HomeMy WebLinkAboutPermit Plumbing 2018-12-10SPRINGFIELD
OREGOII
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753Building Permit
Residential Plumbing
Permit Number: 81 1 -1 8-002866-PLM
IVR Number 81 1 0024667 04
Email Address: permitcenter@springfield or,gov
Permit lssued: December '10, 2018
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $0 00
Oescription ot Work: Demo ADU 'cap
Type of Work: Demolition
JOB SITE INFORMATION
Worksite address
1051 FAIRVIEW DR
Springfield, OR 97477
Parcel
1703273101800
SORRIC RICHARD J
PO BOX 10092
EUGENE OR 97440
LICENSED PROFESSIONAL INFORM,ATION
Business name
JTS EXCAVATION INC - Primary
License
CCB
License number
196347
Phone
541 -729-577 6
PENDING INSPECTIONS
lnspection
3815 Cap Placement lnspection
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 to determine required inspections for this project.
Schedule or track inspections at www.buildingpermits.oregon.gov
Schedule by phone cal IAAA-299-2A21 use IVR number: 811002466704
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
PERMIT FEES
Fee Description
Technology Fee
Fixture cap
State of Oregon Surcharge - Plumb (12olo of applicable fees)
Quantity
Total Fees:
Perhits must be posted in clear view on the worksite. Permits expire if work is not staned within 180 Days of issuance or if work is
suspended for ,80 Oays or longer depending on the issuing agency's policy.
All provisions of laws and ordinances governing this typ€ ofwork will be complied with whether specified herein or not. cranting of
a permit does not presume to give authority to violate or cancel lhe provisions of any other state or local law regulating construction
or the pedormance of construction.
ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notirication Center.
Those rules are sel torth in OAR 952{01'0010 through OAR 952{01{090. You may obtain copies of 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 licensed unless exempted by ORS 701.0'10
(StructuraUlrechanical), ORS 479.540 (Electrical), and ORS 693.010{20 (Plumbing).
PnnGd oa 1Z1O\A Page 1 of 1 sld_ButdrngPermii_pr
Fee Amount
$4.95
$99.00
$ 1 1.88
$ 1 15.83
Web Address: wwl'/.spnngfi eld or.gov
Owner:
Address:
1
H
ww spnngneld-or 9ov
8t l-,t8{02866-PLM
Receipt l{umber: 468816
Roceipt Dato: l2l10/'18
225 Fifth Stret
5pflnqned, OR 97477
541-126 3153
permtcenter@spnnqfield-or.qov
Transaction Receipt Cily of Springfield
Oevelopment and Public Works
l/\brksile address: 1051 FAIRVIEW DR, Spingfield, OR 97477
Parcel: 1703273'101800
Fees Paid
12110t14 1 00 Oly 224-00000.425603,1034 $99 00 $99 00
12t1011A
1?J10t18
100 Ea Srare ol Orcgon Surcharye - Pluf'b l12o ol 821 00000 215004 0000
1 00,0000G42560t0000
sr188
s4 95
51188
$4 95
Crodil card aulhorization
510193
Payer john thomas imbler $115 83
Cashrer KalrinaAnderson
Pnnled 1210/13 2:aOpm
1115.83
FIN_IE.saclronRac.'pl,r
1 0O Aulomaiic Technology Fee
Plumbing Permit Application DEPARTMENT USE ONLYiltn
225 Fift Street . Springficld, OR 9747 . PH{541)'126-1753 . FAXl54lt72G3689
This permit is issued under OAR 918-78(M060. Permits are issued only to the person or contrrctor doing the work Permits
€xpire if tork is not strrted within 180 days of issuence or if work is suspended for 180 days.
Permit no.;
oDate (5.
LOCAL GOVERNHENT APPROVAL FEE SCHEDULE
Zoning approval verifi ed?fl Yes Eto ary Cost Total
costea,
Sanitation approval verifi ed?I yes nNo New residentid
CATEGORY OF CONSTRUCTION I barbroorn/I krt hei (includes: Jistloofeet of u,aler/sewer lines, hose
bibs. ice maker, unde4loor low-Wint
drains and rain4rain packages)
Residential E Govcmment E Commercial
JOB SITE INFORMATION AND LOCATION
s323.00 $
Job site address:lo<r <-2 bathroomvl kitchear
Crty:t State zIP: 9l Y I batkooms/ I kitchen(a Each additional batbroom (over 3)
Referencc:Taxlot.:Each edditional kitchen (over I )
3506.00 s
s595.00 $
s't28.00 s
3128.00 $
DESCRIPTION OF WORK Residertial fire klcrs (includes
t 0 to 2,000 square feel $99.00 $
\ 9i '1 (a 2,001 to 3,600 6quare feer $158-00 l;
ERTY 3,601 to 7,200 square feet $236.00 $
Name: fl12 p c.'C 7,201 square feet and greater $315.00
A<kkgss: f,6 ,
Menufrcturcd (circle obe)looqL Contrectio.s to building wwer and
wat6 srpply $99.00 $
City State:ZIP: ?7q Commercirl, industri.I, rnd dwellitrgs oth€r thrn one- or
Phone.i,l(-z?t-Fax
E-mail:36(rt "L
Minimum fec $99.00 $
This i.stallation is he or farm property
famity, and is
Each fixturc $2,1.00
owned by me or a ltiscellaneous fees
exempt ftom I
$rdre:
oAR 918-695-0020.l00 storm, s€rrer, water line $t03.00 $
Each fixtue, appurtefadce, aod piping S2!r.00 $
INSTALLATION Storm water retentior/detention facility It03.00 $
.Tn Irrigarion systcms,/Backfl ox
Prprng or pnvatc storrn nage
6 feet
$24.00 $
32,t.00 $
State: OR ztP 1 Specialty fixturcs
Reinspection (no. ofhrs- x fee per hr.)
Phone:Syi -729- 97 Fax Special requested inspections (no. of
hrs, x fee pcr hr.)E-mail tr* i
CCB license no.: i{[,].1 BCD license no.:E.ch addiliorsl inspestion: ( I )
s24.00 $
$99.00 $
s99.00 $
s99-00 $
Plumbing Iicense no.Medical Minimum fee $
Print oame : nL l^o''-o Enter value of installation and equipment $ _,
Enter fee based on insallation and equipment valu€.$
Signature DEPARTMENT USE
(A) Enter subtotal ofabove fees
(Mirimum PerDlr Fee $99.00)$q1
(B) INestigaive fe€ (equal to [A])$
(C) Enter I 27o surcharge (. I 2 x [A+B])$
(D) Technology Fee (5% of IA])$
TOTAL fecs rnd surchrrges (A through D):3ltc, b
last edited ?/l/20llt biones
I
Crry or SpntxcrreLD, OREGoN o
Description
$
Business name:
Address:
lciq' (p,*1^
f$ ]
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