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Home My WebLink AboutPermit Plumbing 2018-10-24SPRINGFIELD City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541 126-3753OREGONBuilding Permit Residential Plumbing Permit Number: 81 1 -'18-002524-PLM IVR Number: 81 1064890748 Web Addressr www.springfield-or.gov Email Address: permitcenter@springfield-or-gov Permit lssued: October 24, 2018 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Stand alone storm and sanitary (drylines) Type of Work: New JOB SITE INFORMATION HUNT GLEN PRESTON & LORI VALERI 668 62ND ST SPRINGFIELD, OR 97478 LICENSED PROFESSIONAL INFORMATION Business name R & H CONTRACTORS LLC - Primary License CCB License number 192548 Phone 541-580-0954 PENDING INSPECTIONS lnspection 3200 Sanitary Sewer 3400 Storm Sewer 3300 Water Service 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 issuing 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 number: 81 1064890748 Schedule using the Oregon ePermitting lnspection App, search 'epermitting" in the app store Permits must be posted ln clear view on the worksite. Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depenaling on the issuing agency's policy. All provisions of laws and ordinances governing lhis type of work will be complied with whether specitied herein or not. Granting of a permit does not plesume to give authority to violate or cancel the provisions of any other state or local law regulating construction or lhe pertormance of construction. ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to lollow .ules adopted by lhe Oregon utility otificalion Center. Those rules are set forth in OAR 952401-00'10 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (877) 668.4001 or dial81'1. AII persons or entities performing wo* under this permil arc required to be licensed llnless exempted by ORS 701.010 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010{20 (Plurnbing). Printed on: 10/24118 Page 1 ol2 std_BuiidingPermit_pr b Worksite address 6189 FOREST RIDGE DR Springfield, OR 97477 Parcel 1702343409300 Owner: Address: Permit Number: 81 1 -18-002524-PLM Page 2 of 2 Fee Description Technology Fee Sanitary sewer - Total linear feet Storm sewer - Total linear feet Water service - Total linear feet State of oregon surcharge - Plumb (12olo of applicable fees) P( nted an: 1A/24/1A Page 2 al2 Quantity 100 100 100 Total Fees: Fee Amount $ 15.45 $103.00 $ 103.00 $103.00 $3 7.08 $3 61. s3 std_BuildingPe.mit_pr PERMIT FEES ffi 811-18-002524-PLM Receipt Number:468418 Recelpt D.te: 10/24118 Cryor Springlield Development and Public Works 225 Flfth Street Sprinqned, OR 97477 54t-J26-3J53 Dermrtc€nter@spnnqfield or.qov Transaction Receipt www spnngneld,or gov Worksrc address:6189 FOREST RIOGE OR. SprjngneE. OR 97477 Parc€r 1702343409300 Fees Paid 10124118 'tol24t'18 'tol2411B 10124t14 100 0O LnFl 100.00 LnFl 100.00 LnFl 1m Ea 224-0000G42560& 1034 224-0000G12560& 1034 221-0oooo-!2ffi3-103/ 821 0000G215004{rcOO 9103.00 $103 00 0103.00 $37 08 $103 00 $103 0O $103 00 $37 08 Srorm sewer - Toiallinear feel Sanitary sewer - Toiallinesr leet Warer service - Toiallinear ieet Slale ol Oregoo Surcharce - Plumb (12% of 1At24t1B 1 0O Aulomatic Technology Fee 100 00000 425605 0000 sr545 $15 45 Paymenl Melhod Check number 10187 Payer R&H Cont,aclors LLC s361 53 Cash'er Thayne Smilh s361.53 FrN_T.anea.lEnRee'p( 1, Crrv or SpnnccFmlo, Onrcon Plumbing Permit Application 225 Fifth Sreer . Springfield OR 97477 . PH(541)726-3753 . FAX(541)726-3689 LOCAL GOVERNMENT APPROVAL Zoning approval verifi ed?Yes E No Sadtation approval verifi ed?es ENo sidential ! Govemment ! Commercial JOB SITE INFORMATION AND LOCATION €tPi Fo4[r'r4lDG{ DR ciq*SPt1ilGFr{tD state: 0/2 ZIP:? ) V 78 Reference: t 4-Taxlot. DESCRIPTION OF WORK S'-//4^/ E Atoa/f J r0 rz/',1 d- J,4// /74/2 Y 0trtm rr ,rift:Z PROPERTY OWNER Name G t rl /1u4,/ 7 address: ($fr 62^.)0 ciry:f Pttt,'16 n(cD sate: O R zrP:g) I ? I Phme:'\/- 1(g - 6?da -/'/ //4 E-maltt G Lf ^,/ O//4ifttc4,\/Jc/rLf co. cO/q This installation is being made on residential or farm propert-v owned by me or a member of m-v immediate famiiv, and is exempt tom liceosing requtements under OAR 918-695-0020 Signatue: CONTRACTOR INSTALLATION Bushess name Ed fl Cot;v,lcro.ft,r LL c Address: P.0. Box Qgs url- Ciry:/a/r;.1 ct/[t TER state, O R ztP:771/9J' Phone: l-7 / - j-?C oqfL/Fax e-iurt, Xc',t,,t P/c/( f L( D tloinl/c. cam CCB license no.: I I)d qg BCD licetse no.: pf/ Piumbing license no : .4 / 4 14Eu/^/Prct<,<.rELL Signature CATEGORY OF CONSTRUCTION FEE SCHEDULE Description Qty Cost \e* residential i batirroon/I kirche-r' (includes .first 100 feet ofwater/sewer lines, hose bibs, ice maker. un ierfloor lov.point drairc and rain4rain pocl.,ages) s323.00 2 bathrooms/l kirchen s506.00 s 3 bathrooms/l kitchen s595.00 ! Each additional balhroom (over 3)s'128.00 ! Each additional kirchen (over I )s'128.00 s ResideDtial frre spriDklerc (includes pla[ review) 0 to 2.000 square feet se9.00 s 2,001 to 3.600 square feei s 158.00 s 3.601 to 7.200 square feet s236.00 5 7,201 square feet and grearer s315.00 s MeEufactured dwelling or pre-fab (ciicle one) Connections to building sewer and water supply s99.00 S Commercial, industrial, aDd dwellings other than otre.or two-family Minimum fee $-o9.00 s Each frture s24.00 5 Miscellaneous fees 100' storm, sewer, water li.e 5103.00 Each fl\ture, appurtenance, and piping s24.00 s Sto.m water.etention/detention faciiit.,$103.00 S Irri sa6on svstems/Ba.L_fl oI^'$24.00 S Pipilg or private stodo drainage svstems exceedins the firs1 I00 feet $24.00 S Specialq, fixnres s24.00 5 Reinspection (no. ofhrs. x fee per hr.)s99.00 s Special requested inspecdons (no. of br:. x fee per hr.)sgs.00 S E.ch additional iuspectioB: (l )s99.00 s Medical gas piping Minimum fee $ Enter fee based on installation and equipmenl value S DEPARTMENT USE (A) Enter subtolal of above fees (Mi mum Permit Fee $99.00)$ (B) Investigadve fee (equal to [A]) (C) Etrter 12% surcharge (.12 x [A-. B])s (D) Technolos' Fee (5% oflAl)S TOTAL fees and surcharges (A through D): DEPARTMENT USE ONLY Permitno.: t6 - OO ?SZ4 - out", 16 /z* / 16 P(}rl '&pj tr'his permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor d'oing the I'ork Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. l,asr edired 7'1i2018 bjones Total ,cost i Job site address: I Enter value of installarion and e4uipmenl 5 -. IPrint name I Fa)i: