih. and is exempt fiom I o.AR 918-695-0020 I :.001 ro i.600 square feet Each fixture, appunenance. and piping Irrigation systems/Backfl ou Specialq fixTules Reinspeoion (no. ofhrs. x fee per hr.) Special .equested inspedions (no of hrs. x fee per hr.) Each additional iDspection: ii r g's1s8.00 s99.00 s s99.00 s Minimum fee S s ls lsigru,-. Address: 26rd / fut&-g Crrr Sure ZIP: ? I Phone s,l/-?tr-.ry/D Fax lE-mait CCB license no-b/38i I BCD li""n." no Piumbing license no Pnnl name Signature Enrer value oiin$allation and equipment 5 - (A) Enter subrolal ofabove fees (Mitrimum Permit Fee S99.00) S (B)lnvesdgaive fee (equal to IA]) (C) Enter 1290 surcharge (.Il x [A-B]) (D) Technoiog Fee (5o^ of [A]l s 5 LOGAL GOVERNMENT APPROVAL CATEGORY OF CONSTRUCTION ! Govemment JOB SITE INFORMATION AND LOCATION Job sire address: 4OO Ztg <Y/4+ Citl State: d A zIP.?7422 N OF WORKD PROPERTY OWNER Address: /! CitY t c.t State: O Q NIN EG,"Business name ?t1 Description at!'.Cost ea. 2 bathrooms/l kitchen s506.00 5 I bathrooms'i kirchen s236.OO S3,601 to:.200 square feel 7,201 square feet and ereater s315.00 Manufaclured d*elling or pr€-.fab (circle one) Connections to building sewer and water supply s99.00 s Commercial, industrial, and dwellitrgs other than oDe- or tr}o-famih Minimum fee s99.00 s l00 stom. sewer. \'ater Iine Each fixlure s24.00 S s24.00 ^/')$103.00 s s103.00 5Slorm wale, rctention/derention facili! S$24.00 Piping or private storm drainage sv$ems exceeding the first 100 feet s24.00 S s24.00 5 s99.00 5 Medical Eas pipitrg l,a$ edired 7/l '2018 bioDes TOTAL fees and surcharges (A through D) Name: Fax: l\{iscellaDeous fees Crry or SrnnvcrmlD, OREGToN I-nt.: fe. oasec oa rnstalialroa anc iqulDment vaiue S i DEPARTMENT USE