The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2019-11-01OREGON Web Address: www.springfield-or.9ov Building Permit Residential Plumbing Permit Number: 81 1-19-002465-PLM IVR Number: 8110968237 29 City of Springfield Development and Public Works 225 Fifth Street Springfield. OR 97477 54t-726-3753 Email Address : permitcenter@springfield-or.9ov SPRINGFIELD ,b Permit Issued: November 01, 2019 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: trench for water line - 60 ft Type of Work: New ,OB SITE INFORMATION Worksite Address 4O5O JASPER RD Springfield, OR 97478 Parcel 1802052300203 0wner: Address: 4O5O ]ASPER RD LLC 2224 SANDY DR EUGENE, OR 97401 LICENSED PROFESSIONAL INFORMATION Business Name OWNER - Primary License CCB License Number 000000 Phone PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Res Plumb Res Inspection Status Pending Pending SC}I EDULING 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.build ingpermits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811096823729 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store PERMIT FEES QuantityFee Description Technology Fee Water service - Total linear feet State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Total Fees: permits expire if work is not started within 18O 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 yiolate 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-OO10 through OAR 952-OO1-OO9O. You may obtain Gopies of the rules by calling the Center at (503) 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 479.54O (Electrical), and ORS 693.O10-O20 (Plumbing). printed on: 11/1/19 page 1 of 1 c:\myReports/reports//production/01 STANDARD 60 Fee Amount $s'30 $ 106.00 $12.72 $L24.02 lr "-. I SPRINGFIELD ,h Transaction Receipt 8fi-t9{02465-PLM Receipt Number: 472861 Receipt Date: l1ll/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54t-726-3753 permitcenter@spri n gfield-or. gov OREGON www. sp ri n g fi eld -o r. g ov Worksite address: 4050 JASPER RD, Springfield, OR 97478 Parcel: 1802052300203 Fees Paid Transaction date 11t1t19 11t1119 11t1119 Units 60.00 LnFt 1.00 Ea 'l .00 Automatic Technology Fee Description Water service - Total linear feet State of Oregon Surcharge - Plumb (12% of applicable fees) Account code 224-00000425603-1 034 821 -00000-21 5004-0000 204-00000425605-0000 Fee amount $106.00 $12.72 $5.30 Paid amount $106.00 $12.72 $5.30 Payment Method: Check number: 102 Payer: 4050 JASPER RD LLC Payment Amount:$124.02 Cashier: Katrina Anderson Receipt Total:$124.02 Printed: 11/1/19 11:45 am Page 1 of 1 Fl N_Tra nsaction Receipt_pr [rr- Ctry or SpmNGFrELu, 0Rrcon Plumbing Permit Apptication 225 Fifth Strect o Springfield, OR 97477 . PH(541|126-3753 . 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 lE0 days. SPRINGFIELD h -+ + DEPARTMENT USE ONLY Permitno.: \ -A22,-{t Yf/ Date: tr I r l,a LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E Yes E No Sanitation approval verified? ! Yes fl No CATEGORY OF CONSTRUCTION SResidential ! Govemment ! Commercial JOB SITE INFORMATION AND LOGATION Job site address: ,*O 5Q (:state: r(, R ZIP,qrl413 Reference Taxlot.: DESCRTPTTON Or WOnX PROPERTY e- o SAddress Name citySorjn"\l e ,\3t"t",(p zvglf'l r Phone:a Fax E-mail: l./A INSTALLATION by me from ora 0 3a,t'ul- This installation is Signature: owned' exempt Business Address Cify:State:ZIP Phone:Fax: 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 kitchen (includes : jirst 100 feet of water/sewer lines, hose bibs, ice maker, underfloor low-poin, drains and rain-drain packages) t t333.00 s 2 bathrooms/l kitchen t521.00 $ 3 bathroonr/l kitchen t6t3.00 $ Each additional bathroom (over 3)t132.00 $ Each additional kitchen (over l)u32.00 $ Residential fire sprinklers (includes DIan review) 0 to 2,000 square feet 1102.00 $ 2,001 to 3,600 square feet tr63.00 $ 3,601 to 7,200 square feet $243.00 $ 7,201 square feet and greater t324.00 $ Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply 1102.00 $ Commercial, industrial, and dwellings other than one- or two-family Mininrum fee $r02.00 $ Each fixture $25.00 $ Miscellaneous fees 100' storm, sewer, water line ir06.00 s rob Each fixture, appurtenance, and piping t25.00 $ Storm water retention/detention facility 1106.00 $ Irrigation systems/Backfl ow t25.00 $ Piping or private storm drainage svstems exceedinc the first 100 feet t25.00 $ i25.00Specialty fixtures s Reinspection (no. ofhrs. x fee per hr.)$r02.00 $ Special requested inspections (no. of hrs. x fee per hr.)$102.00 $ Each additional inspection: (l)$102.00 $ Medical qas pipinq Minimum 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 $102.00)lo t,$ (B) Investigative fee (equal to [A])$ s t2-72(C) Enter l27o surcharge (. l2 x [A+B]) (D) Technology Fee (5% of [A])s 9,3a TOTAL fees and surcharges (A through D):$\24, O, Lasr edited 7/l/2019 bjones