HomeMy WebLinkAboutPermit Plumbing 2019-08-30SPRINGTIELD
OREGOfl
Web Address: www.springfield-or.gov
Building Permit
Residential Plumbing
Permit Number: 811-19-OO2OO7-PLM
IVR Number: 811080187878
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-7 26-37 53
Email Address: permitcenter@sprinSlield-or.9ov
Permit Issued: August 30, 2019
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: Replacing 65 lineal feet of water service
Type of work: Replacement
fOB SITE INFORMATION
Worksite Address
345 35TH ST
Springfield, OR 97478
Parcel
1702312412603
WARD DENNIS L &
BARBARA S
345 N 35TH ST
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL INFORMATION
Business Name
JENCOURT ENVIRONMENTAL
SERVICES LLC - Primary
License
CCB
License l{umber
182531
Phone
541-689-1711
PENDING INSPECTIONS
Inspection
3999 Final Plumbing
3300 Water Service
lnspection Group
Plumb Res
Plumb Res
Inspection Status
Pending
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: 811080187878
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
permits expire if work is not started within 180 Days of lssuance or if work ls suspended for 180 Days or longer dependlng on
the issuin0 agency's Policy.
Att provisions of laws and ordinances govemlng this type of work will be complied with whether sPecified hereln or not.
Granting of a permit does not presume to give authority to violate or cancelthe provisions of any other stat€ or local law
regulating construction or the performance of construction.
ATTENTTO : Oregon law requtres you to follow rules adopted by the Oregon Utility {otlflcation Center. Those rules are set
forth in OAR 952-OO1-oolo through OAR 952-Oo1-OO9O. You may obtaln copies of the rules by calling the center at (503)
232-L987,
Atl persons or entities perrormlng work under thls permit are required to be licens€d unless ex€mpted by ORS 701.O1O
(Structural/Mechanlcal), ORS 479.540 (Electrical), and ORS 693.OlO-O2O (Plumbing).
printe6 on: a/30/19 page r of 2 ci\EyReports/reports//production/01 STANDARD
$
Owner:
Address:
Permit Number; al l-19-OO20O7-PLM Page 2 of 2
Fee Description
Technology Fee
Water service - Total linear feet
State of Oregon Surcharge - Plumb (12olo of applicable tues)
Quantity Fee Amount
$s.30
$106.00
$12,72
$L24.02
65
Total Fees:
C:\myReports/repor.s//prcductEn/01 STANDARD
PERMIT FEES
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Plumbing Permit Application
Hfr
This permit is issued under OAR 9lE-7E0-0060. Permits are issued onl) to the person or contractor doing the work. Permits
expire if work is not started within lE0 dals ofissuance or ifwork is suspended for lE0 days.
2
DEPARTMENT USE ONLY
Pemrit no l?-<]6,zq)7^lg_30_(2Date
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? ! Yes E No
Sanitation approval verified? ! Yes E No
CATEGORY OF CONSTRUCTION
dResidential E Government E Commercial
JOB SITE INFORMATION ANO LOCATION
Job site ad&ess: 7{J- 3t ttt 5r-
city: J,p6;na (; -( a/State: {(€ztP: ) -r(7 $
Reference Taxlot
DESCRIPTION OF WORK
/?eli., nq u,./d{ c( fatuiz < fn*, Aer.r rc
l6tt;e.
PROPERTY OWNER
Name: ps4q[5 L|/an"L
Address 3'{t >t rn tf.
cr.v: 50r,uq f-; -(J State: C Q ztP )lV7K
Phone' 9Y /.tY) )181
E-mail: -/'
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
Signatule:
CONTRACTOR INSTALLATION
o 6 rau'
Address L(o\( g u. ("
State:6€ztP: )A 62ciry: {t-<,/e-ue
Fax
E-rnail
ig2tl (CCB license no
Plumbing license no ., ( 0 f t 8"1 7
Print name 6h e6 e
FEE SCHEDULE
Descrlption aty Cost
ea,
Total
cost
Ncw rcsidential
I bathroor/l kitchcn (includes: lrst
100 feel ofwater/sewer lines, hose
bihs, ice maker, underJloor low-point
drains and rain-drain paclages)
s331.00 s
s521.00 S2 bathrooms/l kitchen
ss6l1.00
Each additional bathroom (over 3)st 32-00 S
Each additional kitchen (over I )$t 32.00 s
Residentiel lire sprinklers (includes plin revierl')
0 to 2,000 square feet $102.00 S
S2,001 to 3,600 square feet $163.00
3,601 to 7,200 square fcet s2,t3.00 s
7,201 squalc feet and greatct t324.00 S
Manufactured dwelling or pr.-fab (circle one)
Connections to building scwer and
water supply 02.00 S
Commercial, industrirl, end dwellings other thrn one- or
trr'l>frmilv
Mininrum fee ! 102.00 s
Each fixture $25.00
lltiscellaneous fees
$106.00 $ rhC100' storm, sewer, water line
SEach fixture, appurtenance, and piping $25.00
SSlorm water retentior/delention facility st 06.00
lnigation systems/Backfl ow I25.00 S
Piping or private storm drainage
syslems cxceedinq the firsl 100 Get $25.00 S
Specialty fixtures s25.00 S
s102.00 SReinspection (no. ofhn. x fee per hr.)
sSpecial requcsted inspcctions (no. of
hrs. x fee per hr.)$102.00
Eech additional iDspection: (l)$102.00 s
Medical gas piping Minimum l'ee
Enter value ofinstallation and equipment $
-SEnter fee based on installation and equipment value
DEPARTMENT USE
thc-.9.s
(A) Enter subtotal olabo\e l'ees
(Minimum Permit Fee $102.00)
(B) tnvestigative fee (equal lo [A])S
(C) Enter l27o surcharge (.12 x [A+B])$ lz.7 7
(D) Technology Fee (5% of [A])s 5.3(
$ lz4-,TOTAL fees and surcharges (A through D):
t asr edired 7/l/2019 bjones
225 Fifth Sreet . Sprin8ficld, OR 97477 . PH\5411126-3753 . FAX(541)726-3669
Fax:
Business name:
Phone:
BCD license no.:
Signature:
3 balhrooms/l kitchen
s
s