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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 I 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 50 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