HomeMy WebLinkAboutPermit Plumbing 2019-10-11SPRINGFIELD
OREGON
Web Address: www.springfield-or.gov
Building Permit
Residentia! Plumbing
Permit Number: 811-19-002332-PLM
IVR Number: 81 1012566984
City of Springfield
Development and Public Work
225 Fifth Streel
Springfield, OR 97477
54t-726-3753
Email Address: permitcenter@springfield-or.go\
Permit Issued: October 11, 2019
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: Replace 95ft of sewer line
Type of Work: Replacement
JOB SITE INFORMATION
Worksite Address
2015 S A ST
Springfield, OR 97477
Parce!
t703364207400
Owner:
Address:
TROWBRIDGE BECKI J &
LEE RAY
631 COLONIAL DR
SPRINGFIELD , OR 97477
LICENSED PROFESSIONAL INFORMATION
License
ccB
License Number
92524
Phone
54t-744-7991READY ROOTER DRAIN CLEANING
& REPAIR SERVICE INC - PTimary
PENDING INSPECTIONS
Inspection
3999 Final Plumbing
3500 Rough Plumbing
3200 Sanitary Sewer
Inspection Group
Plumb Res
Plumb Res
Plumb Res
Inspection Status
Pending
Pend ing
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. building permits.oregon. gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811012566984
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 dependang on
the issuing agency's policy.
All provisions of laws and ordinances governing this type of work will be complied with whether sp€cified 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-OO1-OO1O through OAR 952-OOI-OO9O. You may obtain copies of the rules by calling the Center at (5O3)
232-1987.
All persons or entities performing work under this permit are requircd to be licensed unless exemPted by ORS 7O1.O10
(Structural/Mechanica!), ORS 479.54o (Electrical), and oRs 593.O1O-O2o (Plumbing).
Ir
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Permit Number: 81 1-19-O02332-PLM Page 2 of 2
Fee Description
Technology Fee
Sanitary sewer - Total linear feet
State of Oregon Surcharge - Plumb (l2o/o of applicable fees)
Quantity
Total Fees:
Fee Amount
$s.30
$106.00
$L2.72
$t24.02
95
Printed on: TOlLU19 Page 2 of 2 C: \myReports/reports//production/0 1 STAN DARE
PERMIT FEES
SPRINGFIELD
&
Transaction Receipt
811-19-002332-PLM
Receipt Number: 472673
Receipt Date: 10/11/19
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
permitcenter@spri ngfield -or. gov
OREGON
r*vw. sp ri n g fi e ld -o r. gov
Worksite address: 2015 S A ST, Springfield, OR 97477
Parcel: 1703364207400
Fees Paid
lransaction date
10t11t19
10t11t19
10t11t19
Units
95.00 LnFt
1.00 Ea
1.00 Automatic Technology Fee
Description
Sanitary sewer - Total linear feet
State of Oregon Surcharge - Plumb (12o/o of
applicable fees)
Account code
224-00000425603-1 034
821 -00000-21 5004-0000
204 -OOO00 -42560 5-0 000
Fee amount
$106.00
$12.72
$5.30
Paid amount
$106.00
$12.72
$5.30
rayment Method: Credit card authorization:
7331 00
Payer:TROWBRIDGE BECKIJ & LEE RA Payment Amount:$124.O2
Sashier: Katrina Anderson Receipt Tota!:$124.02
rrinted: 't0/11l19 3:58 pm Page 1 of 1 Fl N_Tra nsaction Receipt_pr
Ir
Cmv or SrnrNGFIELo, ORucoN
Plumbing Permit Application
LOCAL GOVERNMENT APPROVAL
Zoningapproval verified? ! Ves E No
Sanitation approval verified? ! Ves E No
CATEGORY OF CONSTRUCTION
p Resrdential E Government E Commercial
JOB SITE INFORMATION AND LOCATION
Job site address:
City:ZI*JLI
Reference:Taxlot.
DESCRIPTION OF WORK
-v
PROPERW OWNER
Address:I
State:n€-yt>>
Phone Fax
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate fqmily, and is
exempt from)yensinS requirements
_rElgr
gAR 9 I 8-695-0020.
Signature: I--.- ./-
dOnrnACffi R TNSTALLATION
Business name:
Address )
City:State ZIP
Phone:Fax:
E-mail:
ccB license no.,{}S 2tt BCD license no.
Plumbing license no.
Print name
Signature
SP}II'{GTIELD
ffi,
225 Fifth Street I Springfield,,OR97477 . 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 ifwork is not started within 1E0 days ofissuance or ifwork is suspended for 180 days.
FEE SCHEDULE
Description Qty.Cost
ea.
Total
cost
New residential
I bathroom/1 kitchen (includes : first
l00feet ofwater/sauer lines, hose
bibs, ice maker, underfloor low-point
droins ond rain-drain packnges)
s333.00 $
2 bathrooms/l kitchen $s21.00 $
3 bathrooms/l kitchen $613.00 $
Each additional bathroom (over 3)$132.00 $
Each additional kitchen (over 1)$132.00 $
Residential fire sprinklers (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 8243.00 $
7,201 square feet and greater $324.00 $
Manufactured dwelling or pre-fab (circle one)
Connections to building sewer and
water supply 8102.00 $
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 (il06.00 $t ov
Each fixture, appurtenance, and piping t25.00 $
Storm water retention/detention facility $106.00 $
Irrigation systems/Backfl ow 825.00 $
Piping or private storm drainage
svstems exceedins the first 100 feet t2s.00 s
Specialty fixtures 12s.00 $
Reinspection (no. ofhrs. x fee per hr.)$102.00 $
Special requested inspections (no. of
hrs. x fee per hr.)$102.00 $
Each additional inspection: (l)$102.00 $
Medical gas piping Minimurn fee $
Enter value of installation and equipment $
-.
Enter fee based on installation and equipment value.s
DEPARTMENT USE
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)
s loG
(B) Investigative fee (equal to [A])s
(C) Enter 120lo surcharge (.12 x [A+B])s
(D) Technology Fee (5% of [A])$
TOTAL fees and surcharges (A through D):s lrq.02
DEPARTMENT USE ONLY
Permirno.: frlg> 233>-?
Date:tcrItr\rq'
Last edited 7/l/2019 bjones
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