HomeMy WebLinkAboutPermit Plumbing 2019-08-22B u ild in g P e r m it
Residential Plumbing
Permit Number: 811-19-001949-PLM
IVR Number: 811049406781
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Web Address: www.springfield-or.gov Email Address: perrnitcenter@springfield-or.gov
Permit Issued: August 22, 2019
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: Move kitchen sink
Type of Work: Alteration
Worksite Address
4472 CAMELLIA ST
Springfield, OR 97478
Parcel
1702323404412
Owner:
Address:
WOODS LARRY S
4472 CAMELLIA ST
SPRINGFIELD, OR 97478
Business Name
JEFFREY DAVID GRAHAM -
Primary
License
CCB
License Number
189615
Phone
541-653-9523
Inspection
3999 Final Plumbing
3500 Rough Plumbing
Inspection Group
Plumb Res
Plumb Res
Inspection Status
Pending
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: 811049406781
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 entitles performing work under this permit are required to be licensed unless exempted by ORS 701.010
(Structural/Mechanlcal}, ORS 479.540 (Electrical}, and ORS 693.010-020 (Plumbing).
Printed on: 8/22/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD
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P lu m b in g P e r m it A p p lic a tio n
CITY OF SPRINGFIELD, OREGON
225 Fifth Street+ Springfield, OR 97477 + PH(541)726-3753 + FAX(541)726-3689
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 APPRO'lAL~
Zoning approval verified? D Yes D N o
Sanitation approval verified? D Yes D N o
CATEGOR\' OF ~ONSTRUCTION
R eference: Taxlot.:
- i>ESCRIPTION OF WORK
Phone: Fax:
E-mail:
This installation is being m ade on residential or farm property
ow ned by m e or a m ember ofm y im m ediate fam ily, and is
exempt from licensing requirem ents under OA R 918-695-0020.
Signature:
C C B license no.:/ ~ q {;,) 5,...
Plum bing license no.: q I '2.
Signature: 3.
- ,,, , -- FEE :~HEDULE" · A p - ..
~-r1p~n ~ ., '· ,Cost T otal ~- Qty. ,. - ' - ~ ea.. cost
New residential
1 bathroom /I kitchen (includes: first
100 feet of water/sewer lines, hose S333.00 $ bibs, ice maker, underfloor low-point
drains and rain-drain packages)
2 bathrooms/I kitchen ~521.00 $
3 bathrooms/I kitchen 613.00 $
Each additional bathroom (over 3) U 32.00 $
Each additional kitchen (over 1) 5132.00 $
Residential fire sprinklers (includes plan review)
0 to 2,000 square feet 5102.00 $
2,001 to 3,600 square feet 5163.00 $
3,601 to 7,200 square feet 5243.00 $
7,201 square feet and greater 5324.00 $
M anufactured dwelling or pre-fab (circle one)
Connections to building sewer and 102.00 $ water supply
Com mercial, industrial, and dwellings other than one- or
two-family
M inimum fee ~102.00 $
Each fixture ~25.00 $
M iscellaneous fees
100' storm , sewer, water line H 06.00 $
Each fixture, appurtenance, and piping -, 125.00 $ 'Z~
Storm water retention/detention facility 1106.00 $
Irrigation systems/Backflow S25.00 $
Piping or private storm drainage S25.00 $ svstems exceedinz the first I 00 feet
Specialty fixtures 525.00 $
Reinspection (no. of hrs. x fee per hr.) 102.00 $
Special requested inspections (no. of 5102.00 $ hrs. x fee per hr.)
Each additional inspection: (1) 5102.00 $
M edical gas piping M inimum fee $2 s
Enter value of installation and equipment $
Enter fee based on installation and equipment value. $
C :_ :/~' Di:e.,..ENT - USE'' ; ~- 4, ~ ~-'~" ~~, c."
(A) Enter subtotal of above fees $
(M inim um Permit Fee $102.00)
(B) Investigative fee (equal to [A]) $
(C) Enter 12% surcharge (.12 x [A+B]) $
(D) Technology Fee (5%of[A]) $
TO T AL fees and surcharges (A through D): $\\°{,'st
Last edited 7/1/2019 bjones