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Home My WebLink AboutPermit Plumbing 2019-11-26OREGON Web Address: www.springfield-or. gov Building Permit Residential Plumbing Permit Number: 81 1-19-OO2658-PLM IVR Number: 811044859038 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 Email Add ress : permitcenter@springfield-or.gov SPRINGFIELD $ Permit Issued: November 26,2Ot9 TYPE OF WOR,K Category of Construction: Single Family Dwelling Submifted Job Value: 90.00 Description of Work: replace approx. 80ft sanitary sewer line Type of Work: Replacement JOB SITE INFOR]TIATIOil Worksite Address LL77 AST Springfield, OR 97477 Parcel 1703354103600 Owner: Address: OLSON SCOTT Lt77 A Sr SPRINGFIELD , OR 97477 LTCENSED PROFESSIONAL IN FORMATION Business Name PACIFIC PLUMBING & ROOTER INC - Primary Lacense ccB License Number 199420 Phone 541-505-93 12 PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing 3200 Sanitary Sewer Inspection Group Plumb Res Plumb Res Plumb Res Inspection Status Pending Pending Pending SCHEDULING 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: 811044859038 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 18o Days of lssuance or if work is suspendGd for 18o Days or longer depending on the lssuing 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 Gancel 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 Notlfication center. Those rules are set forth in OAR 952-oo1-Oo10 through OAR 952-0O1-OO9O. You may obtain copies of the rules by catling the Center at (503) 232-1987. All peEons 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 693,01O-O20 (plumbing). Printed on: lU26/19 Page 1 of 2 c:\myReports/reports//production/01 STANDARD tr Permit Number: 81 1-19-002658-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: 11/26119 Quantity Fee Amount $s.30 $106.00 $t2.72 $L24,02Total Fees: C: \myReports/reports//production/01 STAN DARD 80 Page 2 of 2 PER.MIT FEES SPRINGFIELD $ OREGON www. sprin gf ield-or. gov Worksite address: 1177 A ST, Springfield , OR 97477 Parcel: 1 703354'l 03600 Transaction Receipt 811-19402658-PLM IVR Number: 81 I 0/14859038 Receipt Number: 473123 Receipt Date: 11/26/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541.-726-3753 permitcenter@spri n gfield-or. gov Transaction Units date 11126119 80.00 LnFt 11t26t19 1.00 Ea Description Sanitary sewer - Total linear feet State of Oregon Surcharge - Plumb (12o/o of applicable fees) Fees Paid Account code 224 -00000- 425603- 1 034 821 -00000-21 5004-0000 204 -00000- 425605-0000 Fee amount $106.00 $12.72 $5.30 Paid amount $106.00 $12.72 $5.3011t26t191.00 Automatic Technology Fee Payment Method: Credit card authorization: 0651 94 Payer: PACIFIC PLUMBING & ROOTER INC Payment Amount:$124.02 Cashier: Katrina Anderson Receipt Total:$124.02 Printed: 11/26119 10:46 am Page 1 of I Fl N_Tra nsactionReceipt_pr Crrv or SpnrNGFrELn, 0Rrcox Plumbing Permit Application 225Fifth Strcet t Springfield,OR97477 . PH(541)726-3753 . FAX(541)726-3689 This permit is issued under OAR 918-7E0-0060. 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. LOCAL GOVERNMENT APPROVAL Zoningapproval verified? ! Ves E No Sanitation approval verified? [ Ves E No CATEGORY OF CONSTRUCTION dResidential ! Government E Commercial JOB SITE INFORMATION AND LOCATION Job site address: ll7) 4 <f City: 1)..1*g,,r,lrl State:OZ ztP: ?)177 <J Reference:Taxlot.: DESCRIPTION OF WORK ?---rlo-. s (.-,-1r."(Zs.L-tr PROPERTY OWNER Name I Address City: (sry,'*{,2 1/State:4>)ztP:77V77 -Zt 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 licensing requirements under OAR 918-695-0020. Signature: CONTRACTOR INSTALLATION Business Address City: fo-, -State:p)zrP:E)V1Z Phone:Fax: E-mail : J^( rs 6>Of o C2a o *, (o A CCB license no.BCD license no. Plumbing license no. Print name Signature: Q---f, 4 /aaQ/\ SPRTNGFIELD DEPARTMENT USE ONLY Permitno.: t4-OO;6b-{ tqDate:clrlrr FEE SCHEDULE Description Qty.Cost ea. Total cost New residential I bathroom/l kitchen (includes : first l00feet ofwater/sewer lines, hose bibs, ice maker, underJloor low-poin, drains and rain-drain packages) I $333.00 $ 2 bathrooms/l kitchen ts2l.00 s 3 bathrooms/l kitchen i6t3.00 $ Each additional bathroom (over 3)$132.00 $ Each additional kitchen (over I )u32.00 $ Residential fire sprinklers (includes plan review) 0 to 2,000 square feet t102.00 $ 2,001 to 3,600 square feet 8r63.00 $ 3,601 to 7,200 square feet 0243.00 $ 7,201 square feet and greater 1324.00 $ Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply s102.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee $102.00 s Each fixture $25.00 s Miscellaneous fees t106.00 $ab100' storm, sewer, water line Each fixture, appurtenance, and piping $2s.00 s Storm water retention/detention facility [106.00 $ lrrigation systems/Backfl ow 125.00 $ Piping or private storm drainage svstems exceedinp the first 100 feet t25.00 $ Specialty fixtures E2s.00 $ Reinspection (no. ofhrs. x fee per hr.)$102.00 $ $102.00 $ Special requested inspections (no. of hrs. x fee per hr.) $102.00 $Each additional inspection: (1) Medical gas piping Minimum fee $ Enler value of installation and equipment $ -.Enter fee based on installation and equipment value.$ DEPARTMENT USE (A) Enter subtolal ofabove fees (Minimum Permit Fee $102.00)'((fu (B) lnvestigative fee (equal to [A])s $(C) Enter l2olo surcharge (.12 x [A+B]) (D) Technology Fee (5% of [A])$ $TOTAL fees and surcharges (A through D): l.asr ediled 7/l/2019 bjones