HomeMy WebLinkAboutPermit Plumbing 2019-01-23JPRINGfIELD
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OREGOTI Building Permit
Residential Plumbing
Permit Number: 81 t -19-000144-PLM
IVR Number: 811089636224
Emarl Address: permitcenter@springfield'or'govweb Address: www.springf r€ld'or.gov
category of Construction: Two Family Dwelling
Submitted Job Value: $0.00
Description of Work: Replace sewer laterals
Type of Work: Replacement
JOB SITE I ON
Worksite address
1602 WATER ST
Springfield, OR 97477
Parcel
1703274106400
Owner:
Address:
HOUSING AUTHORITY &
URBAN
3OO W FAIRVIEW DR
SPRINGFIELD. OR 97477
LICENSED PROFESSIONAL INFORMATION
Business name
SUTHERI-AND CONSTRUCTION LLC
- Primary
License License number
209162
PENOING INSPECTIONS
Inspection
3999 Final Plumbing
3'120 Underground Plumbing
3200 Sanitary Sewer
lnspection group
Plumb Res
Plumb Res
Plumb Res
lnspection status
Pending
Pending
Pending
SCHEDULING INSP
Various jnspections are minimally required on each project and often dependent on lhe scope of work. Contact the issuingjurisdiction indicated on the permit to determine required inspeclions for this project.
Schedule or track inspections at www.buildingpermits.oregon.gov
Schedute by phone call 1-BBB_299_282.| use tVR number: 811089636224
schedure using the oregon epermitting rnspection App, search 'epermitting" in the app store
Poimils must be postgd in clgar view on the worksite. Permits expiro if work is not started within lgo Days of issuance o. if work issuspended for 180 Oays or longer depending on the issuing agency,s policy.
All provisions of laws and ordinances govorning this typ€ of work will bs compligd with whother specified horein or not cranting ofa pqrmit does nol prosumg to givo authority to violato or cancol the provisions of any other stats or local law regulatang constauctionor the perrormanco of consfuuction.ATTeNfloN - CALL BEFoRE You DtG: oregon law requires you to lotlow rules adopted by the orcgon l)titity Notification center.7-hos€ .ures a'€ ser ro rrh in oAR ss24o1_ooio rnr""sn oaa 6ii0ilioi;.,,G77) 65a4oo1 ot ctiat g71. 'ousn v,Ax eiz4o1-oo90' You may obtain copies ot the rutes by calling the Center atg!.:"";::,;;:;::::Er;1":7i"1;;i:;:i:;:;,:::?::;;;:,,,;;:,w;::;o
u,,"" exenpted by o's 701.0t0
std EurtdingperniLp
CitY of SPringfield
DeveloPment and Public \Norks
225 Frfth Street
SPringfield, OR 97477
541--126-3753
Permit lssued: January 23,2019
TYPE OF WORK
Phone
503-729-1114
Permit Number: 8'11 -'19-0001 44-PLM Page 2 of 2
Fee Description
Technology Fee
Sanitary sewer - Total linear feet
State of Oregon Surcharge - Plumb (12olo of applicable fees)
Quantity
100
Total Fees:
Fee Amount
$s.1s
$ 103.00
$12.36
$ 120.51
sid-Bu'ldinqPermit-Pr
Page 2 ol2
pnnted on: 1123119
PERMTT FEES
SPRINGFIEI.D
,b
OREGON
\,v!vw.springfi eld-or. gov
Worksite address: 1602 WATER ST, Springfietd, OR 97477
PatcF-t 170327 4106400
811-19-000144-PLM
Receipt Number: 469196
Receipt Date: 1/23/19
City of Springfield
Development and Public works
225 Fifth Street
Springfield, OR 97477
541-726-3753
permitcenter@springfield-or.9ov
Fees Paid
Transaction date
1t23119
Unlts
100.00 LnFt
Description
Sanitary sewer - Total linear leet
State of Oregon Surcharge - Plumb (12% of
applicable fees)
Account code
224-00000{25603-'l 034
1t23119
'U23t19
82 1 -00000-2 1 5004-0000
1 00-00000-425605-0000
Fee amount
$'103.00
$12 36
$5.1s
Paid amount
$103.00
$12.36
$5.15
1.00 Ea
1.00 Automatic Technology Fee
Payment lvlethod Credit card authorization
713201
Payer: Glenn Sutherland Payment Amount:$120.51
Receipt Total:$120.51
Pnnted: 1/23119 3 11 pm Page 1 of 1 FIN_Transac,lionRecerpt_pr
Transaction Receipt
Cashier: Katrina Anderson
Ctry or SpRllcnrrLp, ORecos
Plumbing Permit Application
lr5 FiftbStreer. Sprirgfcl4 OR 97477 . PH(541)726-3753. FAX54!)72G3689
Zoning approwal verified? Eyes E f.Io
Sanitation approval verified? Eyo ENo
CATEGORY OF COI'ISTRUCTION
[fResidential D Govemment E Commercial
JOB SITE I'IIFORi/IATPN AND LOCATION
Iob site adrlress: If,[?_ $,XC1, <]-/ 160{, 1,t g+?7-
City: Jgpr,lqFali-g Srate: QQ!zn: \'ltl7-l
Reference: A0A!Z Ut L\AA1 Taxlot.:
DESCRIPTIOd OF WORK
Qzutg s'-D fr- Lrrz"vr*t,6 F?o ry\ S+fr.f
(j
OWI{ER
Name:
Address:g.D o
City: jgp;1g(p11;.L9 State: &.t.ZIP..
Phone:if Fax:
E mail: .' uc u nirr c-r hcrna Fot
fhis insaflatr$n is ding nnde on residential or far*r property
ovned by m or a rnember of my immediale family, and is
exeryt from licensing requirements rmder OAR 9 I 8{95{020.
Signahre:
CONTRACTOR INSTALLATION
Business name: 5O.n-,*rxo..O G,rSiZ,lfm p UtL
Address: \i"flf,6. N Lu Su,rs, \[., *
City: $5.ps..1i Stat€: O€_zrP;91i0L
Phone: S03 7X ilH Fax:
E-mail:Uri-rt^rr-Frro c(ra3Tt-'rcGrN Q.nuttDb Y-. CD $
CCB license no-:L BCD license no-:
Plumbing license no.:
Print nqqc: Cr{aO" 5;D
Signature: fip 'oo?
DEPARTMENT USE ONLY
Permitno.: lq- tt+Ll - ?f\\
Date l-.u-rl*t
This pormit is issued under OAR 9l&7E0-.00611. Permits are issued orly to tbe pcrson or contractor doing the work Permits
€xpire if work is not started within 180 days ofissuance or if work fu ruspended for 180 days.
FEE SCHEDULE
Irsscriptlon Qty.Coste&Totalcost
N€w .rsideoti.l
I badrood/l k lrchen (includes: Jilst
l(NJeet ol water/sewzr lines, hose
bibs, ice aaker, undeifuxtr low-point
draias aad min4rain pockages)
$323.00 $
2 baft.ooms/l kitchen $506.00 $
3 bathrooms/l kitchen $595-00 $
Each additional bsthrcom (over 3)$128-00 $
Each additional kitchen (over I )9128.00 $
Rcaidenti.l firc apri.Ilen (includes plen review)
0 to 2,000 3quare feet s99,00 $
2,001 to 3,600 squarc fe€t s158-00 s
3,601 to 7200 squarc feet $
7,201 square feet and grEater $315-00 $
MrEahctured dwenirg or prc,fab (circle one)
Cortaectiotrs to building sEw€r ed
water supply sg).00 s
CoEEerciil, indurtrid, .nd dw.[i!8s other th.[ ooe. ortwo{rDlly
Minimum fee $9!t.00 $
Each fixture $24.00 $
Miscclhaeous fees
100' storD, sewer, rat€r line l.J<$r 0&00 $
Each fixture, appuneoaffr, and piping 324.00 $
Stoam lpater reteotiotr/detentioo ficility $r03.m S
Inigation systernrtsackfl ow $24.00 s
Piping or private storm draiDage
systems sxccedine the fiIst 100 feet $24.00 s
Specialty fixturcs 32t.00 s
Reinspsction (no. ofhrs. x fee per hr.)s
Special rcquested inspections (no. of
hrs. x fee per hr.)$99.00 $
E.cb .dditioErl itr pcctiotr: (I)s99.00 $
M4iJrI g.! pipitrg Minimum fee $
Enter value of installatioo and equipmeot $ _.
E tef fee based on iDstallation and equipl,lent yalue.$
DEPARTMENT USE
(A) Enter subtotal ofabovc fees
(MiriEum PerDia Fee s99.00)$
(B) Investigative fee (equal to [A])S
(C) Enter I 2% su.Eharge (. I 2 x [A+Bl)s
@) Technologr Fee (5% of [A])s
TOTAL fces ald surcharges (A through D):
LOCAL GOVERNXE}IT APPROVAL
s236-00
t
I
$99.00
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