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Permit Plumbing 2019-08-30
SPRINGFIELD, Is' aOREGON Web Address: www.springfiield-or.gov Building Permit Residential Plumbing Permit Number: 811 -19 -001693 -PLM -01 IVR Number: 811029108119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or.gov Permit Issued: August 30, 2019 TYPE OF WORK Category of Construction: None Specified Type of Work: None Specified Submitted Job Value: $0.00 Description of Work: Second Story Addition I JOB SITE INFORMATION Worksite Address Parcel Owner: MANNING WILLIAM P & 6095 GRAYSTONE LOOP 1702343303400 MCINTYRE LAURA L Springfield, OR 97478 Address: 6095 GRAYSTONE LOOP SPRINGFIELD, OR 97478 LICENSED PROFESSIONAL INFORMATION None Specified PENDING INSPECTIONS Inspection Inspection Group Inspection Status 3999 Final Plumbing Plumb Res Pending 3500 Rough Plumbing 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: 811029108119 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: 8/30/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD I«§p§3 co 0 0 0 # X LP b t_ r,� , g g o o a &% G E S 2 § Q K d _ _ & \ /ƒ§p\ �_ ato 2jat\ cu % 'offer a L)\ \ E CL § f § \ ) k E CL f £ \ S S S S 4 - E d 04 N % K a. . _ a _ k ) \ \ \ \ \ \ 9 9 \ \ \ \ \ \ f V U U Q § Q 6 6 6 6 6 6 Q 9 9 9 9 9 9 ) § §C § § co IL ■ ¢Z 2 0 . V 7E $ a ' LLy E 2 L J 2 � �s .{ § E § k E / f § k \ k k § ? @ ; k a � / k LL cc ) 2 2 k » o A 2 CM CL k t _@ / N k k § $ Q ° _ _ / 2 B \ / 00 / oE q t w g z 2 � a 3 3 J w J } 7 S O § $ \ \ $ -0 @ LO o & - - - - - @ o Sk \k o3 J o A§ 0 2 ,k / -0 Cl) k 2 c 2 0 0 cz E i f I« o 0 0 = f $ / a \ / / / \ Ce) \ \ c co c m m a. 0 CL � e E a. Plumbing Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY OF SPRINGFIELD., OREGON Permit no.: I f2 —001(a 2) 3 L41- 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 Date; a 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 ❑ Government I ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: 6 ®(5' I-00 City: p-'- State: ©k_ I ZIP: c?7i 7S Reference: Taxlot.: DESCRIPTION OF WORK rr Residential firesprinklers (includes plan review) PROPERTY OWNER Name: !{ e -?_ i t 1C-1-�1 y s`z- 9� r Address: (o d S is'tr f-0.1 e_ LGa, City: State: ZIP: q7 y7 Phone: 31 r - 23 i -n Fax: - - E-mail: Aln ctwlc te5 o --c. This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt fromli� it ements under OAR 918-695-0020. Signature. CONTRACTOR INSTA14LATION Business name: k r •� g Address: City: State: © ZIP: Phoney[ -7yf- '65'5-3 Fax: - - E-mail: s to r /,e47urn �� n I:?—Mk _ Co.S j2 CCB license no.: /.g Zq $ BCD license no.: Plumbing license no.: Print name: Signature: Last edited 7/1/2019 bjones FEE SCHEDULE Description Qt,. Cost ea. Total cost New residential 1 bathroom/1 kitchen (includes: first 100 feet of water/sewer lines, hose bibs, ice maker, underfloor low point drains and rain -drain packages) 333.00 $ 2 bathrooms/1 kitchen $521.00 $ 3 bathrooms/1 kitchen $613.00 $ Each additional bathroom (over 3) 132.00 $ Each additional kitchen (over 1) 132.00 $ 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 $ 1324.00 7,201 square feet and greater $ Manufactured dwelling or pre -fab (circle one) Connections to building sewer and 102.00 water supply $ 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): $