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Home My WebLink AboutPermit Plumbing 2019-10-29ORTGON Web Address: www.springfield-or.9ov Building Permit Residential Plumbing Permit Number: 811-19-OO2441-PLM IVR Number: 81 1069079395 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54L-726-3753 Email Address : permitcenter@springfield-or. gov SPRINGFIELD g, Permit Issued: October 29,20L9 Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Replace approx. 40ft water line Type of Work: Replacement Worksite Address 933 HAYDEN BRIDGE RD Springfield, OR 97477 Parcel L70326t200700 Owner: Address: GRUBER MARK EDWIN & LINDA K 933 HAYDEN BRIDGE RD SPRINGFIELD, OR 97477 Business Name JENCOURT ENVIRONMENTAL SERVICES LLC - Primary License ccB License Number 18253 1 Phone 541-689- 171 1 Inspection 3999 Final Plumbing 3500 Rough Plumbing 3300 Water Service Inspection Group Plumb Res Plumb Res Plumb Res Inspection Status Pending Pending Pending Various inspections are minimally required on each project and ofr[en 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: 811069079395 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store permits expire if work as not started within 18o Days of issuance or ifwork is susPended for 180 Days or longer depending on the issuing agencY's Policy. All provisions of laws and ordinances governing this Wpe of work will be comPlied with whether specified herein or not' Granting of a permit does not presume to give authorlw to violate or cancel the provisions of any other state or local law regulating constructlon or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility ilotification Center. Those rules are set forth in oAR 952-OO1-OO1O through oAR 952-OO1-OO9O, You may obtain Gopies of the rules by Galling the center at (503) 232-t9'37. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1'O1O (structurat/Mechanical), oRs 479.540 (Electrical), and oRs 693.O10-O20 (Plumbing). printed on: ror2gtrg page 1 of 2 c:\myReports/reports//prcduction/01 STANDARD a.. I / TYPE OF WORK JOB SITE INFORMATION LICENSED PROFESSIONAL IN FORT,IATION PENDING INSPECTIONS SCH EDULING INSPECTIONS Permit Number: 81 1-19-002441-PLM Page 2 of 2 Fee Description Technology Fee Water service - Total linear feet State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Printed on: LO/29/L9 Quantity Fee Amount $s.30 $106.00 $L2.72 $t24.O2Total Fees: C: \myReports,/reports//production/01 STANDARD 40 Page 2 of 2 PERMIT FEES SPRINGFIELD tfi OREGON www. sp ri n g fi eld-or. gov Worksite address: 933 HAYDEN BRIDGE RD, Springfield, OR97477 Pare-l: 170326'1200700 Transaction Receipt 81 1 -19{0244{ -PLM Receipt Number: 472828 Receipt Date: l0/29/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permitcenter@spri n gfield -or. gov Fees Paid Transaction date 10t29t19 10t29t19 10t29t19 Units 40.00 LnFt '1.00 Ea 1.00 Automatic Technology Fee Description Water service - Total linear feet State of Oregon Surcharge - Plumb (12o/o of applicable fees) Account code 224-00000-425603- 1 034 821 -00000-21 5004-0000 204-00000-425605-0000 Fee amount $106.00 $12.72 $5.30 Paid amount $106.00 $12.72 $5.30 Payment Method: Check number: 1846 Payer: JENCOURT ENVIRONMENTAL SE Payment Amount:$124.02 Cashier: Katrina Anderson Receipt Total:$124.02 Printed: 10/29/19 9:26 am Page 1 of 1 Fl N_TransactionReceipt_pr h Crry or SpmNGFrELu, ORocoN Plumbing Permit Application DEPARTMENT USE ONLY Permitno.: 11-OOY'ryt Date: to[ >q I f q€h, 225 Fifth Street o Springfield, OR 97477 . PH(541\726-3753 . FAX(541)726-3689 This permit is issued under OAR 9lE-7E0-0060. Permits are issued only to the person or contractor doing the work. Permits expire ifwork is not started within 180 days ofissuance or ifwork is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E Y"r E No Sanitation approval verified? E Y". E No CATEGORY OF CONSTRUCTION dResidential ! Govemment E Commercial JOB SITE INFORMATION AND LOCATION Job site address 3 City ft'tt L,,r ZrP pZV77 Reference Taxlot. DESCRIPTION OF WORK Reoia<< u4qr<r 5'€.ru.\ . I'rutn heter ra 4<suse- cT LJak ('r. PROPERTY OWNER Name:6r Address .,.(trb(" P,l. City:{1py,-aq /,.o(Q State: (/Q zrP Q7*77 Phone:Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 918-695-0020. Signature: CONTRACTOR INSTALLATION Business name G oo ell-' Address:ov8 uJ City: {t14rzta2-State: 6€ZIp: 9r(0.L Phone l6n-/1 t(Fax E-mail CCB license no.: l$"? lJ (BCD license no. Plumbing license no.: tA f 18'*) P P.tr, r*rrIat-t Fg as/ " o Signature: FEE SCHEDULE Description ary.Cost ee. Total cost New residential I bathroom/l kttchen (includes : first l00feet ofwater/sewer lines, hose bibs, ice maker, underfloor low-point drains and rain-drain packages) t333.00 $ 2 bathrooms/1 kitchen i521.00 s 3 bathroons/l kitchen $613.00 $ Each additional bathroom (over 3)1132.00 $ Each additional kitchen (over l)$132.00 s 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 s 102.00 $ Each fixture s25.00 $ Miscellaneous fees 100' storm, sewer, water line t 8106.00 $OG $Each fixture, appurtenance, and piping $25.00 Storm water retention/detention facility i106.00 $ Irrigation systems/Backflow $25.00 s Piping or private storm drainage svstems exceedinp the first 100 feet $25.00 $ $25.00 $Specialty fixtures s102.00 $Reinspection (no. ofhrs. x fee per hr.) $ Special requested inspections (no. of hrs. x fee per hr.)1102.00 il02.00 $Each additional inspection: (l) Minimum fee $Medical gas piping Enter value of installation and equipment $ -.$Enter fee based on installation and equipment value. DEPARTMENT USE $ l.Q(A) Enter subtotal ofabove fees (Minimum Permit Fee S102.00) $--(B) Investigative fee (equal to [A]) $ I c,??(C) Enter 120lo surcharge (.12 x [A+B]) sq.'r.o(D) Technology Fee (5% of [A]) s DTOTAL fees and surcharges (A through D): Last edited 7/l/2019 bjones State: di .l