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HomeMy WebLinkAboutPermit Plumbing 2019-11-20ONLYARTU1ENTUSEDEP Permitno. Date:1rO \1 Plumbing Permit aPRltrgfiEl.D Stret a 97417 .r FAX(54 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. ENoZoningapproval verified? fl yes Sanitation approval verified? [ yes f] No E Govemment Comm-ercial N E Residential Job site address; City: EA6g;€State:6f-,.P: c?feffi:3 Reference:Taxlot.: llfOug gftSf,rr,lc. 5t*st/ -TO t.gor;3 J-oct+vct*t OWNER Nams LiD Address: 3 Sef eB7 /7J ciry: EakbNE-State:71-fi,zn:f 7qd 5 Phoue: tQ.;y (n" {otffi Fax: E-mail: Signature: :T()R II 4€sBusiness name: fr, p Pro Address:-i9".{ tAy'tnsto E-L City: €,,1a,"w State: fiL zIP: q74A Z ![one: €ffd teg* tq.iq Fax:.$.( 6K.?n r E-mail:ci\-(wu CCB license no.{Ai q {BCD license no.: ZO* qCPBPlumbing license no.: Print name : Description New resldentlal $333.00 $ 2 batbroomsi I kitchea 1521.00 $ 3 bathroomsll kitchen t613.00 s Each ad4llonal bathroom (over 3)$132.00 $ Each additional kitchen (over l)$132.00 $ Residential fire (includes plan review) 0 to 2,000 square feet tr02.00 $ 2,00 I to 3,600 square fect xI63.00 $ 3,601 to 7,200 square feet t243.00 s 7,201 square feet and greater s321.00 $ Menufactured dwelling or pre-fab (circle one) water supply Connections to building sewer and $r02.00 $ other than one- orCommercial, industrial, end two-family Minimum fee il02.00 $ Each fixture t25.00 ( Miscellaneous fees 100' storm, sewer, wata line n06.00 $ :19U4q", appurtenance, and piping t25.00 $ S torm water retentioo,/detention facility il06.00 $ $25.00 $ or storm t25.00 $ Specialty fixtures t25.00 Reinspection (no. of hls. x fee per hr.)tr02-00 $ Special requested inspections (no. oI hrs. x fee per hr.)$102.00 Each additional inspection: (l)tr02.00 s Medic*l ges pipirg Minimum fee $ Enter value of installation and equipment $ Enter fee based on installation and equipment value. DEPARTMENT I (A) Enter subtotal ofabove fees (Minimum Permit Fec $102.00)s lor- (B) Investigative fee (equal to [A])s (C) Enter l2olo surcharge (.12 x [A+B])s ltz ?3 (D) Technology Fee (5% of [A])s <"!! TOTAL fees and surcharges (A through D):sttaZ //e Lac-l & l-ast editd 7 I I DOI 9 bjores Crrv or SpnrNcn'lELD, OnEcoNb )VAL CATEGORY O JOB SITE OF FEE SCHEDT Qty.Cost ea- Total cost 1 bathroom/l k ttchen (includes : Jirstl00feet oJwater/sayer lines, hose bibs, ice maker, undejloor low-point dra t n s an d rai n-d rain' pac kagesi Irrigation systems/Backfl ow $ $ $