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Home My WebLink AboutPermit Plumbing 2018-10-29SPRINGFIELD ,% City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-37530 {EGOd Web Address: www.springfleld-or.9ov Building Permit Residential Plumbing Permit Number: 81 1 -1 8-002555-PLM IVR Number: 81 1042595173 Email Address: permitcenter@spnngfield-or.gov Permit lssued: October 29, 2018 Category ol Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Replacing approx. 80 lineal feet of sewer line Type of Work: Repair JOB SITE INFORMATION Worksite address 1234 N,4ILL ST Springfield, OR 97477 Parcsl 170327 4400300 Owner: Address: ROSE TIFFANY D 1234 r\.4tLL ST SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Business name DRAIN RAIDER ROOTER SERVICE INC - Primary License ccB License number 1912',18 Phone 541-338-8848 PENDING INSPECTIONS lnspection 3200 Sanitary Sewer lnspection group Plumb Res lnspection status Pending SCHEDULING INSPECTIONS Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit lo determine required inspections for this project. Schedule or track inspectjons at www.buildingpermits.oregon.gov Schedule by phone call 1-888-299-2821 use IVR number: 811042595173 Schedule using the Oregon ePermitting lnspectron App, search epermrtting" in the app store PERMIT FEES Fee Description Technology Fee Sanitary ser /er - Total linear feet State of Oregon Surcharge - Plumb (12olo of applicable fees) Quantity Total Fees Pormits must be posteal in cloar view on ths worksite. Permits 6xpire if work is not startod within 180 Days of issuance or iI work is suspended tor 180 Oays or longer deponding on th6 assuing agodcy's policy. All provisions ot laws and ordinances goveraing this type of work will be complied with wholher specifi6d herein or not. Granting of a pormit does not presumo lo give authority to violate or cancsl the provisions of any othsr state or local law regulating construction or tho performancs of construction. ATTENTION - CALL BEFORE YOU DIG: Orggon law requir6s you to follow rules adopted by the Oregon Utility Notification Centsr. Thoso rules aro sot lorth in OAR 952-001-0010 through OAR 952{01-0090. You may obtain copies of tho rules by calling the Conter at (877) 668-4001 or dial 811. All persons or enlities performing work under this pe.mil are roquirgd to bs licensed unloss exempted by ORS 701.010 (Structural/Mechanical), ORS a79,540 (Electrical), and ORS 693.010-020 (Plumbing). Prlnted on: 10/29/18 Page 1 of 1 80 Fee Amount $5.15 $ 103.00 $ 12.36 $ 120.51 std_BurldrngPermit-pr TYPE OF WORK SPRINGFIELD {t OREGOd www.springfleld-or.9ov Worksite address: '1234 MILL ST, Springfield, OR 97477 ParceL 1703274400300 Transaction Receipt 81 1-18-002555-PLM Receipt Number: 468460 Receipt Date:'l0l29l18 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permitcenter@springfield-or.9ov Fees Paid Transaction date 10t29t18 LJnits 80.00 LnFt Description Sanitary sewer - Total Iinear feet State of Oregon Surcharge - Plumb (12% of applicable fees) Account code 224,00000-425603-1 034 Fee amount $103.00 $12.36 $5.15 Paid amount $103.00 $12.36 $5.15 10t29t18 10t29t18 '1.00 Ea 1.00 Automatic Technology Fee 821-00000-21 5004-0000 1 00-00000-425605-0000 Payment Method: Credit card authorization: 092 Payer: Arthur Ferrarra Payment Amount $ 120.5'1 Cashier: Thayne Smith Receipt Total $120.51 Priflted: 10/29/18 11:01 am Page 1 of 1 F IN_ I ransaclionRecerpl_pr Crry or Spnncrmr-o, OnrcoN This permit is issued under OAR 918-?80{060. Permits are issued onli to the persor or cortractor doing the worll Permits expire if work is not started withil lE0 days of issuance or if work is suspended for 1E0 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Totrl cost \e* residential dential E Govemment D Commercial 1 batbroomll kitchen (includes. .first I 00.feet o:[tater/sewer lines. hose bibs. ice mal,.er. underloor lo*-point drains and rain-drain packages)JOB SITE INFORMATION AND LOCATION Cin State ZP Each additional bathroom (over 3 )s128.00 s128.00 S Each additional kirchen (ovei I ) L 2.001 to 3.600 square feet s1s8.00 Address :25 Fifth Slreet . Springfield, OR 9747? . PH(54|J726-3753 . FAX(541 )726-1689 Zoning approval verified? ! Yes tr tio Sanitarion approval verified? n yes E No Plumbing Permit Application {' Cut & Each fix1ure. apprmenance. and piping Storm water retention/detention facilin lPme or pnvate storn ralnage svstems exceedin the firsl 100 feel Speciai requested inspections (no. of s103.00 hrs. x fee tu.) S00 Slate ZP E-mail CONTRACTOR INSTALLATION Business name R. -Address Citr State ZP Pbone Fax E-mail BCD hcense no. Plumbrng license no Prin! name ! Each additiotral inspectiotr: (l 24.O0 5103.00 s s24.00 S s24.00 s s99.00 s99.00 5 S s99.00 5 S Enter value ofhstallarion and equipment $ _ Ente' fee based on h$allarion and equipmeff vaiue 5 (A) Enrer subtotal ofabove fees (Minimum Permit Fee 599.00) (B) Irvesrigative fee (equalto [A])s (C) Enter 1f9o surcharge (.12 x [A-B])S ?D [."]*"1"$ f -* 15"- lA],S Phorc:t4/-,/3 - y'//Z Reference T&(lor. DESCRIPTION OF WORK / PRoPERiY owr{ER Name: -ii(T*) v P, <c_ CATEGORY OF CONSTRUCTION Job sire ad&ess 3.601 to ,-.200 square feer s235.00 S 7-201 square feet and greater Matrufactured dwelling or pre-.fab (circle oDe) Connections to building sewer and water suppl)s99.00 Commercial, industrial, atrd dwellings other thrn otre- or twc-famill Minimum fee s99.00 s Each fixrure s24.00 Miscellsneous fees I00 storm. sewer. u'ater line Residetrtial fire sprinklers (includes plan revie* ) 0 ro 2.000 square feer sgg.oo I s Description Qt]'Cost EL 2 bathrooms,'l kirchen s506.00 S -i bathrooms/l kirchen s595.00 s SDecialn fix'tures Reinspection (no. of hls. x fee per hr.) lirigation systemslBackfl oq $24.00 Medical grs piping Minimum fee DEPARTMENT USE l-asr edired 7 i.20I8 b.lones TOTAI fees aDd surcharges (A through D)S DEPARTMENT USE ONLY I i P".-it no.,tU - oaZ<SS -FLf lDare:lr,)z>/r* I This installarion is being made on residenrial or farm properg I owned b1 me or a member of m1 tmmediate fami15. and rs I exempt from licensing requirements under OAR 918-695-0020. I lSignarure: Fax: CCB license no.: Signature I srrs.oo s stp3