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Home My WebLink AboutPermit Plumbing 2019-11-18OREGON Web Address: www.springfield-or.gov Building Permit R.esidential Plumbing Permit Nu mber: 81 I -19-OO2594-PLItl IVR Number: 811073352106 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Add ress: permitcenter@springfield-or.9ov SPRINGFIELD {fi Permit Issued: November 18, 2019 TYPE OF WORI( Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Sewer cap after demo Type of Work: Demolition JOB SITE INFORII{ATION Worksite Address 377 DEADMOND FERRY RD Springfield, OR 97477 Parce! 1703 154002300 Owner: Address: FALK INVESTMENTS-SPRINGFIEL D II LLC 33OO NW 185TH AVE STE 339 PORTLAND, OR97229 LICENSED PROFESSIOilAL Business Name OWNER - Primary License ccB License Number 000000 Phone PENDING INSPECTIOT{S Inspection 3999 Final Plumbing Inspection Group Plumb Res Inspection Status 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. Schedule or track inspections at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811073352105 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store permits expire if work is not started within 180 Oays of assuance 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. ATTENTIOIT: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules ar€ set forth in OAR 952-OO1-OOlO through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-L987. 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.o1o-O2O (Plumbing). printed on: 11/1g/19 page 1 of 2 C:\myReports/reports//prcduction/01 STANDARD Permit Number: 81 1-19-002594-PLM Page 2 of 2 Fee Description Technology Fee Fixture cap State of Oregon Surcharge - Plumb (l2o/o of applicable fees) Printed on: 11l18/19 Quantity Fee Amount $s.10 $102.00 $t2.24 $119.34Total Fees: C : \myReports/reportsl I produc.ion/ O L STAN DARD 1 Page 2 of 2 PERMIT FEES SPRINGTIELD ,b Transaction Receipt 8l t -1 9-002594-PLi' IVR Number: 8l 1073352106 Receipt Number: 473034 Receipt Date: 11/18/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@spri ngfl eld-or. govOREGON www.sprin gf ield-or. gov Worksite address: 377 DEADMOND FERRY RD, Springfield, OR97477 Parcel: 1 703'l 54002300 Transaction Units date 11t18t19 1.00 Qty 11t18t19 1.00 Ea Description Fixture cap State of Oregon Surcharge - Plumb (12oh ol applicable fees) Fees Paid Account code 224 -00000- 425603- 1 034 821 -00000-21 5004-0000 204-00000-425605-0000 Fee amount $102.00 $12.24 $5.1 0 Paid amount $102.00 $12.24 $5.1 011118t',19 1.00 Automatic Technology Fee Payment Method: Credit card Payer: rick satre Payment Amount:$1 19.34 authorization:01 '149q Cashier: Katrina Anderson Receipt Total:$1 19.34 Printed: 11/18/19 3:49 pm Page I of I F I N_Tra nsaction Receipt_pr lr Ctry or SpnINGFIEt o, OREGoN Plumbing Permit Application 225 Fifth Street r Springfield,,OR97477 r PH(541)726-3753 . FAX(541)726-3689 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. Description Qty.Cost ea. Total cost New residential I bathroom/1 kitchen (includes: first I 00 fee t of w ater/s e *- er lines, ho s e bibs, ice maker, underfloor low-poin, drains and rain-drain packages) t $323.00 $ 2 bathrooms/l kitchen $506.00 s 3 bathrooms/l kitchen $595.00 $ Each additional bathroom (over 3)$128.00 $ Each additional kitchen (over I )$128.00 $ Residential fire sprinklers (includes plan review) 0 to 2,000 square feet $99.00 $ 2,001 to 3,600 square feet $1s8.00 $ 3,601 to 7,200 square feet $236.00 $ 7,201 square feet and greater $315.00 s Manufactured dwelling or pre-fatr (circle one) Connections to building sewer and water supply $99.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee $99.00 $ Each fixture $24.00 $ Miscellaneous fees 100' storm, sewer, water line $103.00 s Each fixture, appurtenance, and piping I $24.00 $ Storm water retention/detention facility $103.00 $ Irrigation systems/Backfl ow $24.00 $ Piping or private storm drainage svstems exceedins the first 100 feet $24.00 $ Specialty fixtures $24.00 $ Reinspection (no. ofhrs. x fee per hr.)$99.00 s Special requested inspections (no. of hrs. x fee per hr.)s99.00 s Each additional inspection: (l)$99.00 $ Medical gas piping Minimum fee $ Enter value of installation and equipment S -.Enter fee based on installation and equipment value.$ (A) Entersubtotal ofabove fees (Minimum Permit Fee $99.00) $ /D}- (B) Investigative fee (equal to [A])$ (C) Enter 1270 surcharge (.12 x [A+B])$ (D) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):$ t\1.3/ iffir tzr.Permit no \4 I Date \qg\t LOCAL GOVERNMENT APPROVAL Zoningapproval verified? f] yes E No Sanitation approval verified? E yes E No CATEGORY OF CONSTRUCTION Z Residential E Government E Commercial JOB SITE INFORMATTON AND LOCATION Job site address:377 Deadmond Ferry Rd ciry: Springfield State:OR ztP:97477 Reference: [\/ap 1 7-03-1 5-40 Taxlot.:02300 DESCRIPTION OF WORK Sanitary sewer cap associated with demolition of vacant structures PROPERTY OWNER Name: Falk lnvestments-Springfield LLC Address:210 Saint Paul Street, Suite 410 City:Denver State: CO ZrP: 80206 Phone: (541) 914-7801 Fax: E-mail: zack@onel ifei nvest.com owned by me exempt from This IS.llation made onrnstabeing or memba ofer my 4 Business name: Address ZIP:Sute:City Fax:Phone E-mail: BCD license no.CCB license no. Plumbing license no Print name Signature Last edited 7/1/20 I 8 bjones DEPARTMENT USE ONLY li FEE SCHEDULE DEPARTMENT