HomeMy WebLinkAboutPermit Plumbing 2019-09-03B u ild in g P e r m it
R e s id e n tia l P lu m b in g
Pe rm it N u m b e r: 8 11-1 9 -0 0 2 0 3 8 -P L M
IVR Number: 811092386324
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Web Address: www.springfield-or.gov Email Address: permitcenter@springfield-or.gov
Permit Issued: September 03, 2019
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: Backflow device
Type of Work: New
Worksite Address
6074 GRAYSTONE LOOP
Springfield, OR 97478
Parcel
1702343302200
Owner:
Address:
DOWNES BEATRIZ I &
MICHAEL P
6074 GRAYSTONE LOOP
SPRINGFIELD, OR 97478
Business Name
EDDY A WALLACE - Primary
License
Landscape Contractor
License Number
6129
Phone
(541) 689-5455
Inspection
3620 Backflow Device
Inspection Group
Plumb Res
Inspection Status
Pending
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: 811092386324
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Fee Description
Technology Fee
Backflow preventer
Balance of minimum permit fees - plumbing
State of Oregon Surcharge - Plum b (12% of applicable fees)
Quantity
1
Total Fees:
Fee Amount
$5.10
$25.00
$77.00
$12.24
$119.34
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 entitles 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: 9/3/19 Page 1 of 1 C:\myReports/reports//production/01 STANDARD
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S e p 0 3 1 9 , 12 :5 4 p e u g e n e la n d s c a p e
Plum bing Permit A pplication
CITY OF SPRJ~GFIELD~ OREG0~
225 Fifth Street• Springfield, OR 97477 t PH(54l)726-37S3 t FAX(541)726-3689
541-607-5864
ISPRINQ"1ELD : .~<,;~:-, ~:ir:~
p.1
' DEPARTMENT' use· ONLY . . - ·.. . . .
Date:
This permit is issued under OAR 918-780-0060. Permits are issued oaly to the person or contractor doing the work. Permits
expire if work is ~ot started within 180 days ofissunce or if work is suspended for 180 days.
LOCAL .GOVERNMENT A P P R O VA L FEE 'SCHEDULE ..
Zoning approval verified? 0Yes 0No D escriptio n Qty: Cost Total• .. .' ea. ~st· Sanitation 'approval verified? 0Yes 0No New residential
. C AT E G O RY O F C O N ST R U C T IO N -. · .. -··. I bathroom/I kitchen (includes:first
0Residential I D Government I O Commercial I 00 feet of waler/sewer lines, hose
11333.to $ biln, ice makv-, unde,:floor low-point
: ·J O B SIT E I N F O R M AT IO N .A N D L O CAT IO N · - drains and rain-drain packages)
lob site address: / ,,.r, 1Y Gf'(A..\.t Sft,(l e.100-P 2 bathTOOms/1 lcik:hen sszu o $
City:~{ L~fieJd) I State: oe. I Z!P'114 ·7 g, ·. 3 bathroomsll kitchen E613.fl0 s
Each additional bathroom ( over 3) Sl32.I0 s J j Taxlot.: Reference; Each additional kitchen (over l) U32.00 s DESCRIPTION OF W O R K ·: · Residential fire sprinklers llncludes plan review)
\ A5i~\ \ [ A,j2 Soo'>,.. t:.J -€.I" Si ·~_dr'.A2'\ t,Jl1t- 0 to 2,000 square feet S102.00 s
~11 f Ur c,.;J £Rot'LP I 2,001 to 3,600 square feet 1St63.oo $
· PR O P E R T Y O W N E R . 3,601 to 7,200 square feet lsl43.oo s
Name: M ' \:'.:e ,r- 'B-tou - D l"l.1 ) n es: 7.2() I sqUII'e feet and greater 5324.01 s
M anufactured dwellin2 or nre-fab (circle one) Address: I /'Jr, "14 6 ,A..'-' s+ooe I t""'r-, a Connections to building sewer and i02.oo $ C ity:~(l (l"' ~,A »! "C j State: {'j (2 I ZIP:CJ 1'11 g water supply
Commercial, industrial, and dwelllllgs other than one- or
Pbon~/-~ :5DCJ/ I Fax: - - tw•family
E-mail: Minimum fee '5102.00 s
lsls.oo This installation is being made on residential or farm property Each fixture $
owned by me or a member of my immediate family, and is M Jscellaneous fees
exempt from licensing requirements under OAR 918-695-0020. 100 • stonn, sewer, waterline U06.00 s
Signature: Each fixture, appurtenance, and piping ;;25.00 s
C O N T R A CT O R IN ST A L L AT IO N Stonn water retention/detention facility •106.tO s
Business name: !=i' 1 ~e J ~CY..,..,,.., .t--C.-vt,... •. tl~ Inigation systems/Bacldlow r i125.00 sZG.o
A ddress: z_t:j 3 l:lo (1 I ,;,,- . ,f VD 'f2.J) ' Piping or private storm drainage a25.00 $ svstems exceedinz the fust I 00 feet
City: -t, 1 a'""""'~ p I S1ate:QR_ I zIP:C,1'-1,rz_ Specialty fixtures 525.00 $
Reinspection (no. of hrs. x fee per hr.) •102.oe $ Phon~/ ~ S lf ss: I Fax~(~ l,C:17 -58" I..-../ Special requested inspeciious (no. of ~102.00 $ E-mail: -ea...... &. 4!-t1 e- \ o-nd s.c~-4."' ~ "'~ I • ~ 1'i" hrs, X fee per hr.)
CCB license no.: I BCD Iic:rise no.: . Each additional inspection: (l) ~102.00 $
Plumbing license no.: LfP E, In I z q · M edical gas pipiag Minimum fee s
Enter value ofiostallati.011 and equipment S Print name: t=' rl l 1 ) A H ,; f ...1 -
Enter fee based on installation and equipment value. s o,-~ Signature: DEPARTMENT USE ~
(A) Enter subtotal of above fees
s tca» (Minimum Permit Fee S102.00)
(B) Investigative fee (equal to [A]) s
(C) Enter 12% sutebmge (.12 x [A+BJ) $ \2...7.>I
(D ) Technology Fee (5% of[AJ) $ s .,o
TOT AL fees and surcharges (A through D): s htl\. '1,1-1
Last cdiled 7/112019 bjoncs