HomeMy WebLinkAboutPermit Plumbing 2019-11-06OREGON
Web Address: www.springfield-or.9ov
Building Permit
Residential Plumbing
Permit Number: 81 1-19-OO25O3-PLM
IVR Number: 81 1040449181
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54r-726-3753
Email Address : permitcenter@springfield-or. gov
SPRINGFIELD
$
Permit Issued: November 06, 2019
TYPE OF WORK
Category of Construction: Single Family Dwelling Type of Work: Replacement
Submitted Job Value: $0,00
Descriptaon of Work: Replace sewer and water line approx. 50 ft each
,OB SITE INFORIIIATION
Worksite Address
522 E ST
Springfield, OR 97477
Parcel
1703352403600
Owner:
Address:
HUSON ROBERT C
522 E ST
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL IN FORMATION
Business Name
OWNER - Primary
License
CCB
License Number
000000
Phone
PENDING INSPECTIONS
Inspection
3999 Final Plumbing
3500 Rough Plumbing
3200 Sanitary Sewer
3300 Water Service
Inspection Group
Plumb Res
Plumb Res
Plumb Res
Plumb Res
Inspection Status
Pending
Pending
Pending
Pending
SCH 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 inspections at www.build ing permits.oregon. gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811040449181
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 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 violate 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-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling th€ Center at (503)
232-t987.
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O
(Structural/tlechanical), ORs 479.540 (Electrical), and ORS 693.o1o-O2O (Plumbing).
Printed on: 11/6/19 Page 1 of 2 C:\myReports/reports//productlon/o1 STAN DARD
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Permit Number: 81 1-19-OO2503-PLM Page 2 of 2
Fee Description
Technology Fee
Sanitary sewer - Total linear feet
Water service - Total linear feet
State of Oregon Surcharge - Plumb (t2o/o of applicable fees)
Printed on: 11/6/19
Quantity Fee Amount
$ 10.60
$ 106.00
$ 106.00
$2s.44
$248.04Total Fees:
C :\myReports/reports//prcduction/01 STAN DARD
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50
Page 2 of 2
PERMIT FEES
SPRINGFIELD
tt
Transaction Receipt
8{1-19{02503-PLM
Receipt Number: 472903
Receipt Date: 11/6/19
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-726-3753
permitcenter@sprin gfield-or. govOREGON
www. springfi eld-or. gov
Worksite address: 522 E ST, Springfield, OR97477
Parcel: 1 703352403600
Fees Paid
Transaction date
11t6t19
11t6t19
11t6t19
11t6t19 't .00 Automatic
Account code
224-00000425603-1 034
224-00000-425603-1 034
82 1 -00000-2 1 5004-0000
204-00000425605-0000
Fee amount
$106.00
$106.00
$25.44
$10.60
Units
50.00 LnFt
50.00 LnFt
1.00 Ea
Description
Water service - Total linear feet
Sanitary sewer - Total linear feet
State of Oregon Surcharge - Plumb (12o/o ol
applicable fees)
Technology Fee
Paid amount
$106.00
$106.00
$25.44
$10.60
Payment Method Credit card authorization
879422
Payer: HUSON ROBERT C Payment Amount:$248.04
Cashier: Katrina Anderson Receipt Total:$248.04
Printed: 11/6/19 10:31 am Page 1 of 1 Fl N_TransactionReceipt_pr
tr
Crrv or SpnrNGFrELn, ORrcox
Plumbing Permit Apptication
225Fifth Street o Springfield,OR97477 . PH(541)726-3753 . FAX(541)726-3689
LOCAL GOVERNMENT APPROVAL
Zoningapproval verified? E Y"* E No
Sanitation approval verified? E yes E No
CATEGORY OF CONSTRUCTION
El"Residential E Government E] Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: ( 2.2* F S i
City: J,2.,'^, Q -{,,f State: Q 115 ZIP:91s1 71
Reference:Taxlot.
DESCRIPTION OF WORK
ft.rl* -$,& SocJrr |ot
tf (,.r- Sc
PROPERW OWNER
Name: ]c,k-
Address: (aa E S-f
City: !2r-r-Q--fu State:ZIP:
Phone:J65 - 14 Snr4 Fax
E-mail: J+- t{"L^k*G,n
This installation 1S on
owned by me
exempt from
or a of my
licensing
CONTRACTOR INSTALLATION
Business name: Q2.^rrSLu- CAtn+nk,t tr /&.^rrL( I-
Address: J2,a F SF
City: $-,'* l-(.1 State:611 ZIP:1'1"(71
nfton":g;, -jf-s.l l.l Fax:
E-mail: \[ n,,L^h,
CCBlicenseno.: ?aS6f,S BCD license no.
Plumbing license no.
Printname: Joh i?uL^K<-
Signature:-l
DEPARTMENT USE ONLY
Permit no.lToo>{77
(Date: I t le ('l
FEE SCHEDULE
Description Qty Cost
ea.
Total
cost
New residential
I bathroom/1 kitchen (includes : first
l00feet of water/sewer lines, hose
bibs, ice maker, ttndetfloor low-point
drains and rain-drain packoges)
$333.00 $
2 bathroomsi I kitchen $521.00 $
3 bathrooms/l kitchen t613.00 $
Each additional bathroom (over 3)1132.00 $
Each additional kitchen (over l)ir32.00 s
Residential fire sprinklers (includes plan review)
0 to 2,000 square feet tr02.00 s
2,001 to 3,600 square feet i163.00 s
3,601 to 7,200 square feet 1243.00 $
7,201 square feet and greater $324.00 $
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
Minimum fee 1102.00 $
Each fixture $2s.00 $
Miscellaneous fees
100' storm, sewer, water line ?-il06.00 $)t?
Each fixture, appurtenance, and piping t25.00 $
Storm water retention/detention facility ir06.00 s
Irrigation systems/Backflow t25.00 $
Piping or private storm drainage
svstems exceedins the first 100 feet 825.00 $
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: (1)$102.00 $
Medical gas piping Minin-rurr f'ee $
Enter value of installation and equipment $
-.Enter fee based on installation and equipment value.s
DEPARTMENT USE
(A) Enter subtotal ofabove fees
(Minimum Permit Fee S102.00)
r4-)v
(B) Investigative fee (equal to [A])$
(C) Enter l2o/o surcharge (.12 x [A+B])
(D) Technology Fee (5% of [A])$ l0.too
TOTAL fees and surcharges (A through D):sav$ "ol
SPFlN6rrErO
€n,
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.
[,ast edited 7/l/2019 bjones
$ 2{.qr