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HomeMy WebLinkAboutPermit Plumbing 2019-09-13OREGON Web Address: www.springfield-or.9ov Building Permit Residential Plumbing Permit Number: 81 1-19-OO21 14-PLM IVR Number: 811O249763L2 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address : permitcenter@springfield-or. gov SPRINGFIELD $ Permit Issuedi September 13, 2019 TYPE OF Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Replace water line 50ft (main house) Type of Work: Replacement JOB SITE INFORMATION Worksite Address 3311 OREGON AVE Springfield, OR 97478 Parcel 17023 13401900 Owner: Address: JUAN M LOPEZ & GRACIELA R LOPEZ REV TR PO BOX 25L9L4 LOS ANGELES, CA 90025 LICENSED PROFESSIONAL IN FORMATION Business Name JOHN RILEY PLUMBING & CONSTRUCTION LLC - Primary License ccB License Number 1606 1 5 Phone 54t-998-28t2 PENDIilG INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection 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. Sched ule or track i nspections at www. bui ld i ng permits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811024976312 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 18O Days of issuance or if work is suspended for 18o Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances goveming this type of work will be complied with whether specifaed herein or not. Granting of a permit does not pr€sume 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 foltow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-OO1-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-L947, All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (structural/Mechanical), ORs 479.540 (Electrical), and ORS 693.o1o-o2o (Plumbing). Printed oni 9/13/19 Page 1 of 2 C: \myReports/reports//production/0 1 STAN DARD h*. Permit Number: 81 1-19-OO21 14-PLM Page 2 of 2 Fee Description Technology Fee Water service - Total linear feet State of Oregon Surcharge - Plumb (t2o/o of applicable fees) Printed on: 9/13/19 Quantity Fee Amount $s.30 $106.00 $t2.72 $t24.O2Total Fees: C:\myReports/reports//production/01 STANDARD 50 Page 2 of 2 PERMIT FEES SPRINGFIELD & Transaction Receipt 811-19-002114-PLM Receipt Number: 472382 Receipt Date: 9/13/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 permitcenter@spri n gfield-or. govwww.spri ngfi eld-or. gov Worksite address: 331 1 OREGON AVE, Springfield, OR 97478 Parel. 1702313401900 Fees Paid Transaction date 9t13119 9t13119 9t13119 Units 50.00 LnFt 1.00 Ea 1.00 Automatic Technology Fee Description Water service - Total linear feet State of Oregon Surcharge - Plumb (12% of applicable fees) Account code 224-00000425603-1 034 82 1 -00000-2 1 5004-0000 I 00-00000425605-0000 Fee amount $106.00 $12.72 $5.30 Paid amount $106.00 $12.72 $5.30 Payment Method:Credit card authorization: 821848 Payer: JUAN M LOPEZ & GRACIELA R LO Payment Amount:$124.02 Cashier: Katrina Anderson Receipt Total:$'124.02 Printed: 9/13/19 9:27 am Page 1 of 1 Fl N_TransactionReceipt_pr Ir OREGON Crry or SpnrNGFrELn, ORncoN Plumbing Permit Application 225 Fifth Street o Springfield, oR 97477 . PH(541)726-3753 o 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. 6, LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E Y"r E No Sanitation approval verified? ! Yes E No CATEGORY OF CONSTRUCTION E Residential ! Government tl Commercial JOB SITE INFORMATION AND LOCATION Jobsiteaddress: e Z it D/.-z:ru,,, l+,J City:state: DI ZIP: '\ 111 Reference DESCRIPTION OF WORK li o a+ PROPERW OWNER Name: Address: il, n E*ro,.:,Srsa 'Br-rJ. CiU: 1n1a IAA-->,-.State:C.4 ZIP: fsqs / c Fax: - G This ifstallation it b"ing made of#sidential 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: - \..^.^ Rr.r.a Pi*,- L,,1.1. . t Address: City State:ZIP: Phone:ax E-mail: CCB license no.:\<BCD license no. Plumbing license no.: Print name Signature FEE SCHEDULE Description 4ry.Cost ea. Total cost New residential I bathroom/l l<ttchen (includes : first l00feet ofwater/sewer lines, hose bibs, ice maker, underJloor low-point drains and rain-drain packages) $333.00 $ 2 bathrooms/l kitchen ts2r.00 $ 3 bathrooms/l kitchen t613.00 $ Each additional bathroom (over 3)u32.00 $ Each additional kitchen (over l)il32.00 $ Residential fire sprinklers (includes plan review) 0 to 2,000 square feet 8102.00 $ 2,001 to 3,600 square feet il63.00 $ 3,601 to 7,200 square feet 0243.00 s 7,201 square feet and greater s324.00 $ 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 t'ee $102.00 $ Each fixture $25.00 $ Miscellaneous fees 100' storm, sewer, water line I il06.00 $ l0b Each fixture, appurtenance, and piping $25.00 $ Storm water retention/detention facility $r06.00 $ Irrigation systems/Backfl ow t25.00 $ Piping or private storm drainage svstems exceedins the first 100 feet 525.00 $ Specialty fixtures 525.00 Reinspection (no. ofhrs. x fee per hr.)$102.00 $ Special requested inspections (no. of hrs. x fee per hr.)$t 02.00 $ Each additional inspection: (1)$t02.00 $ Medical gas piping Minirnurn fee $ Enter value of installation and equipment $ -.Enter fee based on installation and equipment value.$ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) $ lob (B) Investigative fee (equal to [A])$ (C) Enter l20% surcharge (.12 x [A+B])s (D) Techology Fee (5% of [A])$ TOTAL fees and surcharges (A through D): DEPARTMENT USE ONLY Permit no.: (1-OODll'{, -(W Date, ql tzlptq Lasr edited 7/l/2019 bjones Taxlot.: JPhone:RS;-t -r*.i E-mail:' $