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Home My WebLink AboutPermit Plumbing 2019-11-18SPRINGTIELD OREGON web Address: www.springfield-or,9ov Building Permit Residential Plumbing Permit Number: 811-19-OO2592-PLM IVR Number: 811010991647 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Email Address: permitcenter@springfield-or.gov Permit Issued: November 18, 2019 Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Replacing sewer line approx. 80ft Type of Work: Replacement Worksite Address 1444 11TH ST Springfield, OR 97477 Parce! 1703264401500 Owner: Address: MACCARTY LANCE & NORDICA 2329 NW ESTAVIEW CIR CORVALLIS, OR 97330 Business Name EMERALD EXCAVATING INC - Primary License ccB License Number L4L73 Phone 541-345- 1505 Inspection 3999 Final Plumbing 3500 Rough Plumbing 3200 Sanitary Sewer 3999 Final Plumbing 3500 Rough Plumbing 3200 Sanitary Sewer Inspection Group Plumb Res Plumb Res Plumb Res Plumb Res Plumb Res Plumb Res Inspection Status Pending Pending Pending Pending 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. Sched ule or track inspections at www. bu i ld i ng permits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811010991647 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 18O Days of issuance or ifwork is 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 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-OO10 through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-L947. 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.o10-O20 (Plumbing). printed on: 11/18/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD \rr.^r b TYPE OF WORK JOB SITE INFORMATION LICENSED PROFESSIONAL IN FORMATION PENDING INSPECTIONS SCHEDULING INSPECTIONS Permit Number: A1 1-19-OO2592-PLM Page 2 of 2 Fee Description Technology Fee Sanitary sewer - Total linear feet State of Oregon Surcharge - Plumb (l2o/o of applicable fees) Printed on: 11/18/19 Quantity Total Fees: Fee Amount $s.30 $106.00 $12.72 $t24.02 80 Page 2 of 2 C:\myReports/reports//prcduction/01 STANDARD PERMIT FEES SPRINGFIELD tb Transaction Receipt 811-19402592-PLM IVR Number: 811010991647 Receipt Number:473030 Receipt Date: 11/18/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@spri ngfi eld-or. govOREGON www. sprin gf ield-or. gov Worksite address: 1444 11TH ST, Springfield, OR97477 Parcel: 1703264401500 Transaction Units date 11118119 80.00 LnFt 't1t18t19 1.00 Ea Description Sanitary sewer - Total linear feet State ol Oregon Surcharge - Plumb (12o/o ol applic€ble fees) 224-00000-425603- 1 034 82 1 -00000-21 5004-0000 204-00000-425605-0000't1t18119 1.00 Automatic Technology Fee Fees Paid Account code Fee amount $106.00 $12.72 $5.30 Paid amount $106.00 $12.72 $5.30 Payment Method:Credit card authorization: 71 8'l 71 Payer: EMERALD Payment Amount:$124.O2 EXCAVATING INC Cashier: Katrina Anderson Receipt Total:$124.02 Printed: 11/18/19 3:17 pm Page 1 of 1 Fl N_Tra nsaction Receipt-pr [r-r, Plumbing Permit Application DEPARTMENT USE ONLY Permit no.?- )\225 Fifttr Street r Springfield,OR9l4l1 . PH(541)726-3?53 . FAX(541)726-3689 Date: 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. FEE SCHEDULE Zoning approval venfied? f Yes I Xo I Description Qry. Sanitarion approval verified? [ Yes E xo CATEGORY OF CONSTRUCTION 1 bathroom/l kitchen lincludes: frst I 00 feet of water/sewer lines, hose Sbibs, ice maker,undefloor JOB SITE INFORMATION AND LOCATION drains and rain-drain i bathroomst l kitchen ZTP Each additional bathroom (over 3) fixtures E-mail: LOCAL GOVERNMENT APPROVAL E Commerciaif Government Job site ad&ess: Residential 'Tll I State: dA .City: Taxlot.Reference: DESCRIPTION OF WORK PROPERTY 'NL(1 Address: l*qt il + \f '' StateU4 ZPCity: {prt.^r6t't,=q) Fax I Phone: E-mail: This installation is being made on residentiai or farm properry owned by me or a member of my immediate famiiy, and is exempt from licensing requirements under OAR 918-695-0020 Signature CONTRACTOR INSTALLATION (-.Business name: Address:ftt+" vJ' 4rt' State:d..ZrP: 11lo->citr: €u6ute , Fax:7t1,3't';. l5qq -Phone:fl1 3qS iSDt ro-l d <e BCD license no.:CCB lt**; no , '/"1 tl 3 Plumbing license no Print name: <J^QSignature: Total cost Cost EL ),lew residential $521.00 S2 bathrooms/l kitchen s613.00 S $$132.00 $132.00 SEach addirional kitchen (over l) Residential fire sprink-lers (includes plan review) t102.00 S0 to 2,000 square feet Si163.002,001 to 3,600 square feet $$243.003.601 to 7,200 square feet s324.00 S7,201 square feet and greater Manufactured dwelling or pre-fab (circle one) Sr02.oo S Connections to building sewer and water supply Commercial, industrial, and dwellings other than one- or two-family s102.00 SMinimum fee s25.00 SEach fixture Miscellaneous fees ir06.00 {tG100' storm, sewer. water line st2s.00Each fixture, appurtenance, and piping ir06.00 SStorm water retentiorvdetenrion faciliry $25.00 SImgation systemVBackflow $2s.00 sPiping or private storm drainage svsrems exceedins the first 100 feet s25.00 S $s102.00Reinspection (no. ofhrs. x fee per hr.) $102.00 sSpecial requested inspections (no. of hrs. x fee per hr.) s102.00 SEach additional inspection: (i) SMinimum feeMedical gas piping Enter value of installation and equipment S -. sEnter t'ee based on installarion and equipment value. DEPARTMENT USE ("bs (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) 5 -€^(B) Investigative fee (equal to [A]) $\2:12(C) Enter 1 27o surcharge (. I 2 x [A+B]) $s-)o(D) Technology Fee (5% of [A]) $ta4 0,TOTAL fees and surcharges (A through D): Last edited 7i li20 I 9 bjones Crrv or SPRTNGFIELD, Onncox SPEIfrGFIELf :: *,