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Home My WebLink AboutPermit Plumbing 2018-09-11SPRINGFIELO OR€GON Web Address: www.springlield-or.9ov City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54 t-] 26- 37 53 Emarl Address: permrtcenter@spnnqfield or.9ov Permit lssued: September 11 20'18 Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 De3cription of Work: lnstall backflow device Type of Work: New JOB SITE INFORMATION Worksite add.ess 6448 DOGWOOD ST Springfield, OR 97478 Parcel 1702344301800 Owner: Address PROGRESSIVE DESIGN BUILDERS INC PO BOX 727 ALBANY, OR 97321 LICENSEO PROFESSIONAL INFORMATION Buainess name SCHAEFER & SON INC - Primary License number 136128 Phone 541 -451-4946 PENDING INSPECTIONS lnspection 3620 Backflow Device lnspection group Plumb Res Inspection status Pendrng SCHEDULING INSPECTIONS Various inspections are minimally required on each project 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: 811004645559 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store PERMIT FEES Fee Description Technology Fee Backflow preventer Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (12o/o of applicable fees) Quantity Total Fees: 1 Fee Amount $4.9s $24.00 $75.00 $ 11.88 $115.83 Permits must be posted in clea, view on the wor*site. Permits expire it work is not started within 180 Days ot issuance or i, work is suspended for '180 Days or longor depending on the issuing agency.s policy. All provisions ot laws and ordinances governing this type ot work will be complied with whether sp6ciried herein or not. Granting of a permit does not presume to give authority to violate or canc6l the provisions of any other state or local law regulating construction or lhe perfolmanco of construction. ATTENTIoN - cALL BEFoRE YOU DIG: Oregon law requires you to follow rul€s adopted by the oregon Utility Notitication center. Those rules arc set forth in OAR 952{01-00'10 through OAR 952-OO1.OO9O. You may obtain copies of the rutes by calling the center at (877) 668-6001 or dial 8r1. all persons or entities performing work under this perlnit are required to be licensed unless exe,'tpted by ORS 70.l.olO (Structural/Mechanical), ORS 479.540 (Etectricat), and ORS 693.OlO-O2O (ptumbing). Pinred on: 9/11/18 Page 1 of 1 std BLrld ngPerm l_pr {3 Building Permit Residential Plumbing Permit Number: 81 1-18-002165-PLM IVR Number: 81 1004645559 TYPE OF WORK License CCB SPRINGFIELO ,b OR€EON www Springfield-or.gov Worksite address: 6448 DOGWOOD ST, Springfield, OR 97478 Parcel:'170234430'1800 Transaction Receipt 811-18-002165-PLM Receipt Number: 467985 Receipt Date: 9/11/18 City of Springfreld Development and Public Works 225 Fifth Street Springfield, OR 97477 541-1 26- 37 53 perm itcenter@springfield-or. gov Fees Paid Transaction date 9t1't t18 9111t18 9t11t18 1 00 Automatic Technology Fee Description Backflow preventer Balance of minimum permit fees - plumbing State ofOregon Surcharge - Plumb (12% of applicable fees) Account code 224-00000425603-1034 224-00000425603-1034 821-00000-2'1 5004-0000 Fee amount $24.00 $75.00 $11.88 Paid amount $24.00 $75.00 $11 88 9t11h8 1 00,00000-425605-0000 $4 95 $4 95 Payment Method Credrl card authorlzation 012614 Payer: richard schaefer Payment Amount $1 15.83 Cashre. Katrina Anderson Receipt Total:s115.83 Prlntod 9/11/18112Eam F N_TransactionReceipt_pr Units 1 00 Oty 1.00 Automatic 1.00 Ea Crry or SpnrNcrmr.o, OnrcoN Plumbing Permit Application ltpnt GF|ELD e t-: 1..;<;+*€?:eiffl- ft,""I Permit no Date: q s323.00 S 5 G5 This permit is issued under O-{R 918-780-0060. Permits are issued otrh to the person or cotrtractor doing the work Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 da1s. FEE SCHEDULE :25 Fifth Street . Springfiel4 OR 97477 . PH(541)726-3753 . FAX(54 I )726-3689 Zonine approval verified? D yes D no Sanitation approval verified? n yes E No JOB SITE INFORMATION D I bathroom/l kitcher, (includes: Jirst 100 feet ofwatet'sewer lines. hose bibs. ice maker. unde4loor loe-point drains and rain-drain packages\ Each addilional balhroorn (over 3) Re -Address Ta)ilot.t8 o0 s S s Address Cin State E-mail This insrallation is being made on residential or farm properg owned br me or a member of m1 immediate famil;', and is exempt from licensine requrrements under O.AR 918-695-0020 SJ 3:nalure Busincss name Cormections to building sewer and water supply i s99.00 I Commercial, iDdustrial, aDd dwellings otber thrD one.or two-famih Minimurn fee s99.OO S Each fixture s24.00 s Storm \a'aler retendor/derention facilit) i s103.00 s24.00 ! :I Each fixrure. appunenance. and piprng prng or p vate slorm 00 ieer s24.00 sYstems exceedi S pecialB fixTures ss24.00 Reinspecrion (no. olhrs. x fee per hr.) Speciai requested t$pections (no. of hn. x fee per hr. t s99.00 j Each rddition8l ilspectiotrr (; r s99.00 s S Enter value ofin$allation and e-quipmenr S _ Enter fee based on insraliation and equipmem value ./.-_ I Cin Phone r CCB iicense no 2 BCD iicense no \ | Piumbin s license no I r.inr nameiJa-:o- \c\..€r ZP J{-) :< DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee S99.00r s (B) lnvestrgative fee (equal to [A], {C) Enter l:o4 surcharg. ,.l: x lA-B]l (D) Technologr Fee (5ol" of[A])s DEPARTMENT USE ONLY LOCAL GOVERNMENT APPROVAL CATEGORY OF CONSTRUCTION Residemial ! Govemment I Commercial Cin 1.,.1 Srare ZIP: C DESCRIPTION w ORK Description Cost @. Total cost Nen residential 2 bathrooms/l kitchen s506.00 s I bathrooms'l kitchen s595.00 S sl28.00 s Each addidonal kitchen (over 1)$128.00 S Residenlisl fire sprinklen (includes plan revieri ) 010 2.000 square feet s99.00 2.001 to i.600 square feel slsE.oo 3.601 to 7,200 square feet I I szro.oo 7,201 square feet and geate,s31s.00 S Manufactured dwelliDg or pre-fab (circle one) Irigation systemsBackflo\r I I $2,r.oo ! 100' storm. sewer. water line s103.00I PROPERTY fC) Fa\Phone F Minimum fee La$ editec 7r1,2018 b-iones TOTAL fees and surcharges (A through D)s R Job site address:I aut Name: ZlP: a$. CONTRACTOR INSTALLATION Miscellaneous fees s99.OO $ r './/co .,/ \ E-maili -'1 .Signature: - -4- _ Mediclt gas piping