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Home My WebLink AboutPermit Plumbing 2019-11-12OREGON Web Address: www.springfield-or.gov Building Permit Residential Plumbing Permit Number: 81 1-19-OO2535-PLM IVR Number: 811091517207 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54r-726-3753 Email Address : permitcenter@springfield-or.9ov SPRINGFIELD tfi Permit Issued: November L2,2OL9 Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Replace approx. 40 ft of water line Type of Work: Replacement Worksite Address 375 S 51ST PL Springfield, OR 97478 Parcel 1702333403600 Owner: Address: STEPHENS ]OHN & JAN 375 S 51ST PL SPRINGFIELD, OR 97478 Business Name ER PIPELINE SERVICES LLC - Primary License ccB License Number 2t7t72 Phone 54L-232-LL34 Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Res Plumb Res Inspection Status Pending Pending 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. build ing permits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811091517207 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 18O Days or longer dependlng on the issuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether specified hereln 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. ATTENTIONT 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 catting the Center at (so3) 232-L9a7. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.01O-O2O (plumbing), Printed on: 7u12ll9 page 1 of 2 c:\myReports/reports//production/01 STANDARD li-i. TYPE OF WORK JOB SITE INFORMATION LICENSED PROFESSIONAL INFORMATION PENDIT{G IT{SPECTIONS SCHEDULING INSPECTIONS Permat Number: 81 1-19-002535-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: 11/12119 Quantity Fee Amount $s.30 $ 1 06.00 $12.72 $124.02Total Fees: C:\myReports/reports//production/0 1 STAN DARD 40 Page 2 of 2 PERMIT FEES SPRINGFIETD b OREGON www. sp ri n g fie ld-or. gov Worksite address: 375 S 51ST PL, Springfield, OR 97478 Pare-l'. 1702333403600 Transaction Receipt 81 1 -1 9-002535-PLM Receipt Number: 472961 Receipt Date:11112119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 547-726-3753 permitcenter@spri n gfield-or. gov Fees Paid Transaction date 11t12119 11t12t19 11t12119 Units 40.00 LnFt 1.00 Ea 1.00 Automatic Technology Fee Description Water service - Total linear feet State of Oregon Surcharge - Plumb (12% ot applicable fees) Account code 224-00000425603-1 034 82 1 -00000-2 1 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'. 1112 Payer: STEPHENS JOHN & JAN Payment Amount:$124.02 Cashier: Katrina Anderson Receipt Total:s124.02 Pi.nled 1 I I 121 19 I 2: 1 8 pm Page 'l of 'l Fl N_TransactionReceipt_pr l} ,r- Crry or SpmNGFrELn, ORtrGoN Plumbing Permit Application DEPARTMENT USE ONLY Permit no fl-oa?Sr, -fr, Date: t. I rzltq FEE SCHEDULE Description aty Cost ea. Total cost New residential 1 bathroom/1 kitchcn (includes: first 100 feet of water/sewer lines, hose bibs, ice maker, underfloor low-point drains and rain-drain packages) $333.00 $ 2 bathroomsi I kitchen $521.00 $ 3 bathrooms/l kitchen s613.00 $ Each additional bathroom (over 3)$132.00 $ Each additional kitchen (over I )$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 $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 Minimum fee $102.00 $ Each fixture $25.00 $ Miscellaneous fees 100' storm, sewer, water line I $r06.00 $fnl Each fixture, appurtenance, and piping $25.00 $ Storm water retention/detention facility $r06.00 $ Irrigation systems/Backfl ow $25.00 $ Piping or private storm drainage svstems exceedins the first 100 feet $2s.00 $ Specialty fixtures $2s.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)$r02.00 $ Medical gas piping 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 $102.00)$ {oG (B) Investigative fee (equal to [e])$ (C) Enter 120% surcharge (.12 x [A+B])s (D) Technology Fee (s% of [A])$ TOTAL fees and surcharges (A through D):$ laq,c €n, [u 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 I E0 days of issuance or if work is suspended for I 80 days. 225 Fifth Strcct o Springficld, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 LOCAL GOVERNMENT APPROVAL Zontngapproval verified? ! Yes E No Sanitation approval verified? f] yes n Uo CATEGORY OF CONSTRUCTION E Residential I Govemment E Commercial JOB SITE INFORMATION AND LOCATION Job site address: .ql q-- 5 . q, str I City:$o.,,, oQo,trl State:(\l(zrPt11q17 Taxlot. DESCRIPTION OF WORK PROPERTY OWNER Name: -Address .ih City: !p ne{a State:$ [(zrP:Q1qf 7 Phone:5t-11-$3- q SSS Fax: E-mail: Gr.rt i h This installation being made on member of my or farm property and isowned exempt meora 8-695 -0020. Signature ALLATION Businessname: f g P,pglroO Sgrvices LLC- Address: I O Vantr ) r€ v) A'v.€ City.(s$r6az C.*ave.State:fi (ZIP: Phone$t{l -l\} ll3q Fax: CCB license no.:BCD license no.: license no. Printname: Aafo n Signature lasr edired 7/l/201 9 bjones L a,C€ ,-t I Reference: immediate under OAR E-mail: