HomeMy WebLinkAboutPermit Plumbing 2018-12-27OREGON
web Addressr www.springfield or.qov
Building Permit
Residential Plumbing
Permit Number: 81 1-18-002987-PLM
IVR Number: 8'1'1040'158261
City of Springfield
Development and Public works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Email Address: permitcenter@springfield or 9ov
SPRINGFIELD
!,
Permit lssued: December 27, 2018
TYPE OF WORK
Category of Construction: Single Family Dwelling Type ol Work: Alteration
Submitted Job Value: $0.00
Description ot Work: All new plumbing lines, new plumbing fixtures in old bathroom and adding new bathroom
JOB SITE INFORMATION
Worksite address
3118 PARTRIDGE WAY
Springfield, OR 97477
Parcel
17 0322131aOOO
VAJGERT WAYNE M
4355 SPRING BLVD
EUGENE. OR 97405
LICENSED PROFESSIONAL INFORMATION
Business name
KEVIN ALLEN LONG - Primary
License
ccB
License number
207125
Phone
541-953-3070
PENOING INSPECTIONS
lnspection
3999 Final Plumbing
3500 Rough Plumbing
3315 Water Line
lnspection grgup
Plumb Res
Plumb Res
Plumb Res
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 1-888-299-282'1 use IVR number: 811040158261
Schedule using the Oregon ePermitting lnspeclion App, search "epermitting" in the app store
Pormits hust be posted in clear view on the worksite. Permits expire it work is not startect within 180 Days of issuance or if work is
suspended for'180 Days or longer depending on the issuing ag6ncy's poticy.
All provisions of laws and ordinances governing this type of work will be complied with whether speciried he.ein or not. cranting of
a permit does not presume to give authority to violate or cancel the provisions ot any olher stat6 or local law regulating construction
or the performance of construction.
ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adoptsd by the Oregon Utility Notification C6nter.
Those .ules are set torth in OAR 952-00'l-0010 through OAR 952{O'l"Oo9O. You may obtain copies of th6 rules by catting the Center at
(877) 668-4001 or dial81l.
All persons or entities performing work under lhis permit are requircd to be licensed untess exempted by ORS 701.010
(Slructural/Mechanical), ORS 479.540 (Etectricat), and ORS 693_0tO-O2O (ptumbing).
Pnnted o^: 12t27 t1a page 1 of 2 sid-Blrrld, ngp ermrr_pr
Owner:
Address:
lnspection status
Pending
Pending
Pending
Permit Number: 8'l'l -1 8-002987-PLM Page 2 ol 2
Fee Description
Technology Fee
Sink/basin/lavatory
Tub/shower/shower pan
Water closet
Water service - Total linear feet
State of Oregon Surcharge - Plumb (12olo of applicable fees)
Quantity
Total Fees:
Fee Amount
$ 14.75
$48.00
$96.00
$48.00
$103.00
$35.40
$345.15
std_BuildingPermit_pr
2
4
2
50
Page 2 ol2Pn ed a^ '12127114
PERMIT FEES
SPRrNGfIt0
,b
OREGO N
www springtield-or gov
Transaction Receapt Ciy of Spnngtield
811-18{02987-PLi'
Recelpt Number: 468971
Receipt Dat6: 12l27l18
Development and Publrc works
225 Frfth Stret
Spnngnek, OR 97477
54r-720-3t53
permtcente.@springf reld-or.gov
Wo.ksite address 3118 PARTRIDGE WAY Springtield. OR 97477
Parcel: 1703221308000
Fees Paid
12/27t14
12127t1a
12127t1A
17/27t18
12121'18
50.00 LnFt
2 0O Oty
4 00 Oty
2.00 ory
1.00 Ea
Tub/shower/shower pan
St.te ol Oregon Surcharge - Plumb (12% of
224-W42564T103"4,
224-0000G42560$ 103.1
224 00000-425603-1034
224-0000G4256031034
821 -0000G2 1 5004-0000
t103.00
s48 00
996 00
s48.00
s35.40
s103.00
t4E.00
$96 00
$4E.00
$35 40
water serur@, Totallinear ieet
12211'18 100 0000G42560t0000 $14.75 s14.75
Payrnenl Melhod Check numb€r: 3634 Payer: Wayne Vatgen $345 15
CashEr Kalrina Anderson
Pnnledr lz27n311oa.m
3345.15
F N-I€nsaciionRo@rpl_tDr
Plumbing Permit Application
225 Fifrh Streer. Sdngfiel4 OR9747?. PHl54t)726-3753 . FAX(s4I )726-3689
DEPARTMENT USE ONLY
Permit no tA-C)C219+
,^r" tTla:l\tbffi
This permit is issued under OAR 918-780-0060. Permits are issued onl.r to the person or contractor doitrg the work Permits
expire if work is trot started within 1E0 days of issuance or if work is suspended for 180 days.
Cit!'
This installation is being made on residential or farm properry
owned
exempt
bv me or a member of 11. and is
licens ts under O 9r8-69s-0020
Sisnature
Phone
CCB Iicense no.:20-1 I L 5 BCD license no
Plumbing license no
2t"\.
?s;nY
>+-L-bs
2.-SV''a'.'/'-'( t
Reinspection (no. ofhls- x fee per hr.)
S
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? n Yes E No
Sanitation approval verified? E Yes n lo
CATEGORY OF CONSTRUCTION
! Residential ! Govemment n Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: }\tO ?Oere t 9e,€ w A\/
State: Oe ztP:Q1 Q18
Reference Ta)(lot
OESCRIPTION OF WORK
TOr\L Plurhbt r.)c u€r^l wA.rEz-Lr*r(
PROPER'Y OWNER
r$s
gtr.)JD>bb
Name: \-l
Address
CiR: f UG€-I.Jq SEte: D.L zlP:9t 4D5
E-mail: g7Aqauru r-o G>aou-LD tA
CONTRACTOR INSTALLATiON
Business name: Kts.U.3 P\u rhb tr.ro
Address
CiR,Slate ZP
Fax
E-mail
Description Cost
e&
Total
cost
l\e* residentiel
I bathroon/l kitchen (ihcludes. first
I 00 feet of \9ater./sewer lines. hose
bibs, ice moket, underfloor lov-point
drains and ruin-draik packages)
s323.00 S
2 bathrooms/l kirchen $506.00 S
I bathroorns/ 1 kitchen ss95.00 S
Each additional bathrooh (over 3)s128.00 s
Each additional kitchen (over 1)$128.00 s
Residential fire sprinklers (includes plan revie*)
0 ro 2.000 square feet s99.00 S
:.001 to 3.600 square feet 51s8.00 S
3.601 to 7.200 square feer s236.00 5
7.201 square feet and geater s315.00 s
Manufectured dwelliDg or pre.fab (circle one)
Connections to building sewer and
water supply s99.00 s
Commerciel, industrirl, snd dwellings other thsD otre- or
two-fxrrily
Minimum fee $99.00 S
Each fixrure s24.00 s
Misc€llaneous fees
l00 storm. sewer. u'ater Iine I s103.00 $to3
Each fixture. appurtenance, and piping ?$24,00 $ tq2-
Storm water retentiorvderention facilin s103.00 S
lrrigation systems/Backfl o\,!$24.00 s
Piping or private storm drainage
svstems exceedinq the firsl I00 feet s24.00 s
Specialty fixtures s24.00 S
s99.00 s
Special requested inspections (no. of
hrs. x fee per hr.)s99.00 5
Eech edditional iDspection: (1 )s99.00 5
Medicrl gas pipiDg Minimum fee S
Enter vaiue ofinsrailation and equipment S
Enter fee based on installation and equipment value.
DEPARTMENT USE
(A) Enter subrolal ofabove fees
(MiDimum PerEit Fee $99.00)
(B) Investigative fee (equal ro [A])
'2lr
$
(C) Enter I2% sucharge (.12 x [A-B])
(D) Technolos Fee (5% of [A])s
rftll
L,a$ edted 7'1l2018 bjones
TOTAL fees and surcharges (A through D):s
Crrv or SpnrNcrrcLD, OREGoN
Phone:g.{L 511 -1lqU I fu*,
Print name:
Sienarure:
I
t
I
I
FEE SCHEDULEI
lo,r.