HomeMy WebLinkAboutPermit Plumbing 2019-11-21FIELD
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C\t\ of SPringfiela
Deve\o'ment'lll'ffi ::;":,
SPringf\e\d' 0R97477
s4t-i26-3753
OREGON
Web Address: www.springfi eld-or.9ov
Buitding Permit
Residential Plumbing
Permit Number: 811-19-OO2623-PLM
IVR Number: 811056444534
Email Address : permitcenter@springfield-or.9ov
Permit Issued: November 2l,2OL9
TYPE OF WORK
Category of Construction: Other Type of Work: New
Submitted lob Value: $0.00
Description of Work: Garden View Place New 10 lot subdivision sewer 581ft, water 1000ft, storm 20ft
JOB SITE INFORiIATION
Worksite Address
312 19TH ST
Springfield, OR 97477
Parcel
t70336t312400
Owner:
Address:
EMMB DEVELOPMENT LLC
2600 31ST ST
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL INFORMATION
Business Name
NATHAN CRAIG MARPLE - Primary
License
ccB
License Number
100935
Phone
54t-9t2-7807
PENDING INSPECTIONS
Inspection
3999 Final Plumbing
3200 Sanitary Sewer
3300 Water Service
3400 Storm Sewer
3206 Site Utilities
Inspection Group
Plumb Res
Plumb Res
Plumb Res
Plumb Res
Plumb Res
Inspection Status
Pending
Pending
Pending
Pending
Pending
SCHEDULI NG 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.
Schedule or track inspections at www.buildingpermits.oregon.gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 8LL056444534
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permits expire if work ls not started within l8O Days of issuance or af work 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 952-001-0090, You may obtain copies of the rules by calling the Center at (5O3)
232-1987.
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O
(Structural/Mechanical), ORS 479,54O (Electrical), and ORS 693.O1O-O20 (Plumbing).
printed on: t7l2vt9 page 1 of 2 c:\myReports/reports//production/01 STANDARD
Permit Number: 811-19-OO2623-pLM
\
Page 2 of 2
Fee Description
Technology Fee
Sanitary sewer - Total linear feet
Storm sewer - Total linear feet
Water service - Total linear feet
State of Oregon Surcharge - Plumb (l2o/o of applicable fees)
Printed on: 17/2U79
Quantity
581
20
1000
Fee Amount
$33.40
$23 1 .00
$ 106.00
$331.00
$80.16
$781.56
Page 2 of 2
Total Fees:
C : \myReports/reports//production/0 1 STAN DARD
PERMIT FEES
SPRINGFIELD
$,
OREGON
www.springf ield-or.gov
Woksite address: 312 'lgTH ST, Springfield, OR97477
Parcel: 1 703361312400
Transaction Receipt
8{1-19{02623-PLM
IVR Number: 81 I 0564/t4534
Receipt Number: 473083
Receipt Date:11121119
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
permitcenter@springfi eld-or. gov
Fees Paid
Account codeTransaction
date
11t21t19
Units
20.00 LnFt
Fee amount
$106.00
$331.00
$231 .00
$80.1 6
$33.40
Paid amount
$106.00
$331.00
$231.00
$80.1 6
$33.40
11121119 '1 ,000.00 LnFt Water service - Total linear feet
11t2'U19 581.00 LnFt Sanitary sewer - Total linear feet
11121t19 1.00 Ea State of Oregon Surcharge - Plumb
(12% of applicable fees)
11t21t19 1.00 Automatic Technology Fee
Description
Storm sewer - Total linear feet 224 -00000 - 425603- 1 034
224 -00000-425603- 1 034
224-00000 -425603- 1 034
82 1 -00000-2 I 5004-0000
204-00000-425605-0000
Payment Method: Check number: 3013 Payer: EMMB
DEVELOPMENT LLC
Payment Amount:$781.56
Cashier: Katrina Anderson Receipt Total:$781.56
Ptinled. 1112'll'19 '10:48 am Page 1 of 1 Fl N_Tra nsactionReceipt_pr
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Plumbing Permit Apptication
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225 Fifth Street . Springfield, OR97477 . PH(541\726-3753 . FAX(541)726-3689
DEPARTMENT USE ONLY
Permir no.: l'l' 6 54;2 3 -
Dare: ',r I>^., It q€h,
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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
Description Qty Cost
ea.
Total
cost
New residential
I bathroom/l kitchen (includes : first
100feet ofwater/sewer lines, hose
bibs, ice maker, unde(loor low-point
drains and rain-drain packages)
$333.00 s
2 bathrooms/l kitchen ls2l.00 s
3 bathrooms/l kitchen i613.00 $
Each additional bathroom (over 3)8132.00 $
Each additional kitchen (over l)il32.00 s
Residential fire sprinklers (includes lrlan revien)
0 to 2,000 square feet 5r02.00 $
2,001 to 3,600 square feet 1r63.00 $
3,601 to 7,200 square feet $243.00 $
7,201 square feet and greater t324.00 $
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
Minir.nur.n fee $102.00 $
Each fixture 125.00 $
Miscellaneous fees
100' storm, sewer, water line 7 il06.00 $9tb
Each fixture, appurtenance, and piping t25.00 $
Storm water retention/detention facility 1106.00 $
Irrigation systems/Backfl ow t25.00 $
Piping or private storm drainage
systems exceedinc the first 100 feet t4 $25.00 $99
Specialty fixtures $25.00 $
Reinspection (no. ofhrs. x fee per hr.)sr02.00 $
Special requested inspections (no. of
hrs. x fee per hr.)$102.00 $
Each additional inspection: (1)$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 $102.00)'ULb(B) Investigative fee (equal to [A])$
(C) Enter 120% surcharge (.12 x [A+B])$
^o-lb(D) Technology Fee (5% of [A])s 59.4o
TOTAL fees and surcharges (A through D):$1Al.5L
(?"'.t
LOCAL GOVERNMENT TtPPPgYoa
Zoning approval verifi ed?ENoes
Sanitation approval verified? ! Yes n No
CATEGORY OF CONSTRUCTION
dsidential E Govemment E Commercial
JOB SITE INFORMATION AND LPCATION
lzYICrc
7 2
Job site address
City
Reference: \1Ot
DESCRIPTION OF WORK
{o, . rcn -.5&l' t, 1 1}Et = / crtil
PTOPERW OWNER
Name
Address: TleO ?t Sr 57-city: {Pno state()Q zrQrVlV,7
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 ljcensigg requirements under OAR 918-695-0020
Signature: 1-, ! Irrl,f/^Ar,-0 . r4*a4*
N
Business name:
Address:
c,tvCnEt, )rr,',, ' I sri", dh ZIP:
Fax:
BCD license no.CCB license no.
E-mail
Plumbing license no.
Print name:
Signature:
Last edited 7/l/2019 bjones
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