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Permit Plumbing 2019-07-29
SPRINGFIELD-:: ..... OREGON Web Address: www.springfield-or.gov Permit Issued: July 29, 2019 Building Permit Residential Plumbing Permit Number: 811 -19 -001734 -PLM IVR Number: 811049440586 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfieid-or.gov 3999 Final Plumbing Plumb Res Pending 3200 Sanitary Sewer Plumb Res Pending 3300 Water Service Plumb Res Pending 3400 Storm Sewer Plumb Res 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 Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811049440586 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depending on the Issuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (503) 232-1987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010 (Structural/ Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Printed on: 7/29/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD TYPE OF WORK Category of Construction: Single Family Dwelling, Type of -Work: New Submitted Job Value: $0.00 Description of Work: New plumbing infrastructure for future development JOB SITE INFORMATION Worksite Address Parcel Owner: DENNCO INC 960 S 47TH ST 1802051305600 Address: 979 66TH ST SPRINGFIELD, OR 97478 Springfield, OR 97478 LICENSED PROFESSIONAL INFORMATION Business Name License License Number Phone KIPCO CONSTRUCTION LLC - CCB 202311 541-689-9265 Primary PENDING INSPECTIONS Inspection Inspection Group Inspection Status 3999 Final Plumbing Plumb Res Pending 3200 Sanitary Sewer Plumb Res Pending 3300 Water Service Plumb Res Pending 3400 Storm Sewer Plumb Res 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 Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811049440586 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depending on the Issuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (503) 232-1987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010 (Structural/ Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Printed on: 7/29/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD 7 Q- k i \ S S 7 S © ■ (( q o ���m§ oo a r a o a a 7 B 2=te§� §� & & 2 & $ C §/��� �_ 3 §\ ■ ƒ �N= Ln IL e g Ln \ .. \ ) ) J A k < £ a ) k 8 8 - S \ ■ Co §aB k k Bk Qkm _ 2 \ Cl) � 099 / / \ / \ k N N m 04 § 0 CD Co S CD C § CD 8 S 8 E CL 8 0 9 9 9 9 9 � § � § d k 2 � C%jCO � 4 � 0 k § © a @ $ a ' 2 _ . co tj � ® E $ t / ƒ E 0 (D k / \ 3 0 0 \ ' 00 2 k LL a r /k t w o A o o £ U 0m 0 § f a k / IA m « A / f $ 3 E Im N k k £ - u- LL I §/ P \5 5 5 g < 7 - S q 8 q q c) 04 ® CD k � k ci - kG QS SS � 9 S $ ado10 U 7 & \ S a # 2 0 § 0 z 9 co - ¥ m . k c CD b 0 § d d d k / k $ 04 FZ w R a o 7 Q- Plumbing Permit Application 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 DEPARTMENT USE ONLY SPRINGFIELD Permit no.: — I Date: -7 Z This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? Yes ❑ No Sanitation approval verified? Yes ❑ No CATEGORY OF CONSTRUCTION Residential I ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: Q L () S. '-/ 7 6 City: State: op_ ZIP: q7q? 8 Reference: '3y nn Irl Taxlot.: DESCRIPTION OF WORK 163.00 $ 3,601 to 7,200 square feet PROPERTY OWNER Name: Address: Q �, � a, City: ,( State: 0C_ ZIP: qrjtlr )g Phone: ,9W - ;LCj'_-' Fax: - - E-mail: c , y, , 4-e , This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 918-695-0020. Signature: CONTRACTOR INSTALLATION Business name: 99 G v Address: Ct Qt4(?_5_ , -- . -A J1 City: State: ar- ZIP: 0j% 07„„ Phone: syj_ -1 S D Fax: - - E-mail: yvw, � e k4cv, e-0-1 CCB license no.: BCD license no.: Plumbing license no.: Print name: r Y)O, Signature: Ssj((y\ -- 2-i r Last edited 7/1/2019 bjones FEE SCHEDULE Description Qt,, I Cosi7 ea. Total cost New residential 1 bathroom/1 kitchen (includes: first 100 feet of water/sewer lines, hose 333.00 $ bibs, ice maker, underfloor low point drains and rain -drain packages) 2 bathrooms/ 1 kitchen $521.00 $ 3 bathrooms/1 kitchen IS613.00 $ Each additional bathroom (over 3) 132.00 $ Each additional kitchen (over 1) 1132.00 $ Residential firesprinklers (includes plan review) 0 to 2,000 square feet 102.00 $ 2,001 to 3,600 square feet 163.00 $ 3,601 to 7,200 square feet 243.00 $ 7,201 square feet and greater 324.00 $ Manufactured dwelling or pre -fab (circle one) Connections to building sewer and water supply 102.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee 102.00 $ Each fixture 25.00 $ Miscellaneous fees 100' storm, sewer, water line $106.00 $ Each fixture, appurtenance, and piping $25.00 $ Storm water retention/detention facility $106.00 $ Irrigation systems/Backflow $25.00 $ Piping or private storm drainage systems exceeding the first 100 feet 25.00 $ Specialty fixtures 25.00 $ Reinspection (no. of hrs. x fee per hr.) 102.00 $ Special requested inspections (no. of hrs. x fee per hr.) 102.00 $ Each additional inspection: (1) 102.00 $ Medical gas piping Minimum fee $ Enter value of installation and equipment $ Enter fee based on installation and equipment value. $ DEPARTMENT USE (A) Enter subtotal of above fees (Minimum Permit Fee $102.00) $ (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ (D) Technology Fee (5% of [A]) $ TOTAL fees and surcharges (A through D): $ a a311no v adno AIVM301S 'X3 MS � Q --------- --- O i � e O V -