The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2019-10-15OREGON web Address: www.springfield-or. gov Building Permit Residential Plumbing Permit Nu mber: 81 f -19-002347 -PLtu| IVR Number: 811096721006 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54t-726-3753 Email Add ress : permitcenter@springfield-or. gov SPRINGFIELD tb Permit Issued: October 15, 2019 Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Backflow for fire suppression Type of Work: New JOB SITE INFOR}IATION Owner:Worksite Address 6451 DOGWOOD ST Springfield, OR 97478 6451 DOGWOOD ST Springfield, OR 97477 Parcel t702344302500 PROGRESSIVE DESIGN BUILDERS INC PO BOX 727 ALBANY, OR 97321 Address LICENSED PROFESSIONAL Business Name ALPHA PLUMBING & ROOTER SERVICE LLC - Primary License ccB License Number 22Lt95 Phone 54L-225-2266 PENDII{G INSPECTIONS Inspection 3620 Backflow Device Inspection Group Plumb Res Inspection Status Pending SCHE 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: 811096721006 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 180 Days or longer depending on the lssuing agency's pollcy. All provisaons of laws and ordinances governing this type of work will be complied with whether specifled herein or not. Granting of a permit does not presume to giye authority to violate or cancel the provislons of any other state or local law regulatang construction or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notifacation 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-t987. All persons or entities performing work under this permit are requared to be licensed unless exempted by ORS 7O1.O1O (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing) Printed onr l1/Lsltg page 1 of 2 C :\myReports/reports//production/0 1 STAN DARD TYPE OF WORK Permit Number: 81 1-19-002347 -PLM Page 2 of 2 Fee Description Technology Fee Backflow preventer Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Printed on: 10/15/19 Quantity Fee Amount $5.10 $2s.00 $77.00 $12.24 $ 1 19.34Total Fees: C :\myReports/reports//production/0 1 STAN DARD 1 Page 2 of 2 PERMIT FEES SPRINGFIETD OREGON www. sp rin gfi eld-or. gov Worksite address: 6451 DOGWOOD ST, Springfield, OR 97478 Parc*l: 1702344302500 b Transaction Receipt 811-19-002347-PLlUl Receipt Number: 472693 Receipt Date: 10/15/19 City of Springfield Development and Public works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@springfield-or. gov Fees Paid Transaction date 10t15t19 10t15t19 10t15t19 10t15t19 Units 1.00 Qty 1.00 Automatic 1.00 Ea '1 .00 Automatic Technology Fee Description Backflow preventer Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (12o/o of applicable fees) Account code 224-00000425603-1 034 224-00000425603-1 034 82 1 -00000-21 5004-0000 204-00000425605-0000 Fee amount $25.00 $77.00 $12.24 $s.1 0 Paid amount $25.00 $77.00 $12.24 $5.1 0 Payment Method:Credit card authorization: 06351 6 Payer:ALPHA PLUMBING & ROOTER SE Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total $1r9.34 Printed: 10/15/19 1:43 pm Page I of 1 Fl N_Transaction Receipt_pr [i -r.,r Ctry or SpnrNGFIELn, ORtrGoN Plumbing Permit Application DEPARTMENT USE ONLY Permitno.: lIa?5Ll? Date lo It t1€n, 225 Fifth Strecr o Springficld, OR 97477 . 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 if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoningapproval verified? fl Ves E No approval verified? E Yes E No CATEGORY OF CONSTRUCTION ! Govemment ! CommercialdResidential JOB SITE INFORMATION ANP LOCATION \ Job site address:^fi il J State: 1fiL ZIP:' {City: \ Reference:Taxlot. DESCRTPTTON pF WORK ,l^J OWNER o t /r\5\e* Name: Address: City:State:ZIP: FaxPhone 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 Signature: CONTRACTOR INSTALLATION Business name:')*h.d-^* Address: (g ft),l a)"ju,.'* lf /*:.*State:6rA zrP: fgLl6'7-City: !"-#,11 Fax:Phoneg-I CCB license no.:22\l 1 Clof BCD license no. Print name Signature: FEE SCHEDULE Total costDescriptionQty.Cost ea. New residential $333.00 $ 1 bathroom/I kitchen (includes : first l00feet ofwater/sewer lines, hose bibs, ice maker, undertloor low-point drains and rain-drain packages) 1521.00 s2 bathrooms/1 kitchen t613.00 $3 bathrooms/l kitchen Each additional bathroom (over 3)u32.00 $ Each additional kitchen (over 1 )$r32.00 $ Residential fire sprinklers (includes plan review) 0 to 2,000 square feet $102.00 $ $163.00 $2,001 to 3,600 square feet 3,601 to 7,200 square feet $243.00 $ 7,201 square feet and greater $324.00 $ 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 Mininrum fee s102.00 $ s25.00 $Each fixture Miscellaneous fees 100' storm, sewer, water line t106.00 $ Each fixture, appurtenance. and piping t25.00 $ $Storm water retentionidetention facility il06.00 t25.00 r}'Irrigation systems/Backfl ow t25.00 sPiping or private storm drainage svstems exceedins the first 100 feet Specialty fixtures i25.00 $ 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.$ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)s p?-J (B) Investigative fee (equal to [A])$ (C) Enter l2'% surcharge (.12 x [A+B])$ (D) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):$ Last edited 7/l/2019 bjones E-mail: E-mail: \ Plumbing license no.: 7mi