HomeMy WebLinkAboutPermit Plumbing 2019-10-08SPRINGIIELD
Web Address: www.springfield-or. gov
Building Permit
Residential Plumbing
Permit Number: 8f 1-19-OO23O1-PLM
IVR Number: 811005107736
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54t-726-3753
Email Address: permitcenter@springfield-or.9ov
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GONORE
Permit Issued: October 08, 2019
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: Replace sanitary sewer line 70ft
Type of Work: Replacement
Worksite Address
2428 JST
Springfield, OR 97477
Parcel
170325430610 1
Owner:
Address:
ZUBER JOHN R & LEE M
2557 HARRIS ST
EUGENE, OR 97405
Business Name
READY ROOTER DRAIN CLEANING
& REPAIR SERVICE INC - Primary
License
CCB
License Number
92524
Phone
54t-744-799t
Inspection
3999 Final Plumbing
3500 Rough Plumbing
3200 Sanitary Sewer
Inspectaon Group
Plumb Res
Plumb Res
Plumb Res
Inspection Status
Pending
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: 811005107736
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 18O 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 permlt does not presume to give authoriw to violate or cancel the provisions of any other state or local law
regulating Gonstruction 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-OO1-OOIO through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503)
232-L987.
All persons or entlties 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 on: 1O/g/19 page 1 of 2 C:\myReports/reports//production/01 STANDARD
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TYPE OF WORK
JOB SITE INFORIIIATION
LICENSED PROFESSIONAL IN FORMATION
PENDING INSPECTIONS
SCHEDULING INSPECTIONS
Permit Number: 81 1-19-OO23O1-PLM Page 2 of 2
Fee Description
Technology Fee
Sanitary sewer - Total linear feet
State of Oregon Surcharge - Plumb (L2o/o of applicable fees)
Printed on: 10/8/19
Quantity Fee Amount
$ 5.30
$ 106.00
$L2.72
$124.02Total Fees:
C :\myReports/reports//production/01 STANDARD
70
Page 2 of 2
PERMIT FEES
SPRINGFIETD
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OREGON
www. springfi eld-or. gov
Worksite address: 2428 J ST, Springfield, OR 97477
Parcel:1703254306101
Transaction Receipt
81 1-19-002301-PLM
Receipt Number: 472632
Receipt Date: l0/8/19
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54r-726-3753
permitcenter@spri ngf ield-or. gov
Fees Paid
Transaction date
10t8t19
10t8t19
10t9t19
Units
70.00 LnFt
1.00 Ea
1.00 Automatic Technology Fee
Description
Sanitary sewer - Total linear feet
State of Oregon Surcharge - Plumb (12o/, of
applicable fees)
Account code
224-00000425603-1 034
82 1 -00000-2 1 5004-0000
204-00000425605-0000
Fee amount
$106.00
$12.72
$5.30
Paid amount
$106.00
$12.72
$5.30
Payment Method:Cred it card authorization:
091 02d
Payer: READY ROOTER DRAIN CLEANIN Payment Amount:$124.O2
Cashier: Katrina Anderson Receipt Total:$124.02
Printed: 10/8/19 2:54 pm Page 'l of I Fl N_Transaction Receipt_pr
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Cruv on SpnrNGFrELu, ORtrcoN
Plumbing Permit Application DEPARTMENT USE ONLY
Permitno.: \1-AOZgo I
Date to( b/ rq0n
225 Fiftlr Street o Springficld, OR 97477 . PHl54l)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 APPROVAL
Zoningapproval verified? ! Yes E No
Sanitation approval verified? E yes E No
CATEGORY OF CONSTRUCTION
[JResidential I Government E Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: 7q Z0 .\ 51
Crty: ,(oX 1.afi,e.tA State:p 1)ZIP:Q-1q11
Reference: \')t
Taxlot.
DESCRIPTION OF WORK
I
PROPERW OWNER
Name: .\iVrn 2ud_-f
Address: 2\ZB J j1
Cify: $fn-pq cs-a d.State: O tt2 ZIP: Q1q11
Phone Fax
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 9l 8-695-0020.
Signatwe :
CONTRACTOR INSTALLATION
Business name:
Address o n
City: l1r4n 2n1 Stale:11 y2 ZIP:q1467
Phone:Jg1-7ry .7crct I Fax:
E-mail:
CCB license no.l. Oq 2 <2.r1 BCD license no.
Plumbing license no.
Print name: ,[)f*g /,lfzetz+l , s /
Signature:
FEE SCHEDULE
Total
costDescriptionQty.Cost
ea.
New residential
1 bathroom/l kttchen (includes : first
l00feet ofwater/saner lines, hose
bibs, ice maker, underJloor low-point
droins and rain-drain packnges)
s333.00 $
2 bathrooms/l kitchen 1521.00 $
3 bathrooms/l kitchen 1613.00 $
Each additional bathroom (over 3)f132.00 $
Each additional kitchen (over I )il32.00 $
Residential fire sprinklers (includes plan review)
$0 to 2,000 square feet 1r02.00
2,001 to 3,600 square feet $163.00 $
3,601 to 7,200 square feet $243.00 $
7,201 square feet and greater $324.00 $
Manufactured dwelling or pre-fab (circle one)
$102.00 $
Connections to building sewer and
water supply
Commercial, industrial, and dwellings other than one- or
two-family
Minimum fee $102.00 $
Each fixture $2s.00 $
Miscellaneous fees
100' storm, sewer, water line \.8r06.00 $tob
$Each fixture, appurtenance, and piping 825.00
Storm water retention/detention facility 1106.00 $
lrrigation systems/Backfl ow 825.00 $
Piping or private storm drainage
svstems exceedins the first 100 feet $25.00 $
$25.00 $Specialty fixtures
Reinspection (no. ofhrs. x fee per hr.)$102.00 s
Special requested inspections (no. of
hrs. x fee per hr.)$102.00 $
Each additional inspection: (l)$102.00 $
Minimurn fee $Medical gas piping
Enter value of installation and equipment $
-.
$Enter fee based on installation and equipment value.
DEPARTMENT USE
'(oQ
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)
(B) Investigative fee (equal to [A])$
(C) Enter l27o surcharge (.12 x [A+B])
(D) Technology Fee (5% of [A])$
TOTAL fees and surcharges (A through D)
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$
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