HomeMy WebLinkAboutPermit Plumbing 2019-11-14CitY of SPringfield
D ev er op ment .
11 }tffi H'u"T.
SPringfield' OR 97477
541-726-3753
SPRINGTIELD
OREGON
Web Address: www.springfield-or' gov
OB Building Permit
Residential Plumbing
Permit Number: 8t1'19'002563'PLM
IVR Number: 811050506695
Email Address: permitcenter@springfield-or' gov
Permit Issued: November t4,2OL9
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Type of Work: RePlacement
of Work: Remove tub, add lav and replace 30 ft sewer lineDescription
worksite Address
2555 GRAND VISTA DR
Springfield, OR 97477
Parcel
L7032431ot700
Owner:
Address:
NAKAMURA GERALD T &
ROSELEE K
2555 GRAND VISTA DR
SPRINGFIELD , OR 97477
LICENSED PROFESSIONAL INFORMATION
Business Name
ALPHA-PLUMBING & ROOTER
SERVICE LLC - Primary
Lacense
CCB
License Number
22LL95
Phone
54t-225-2266
Inspection
3999 Final Plumbing
3500 Rough Plumbing
3200 Sanitary Sewer
Inspection Group
Plumb Res
Plumb Res
Plumb Res
Inspection Status
Pending
Pending
Pending
SCHEDULING
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: 811050506695
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permits expire if work is not started wlthin 18o Days of issuance or if work ls 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 ofa permit does not presume to give authority to violate or cancel the provisions ofany 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-oO1-oo9o. You may obtain copies of the rules by calling the center at (so3)
232-1987.
All persons or entities performing work under this permit are reguired to be licensed unless exempted by oRs Tol.OlO(structurat/Mechanicar), oRs 479,540 (Etectricat), and oRs 693,oro-o20 (prumbing).
Printed on: 11/14/79
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TYPE OF WORK
,OB SITE INFORMATION
PENDING INSPECTIONS
Permit Nu mbe r: g I I _ tg _OO 2g6g_p LM
Fee Description
Technology Fee
Sanitary sewer - Total linear feet
Sin k/basin/lavatory
Tub/shower/shower pan
State of Oregon Surcharge - plumb (L2o/o of applicable fees)
Printed on: 11/14/19
Page 2 of 2
Quantaty Fee Amount
97.80
$106.00
92s.00
92s.00
$18.72
$182. s2Total Fees:
C :\myReports/reports//production/0 1 STANDARO
30
1
1
Page 2 of 2
PERMIT FEES
SPRINGFIELD
,tfr
Transaction Receipt
81 I -1 9-002563-PLM
Receipt Number: 472989
Receipt Date= 11114119
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54t-726-3753
permitcenter@sprin gf ield-or. gov
OREGON
www. sp ri ngfi eld-or. gov
Worksite address: 2555 GRAND VISTA DR, Springfield, OR97477
Parenl: 1703243101700
Fees Paid
Transaction date
11t14119
11114119
11t14t19
11114119
't't t14t19
Units
30.00 LnFt
1.00 Qty
1.00 Qty
1.00 Ea
1.00 Automatic
Description
Sanitary sewer - Total linear feet
SinUbasin/lavatory
Tub/shower/shower pan
State of Oregon Surcharge - Plumb (12o/o of
applicable fees)
Technology Fee
Account code
224-00000 -425603-'1 034
224-00000-425603- 1 034
224-00000-425603- 1 034
82 1 -00000-2 1 5004-0000
204-00000425605-0000
Fee amount
$106.00
$25.00
$25.00
$18.72
$7.80
Paid amount
$106.00
$2s.00
$2s.00
$18.72
$7 80
Payment Method Credit card authorization
0055'13
Payer:ALPHA PLUMBING & ROOTER SE Payment Amount:$182.52
Cashier: Katrina Anderson Receipt Total:$182.s2
Printed: l'1114l19 10:56 am Page 1 of 1 Fl N_Transaction Receipt_pr
tr
Plumbing Permit Application
225 Fifth Street 0 Springfield,,OR9747'1 . PH(541)726-3753 r 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 180 days ofissuance or ifwork is suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
Zoningapproval verified? E yes E No
Sanitation approval verified? ! Yes E No
CATEGORY OF CONSTRUCTION
EI-Residential ! Govemment E Commercial
JOB SITE INFORMATION AND LOCATION
Job site aadress?-S5 SqrzJO U;Se
State:dL ^Px/{7/Reference Taxlot.
DESCRIPTION OF WORK
(g*--t 4ua ,f k o( ltt
M{'*) l),.o-
PROPERTY OWNER
Name:
Address
City:ZIP
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 91 8-695-0020
Signature:
CONTRACTOR INSTALLATION
Business name ?fu l-{--
Address: lOlO tso'.t,d/ t 6*
City hn-tL-State:4&,zw.q7/oJ
Phon541-D-E-- Ltbb Fax:
E-matl:pt y ll @ tNciortctaO p ;pg,g 4 ok
CCB license no.'J}BCD license no.:
Plumbing license no.: fl/J/ rff
,1^
Signature
SPTINGFIELD
,h,
DEPARTMENT USE ONLY
Permit no.: lq .OA2S tr.ry-?U
D^E:if -///'/ 4
FEE SCHEDULE
Description Qty Cost
ea.
Total
cost
New residential
I bathroom/l kitchcn (includes : first
l00feet of water/sewer lines, hose
bibs, ice maker, underJloor low-point
drains and rain-drain packages)
$333.00 $
2 bathrooms/1 kitchen $s2t.00 $
3 bathrooms/l kitchen $613.00 q
Each additional bathroom (over 3)$132.00 $
Each additional kitchen (over I )$132.00 $
Residential fire sprinklers (includes plan revieu')
0 to 2,000 square feet $r02.00 s
2,001 to 3,600 square feet $163.00 $
3,601 to 7,200 square feet $243.00 $
7,201 square feet and greater s324.00 $
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
Minimum fee $102.00 $
Each fixture $25.00 $
Miscellaneous fees
100' storm, sewer, water line I $106.00 $lo(,
Each fixture, appurtenance, and piping a._$25.00 $SO
$r06.00 sStorm water retention/detention facility
Irrigation systems/Backfl ow t25.00 s
Piprng or pnvate storm drainage
svstems exceedins the first 100 feet $25.00 $
Specialty fixtures t25.00 $
i102.00 $Reinspection (no. ofhrs. x fee per hr.)
Special requested inspections (no. of
hrs. x fee per hr.)$102.00 $
Each additional inspection: (1)Er02.00 $
Medical gas piping Minirnum 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 $f 02.00)$16@
(B) Investigative fee (equal to [A])$
(C) Enter l20% surcharge (.12 x [A+B])$ (g .'? ?-
$f .9e(D) Technology Fee (5% of [A])
TOTAL fees and surcharges (A through D):$B}.92
Last edited 7/l/2019 bjones
Cmv oF SPRTNGFTBLD, OREGoN
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Print name: