HomeMy WebLinkAboutPermit Plumbing 2018-12-18SPRINGFIELO
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Web Address: www.sprinqfield-or.9ov
Building Permit
Residential Plumbing
Permit Number: 81 1 -1 8-002930-PLM
IVR Number: 81'1066'127595
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
547-726-3753
Emarl Addressr permitcenter@springfield-or.qov
Permit lssued: December 18, 2018
WPE OF WORK
Catogory of Construction: Single Family Dwelling Type of Work: Replacement
Submitted Job Value: $0 00
Description of Work: Replace water and sewer lines, new service from meter
JOB SITE INFORMATION
Worksite address
1085 C ST
Springfield, OR97477
Parcel
1703351414700
Owner:
Address
FISCHER JOHN &
LAURIE N
2197 JEPPESEN ACRES
DR
EUGENE, OR 97401
LICENSED PROFESSIONAL INFORMATION
Business name
SPECIALTY PLUMBING COMPANY -
Primary
License
ccB
License number
208984
Phone
541-686tr191
PENDING INSPECTIONS
lnspection
3999 Final Plumbing
3500 Rough Plumbing
3300 Water Service
3315 Water Line
lnspection group
Plumb Res
Plumb Res
Plumb Res
Plumb Res
lnspection status
Pending
Pending
Pending
Pendang
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 permat 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: 811066127595
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
Permits must be poated in clea. view on th6 wo.ksitE- Pemits expirs if work is not started within 180 Days of issuance or it work is
suspended for 180 Days or longer dep€ndin9 on the issuing agency,3 poticy.
All prcvisions of laws and ordinances govorning this type ofwork willbe complied with whqther sp€cified herein or not. Granting of
a permit do6s not presume to give authotity to violale or cancel th6 provisions of any other state or local law regulating construclion
or the pedormance of construction.
ATTENTION - CALL BEFORE YO[., DIG: Oregon law requircs you to follow rules adopted by the Or6gon Utitity Notification Center.
Those rul6s are set lorth in OAR 952{01-00r0 through OAR 952-OO1-OO9O. You may obtain copies of the rutes by catling the Center et
(877) 6684001 or dial 8l l.
All persons or entiti€s performing work under this permit are required to be liconsed unless exempt€d by ORS 70't.OlO
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 {Ptumbing).
Pnntgdon. 12rlEl1E pagejot2 sid_Burldingperml pr
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Permit Num be.: 81 1-18-002930-P LM Page 2 ol 2
Fee Description
Technology Fee
Catch basin or area drain
Water service - Total linear feet
State of Oregon Surcharge - Plumb (12olo of applicable fees)
Quantity
Total Fees:
Fee Amount
$6.3 s
$24.00
$103.00
$15.24
$148.59
std_EuildrngPemitjr
1
40
Page 2ol2Pnnred 6n 12118/18
PERMIT FEES
ffi Transaction Receipt
811-18-002930-PLM
Receipt Number: ir68902
Receipt Date: 12l'18/18
Ciy ol SpnngneE
OeveloDment and Public Works
22S Fifth Srr*r
sp.inglietd, oR 97a77
54t-7 26-37 53
pernrtce.ter@spnn9nerd-or.9ovwww springfield or gov
Worksne addr€ssr 1085 C ST, SpringneE, OR 97477
Parcer'1703351414700
Fees Paid
1Z1Al1A catch basin or area drain1.00 Oty
40.00 LnFl
10O Ea
224-0fiXX)42560!1 034
224-mW0425603-1034
821-0000G21 5004-0000
$24.00
$103.tx)
l15.2zl
924 00
9103 00
s15 24
1Z1Al18
'12118t18
12118t16
Waler service - Tolal lrnear teel
1 0O Aulomalic Technology Fee
Srare ol Or€gon Surcharce - Ptumb l12o ot
1 0G0000G42560+0000 s6 35 56 35
Paymenl Melhod CGdil c€rd authonzalion
E1795p
$148 59
Cash er Kalrna Anderson $148.59
F N_Tra^$crDnRe@,pr_pr
Crrv on SrRrNcntlo, OnrcoN
Plumbing Permit Application
&
225 FiftI strEa . sprinsfiel4 oR 974?7 . PH(541)?26-3753 . FAX54I)726-3689
This permit is issued under OAR 9t8-780-0060. Permits are issued onl] to the persotr or cotrtractor doing the worli. Permits
expire if r ork is not started tvithin 180 days of issuance or if work is suspended for 180 days.
BCD license no
FEE SCHEDULE
Description Qn-'Cost
ea-
Total
cost
Ne$ residential
I bathroorD,/ I kitchen (includes: first
I 0A feet oJwoter/sewer lines, hose
bibs, ice moker. underlloor low-poinr
drains and rain-drain packages\
s323.00 s
2 bathrooms/l kitchen $506.00 S
-3 batbrooms/l kitchen ss9s.00 s
Each additional bathroom (over 3)$128.00 s
Each additional kitchen (over I )s128.00 s
Residential lire sprinklers (includes plaD review)
0 to 2,000 square feet 599.00 s
2,001 to 3,600 square feet s158.O0 $
3.601 to 7.200 square feer s236.00
7.201 square feel and greater s31s.00 $
Manufactured dwelling or pre-fab (circle one)
Connections to building sewer and
water suppl]s99.00 $
Comdercial, industrial, aod dwellings other than oDe- or
two-familv
Minimum fee s99.00 s
s24.00 $
MiscellaDeous fees
100' storm, sewer. water line 7 s103.00 $lo'2
Each fixture, appurtenance. and piping I s24.00 s 2-4
Storm water relentiorrdetention facilin s103.00 $
lrrigadon syslemslBackfl o\s24.00 s
Piping or private storm draioage
svstems exceedins the first I00 feel $24.00 S
Special5 fixtures s24.00 s
Reinspection (no. ofhrs. x fee per hr.)s99.00 s
Special requesred inspeoions (no. of
hrs. x fee per hr.)s99.00 S
s99.00 5
Medical gas piping Minimum fee s
Enter value ofinstallation and equipmenl $ _
Enter fee based on iDstallation and equipmenl value.s
DEPARTMENT USE
'l?7(B) lnvestigative fee (equalro [A])S
(C) Emer 12% surcharge (.12 x [A-B])
s (
Eecb additionrl insp€ction: ( l)
Print name
Sienature
(D) Technolog Fee (596 ofIA])
(A) Enler subtotal ofabove fees
(Minimuln Permit Fee $99.00)
S
DEPARTMENT USE ONLY
-ooo D
Date le tE)tb
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? D Yes n llo
Sanitation approval verified? E yes E No
CATEGORY OF CONSTRUCTION
fl CommercialE Residentiai E Government
JOB SITE INFORMATION AND LOCATION
Job site address: / O 9f Z St
city: 9p4n, 1;'".1/State: OIZ ztP:?7 +77
Referenc!: J Toilot.
DESCRIPTION OF WORK
,lI " ,utb;_+il i,.e-S -
'1- fr-rY
PROPERTY OWNER
Narne: Tlola fi's c Ar
Ad&ess. Z_)q? 7eZ ><ten 4rr^et Ra
zP:9 7q4 /Cityt Et/,ae. ^stae: aR_
FaxPhone0
(6 rA
69 020censrequirements under OAR 918-
propert)
and is
on blsetn emad dresrentra farmorg
tl lmm 1A famitejdmaolemmofberedbr
E-mail
exempt from
SiCrature:
This
own
RACTOR INSTALLATION
C t
Address
ciq Stare
pbr"",fH -ri\- ,[rgf Fa)i
Plumbing Iicense no
Lasr edired 71lr0l8 bjones
TOTAL fees and surcharges (A through D):
Permit no.:
s
Each fixture
Business name:
ZIP:
E-mail:
CCB license no.:
Iq