HomeMy WebLinkAboutPermit Plumbing 2019-11-25OREGON
Web Address: www.springfield-or.9ov
Building Permit
Residential Plumbing
Permit Number: 811-19-002643-PLM
IVR Number: 811018967821
City of Springfield
Development and Public Works
225 Fifth Street
Springfield. OR 97477
54r-726-3753
Email Address : permitcenter@springfield-or.9ov
SPRINGTIELD
$
Permit Issued: November 25,20L9
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: replace approx. 30ft of sanitary sewer
Type of Work: Replacement
JOB SITE INFORMATION
Worksite Address
655 KELLY BLVD
Springfield, OR 97477
Parcel
1703352301400
Owner:
Address:
DOWNEY-MCCARTHY JOHN
P & ROSEMARIE R
655 KELLY BLVD
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL INFORMATION
Business Name
DRAIN RAIDER ROOTER SERVICE
INC - Primary
License
ccB
License Number
19 12 18
Phone
54 1-338-8848
PENDING INSPECTIONS
Inspection
3999 Final Plumbing
3500 Rough Plumbing
3200 Sanitary Sewer
Inspection GrouP
Plumb Res
Plumb Res
Plumb Res
Inspectaon Status
Pending
Pending
Pending
various inspections are minimally required on each project and often dependent on the scope of work' contact
the issuing iurisdiction indicated on the permit to determine required inspections for this project'
Schedule or track inspections at www.buildingpermits'oregon.gov
Callortexttheword''schedule''to1-888-299-232luseIVRnumber:811018967821
Schedule using the oregon ePermitting Inspection App, search ..epermitting,, in the app store
PermitsexPireifworkisnotstartedwithinl8oDaysofissuanceorifworkissuspendedforlsoDaysorlongerdependingon
the issuing agencY's PolicY'
All provislons of laws and ordinances governing this type of work will be co_mplied with whether specified herein or not'
Granting of a permit Oo." noi'pr."riJ to give iuttrori'ti to violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction'
ATTENTToN: oregon law requires you to follow rules adopted by the oregon utiliw Notification center' Those rules are set
forth in oAR 952-oo1-oo1o through oAR 952-oo1-oogo. i", miy obtain copies oithe rules by calling the center at (503)
232-1947.
A]lpersonsorentitiesperformingworkunderthispermitarerequiredtobelicensedunless
(Structurautltechanical), ORS 479'540 (Electrical)' and ORS 593'O1O-O2O (Plumbing)'
Printed on: lll25llg Page 1 of 2
exemPted bY ORS 701.010
C:\myReports/reports//production/01 STANDARD
I
SCHEDULING INSPECTIONS
Permit Number: 81 1-19-002643-PLM Page 2 of 2
Fee Descriptaon
Technology Fee
Sanitary sewer - Total linear feet
State of Oregon Surcharge - Plumb (l2o/o of applicable fees)
Printed on: rv25ltg
Quantity Fee Amount
$s.30
$106.00
$t2.72
$r24.02Total Fees:
C:\myReports/reports//production/01 STANDARD
30
Page 2 of 2
PERMIT FEES
Transaction Receipt
811-19402643_PLM
IVR Number: 01 101O967 A21
0xtc0N
w\ryw. springf ield-or. gov
Worksite address: 655 KELLY BLVD, Springfietd, OR 97477
Parcel: 1 703352301400
City of Springfield
Development and public Works
225 Fifth Street
Springfietd, OR 92477
s41_726_3753
permitcenter@ spri ngfi el d _ o r. gov
Paid amount
$106.00
$12.72
$s.30
Transaction Units
date
11125119 30.00 LnFt
Description
Sanitary sewer - Total linear feet
State of Oregon Surcharge - Plumb
(12o/o ot applicable fees)
Receipt Number: 4l31og
Receipt Date= 11125t19
Fees Paid
Account code
224-00000 -425603- 1 034
821 -00000-21 5004-0000
20 4 -00000 - 425605-000011t25t191.00 Automatic Technology Fee
Fee amount
$106.00
$12.72
$5.30
Payment Method: Credit card
authorization: 59i 5Bs
Payer: DRAIN RAIDER
ROOTER SERVICE INC
Payment Amount:$124.02
Cashier: Katrina Anderson Receipt Tota!:$124.02
Printed: 1 1/25119 9:23 am Page 1 of 1 FI N_Tra nsactionReceipt_pr
t#
11125119 1.00 Ea
CrryorsPRrNcFrEto, ORrcoN
Plurnbin g Perrnit Application
This permit is issued under oAR g1g-7g0-0060. permirs are issuedexpire if workis nof srarfed within Ig0 days of issuance or if work .only to the person or contracto r doing fhe worft. permifs
is suspended for 1E0 davs.
225 Fifth Sfeet I Spn'ngfield,OR97477 o pH(sc\lzeat53 . FAX(541 )'726-3689
DEP ARTMENT USE YONL
Permit no.3-€-oo
IqDate:\
LOCAL GOVERNMENT APPROVAT
Zontng approval venfi ed?[ves [xo
Samtation approvai venfied? E yes Exo
CATEGORY OF CONSTRUCTION
! Government I Commerciai
JOB SITE INFORMATION AND LOCATION
Job site address:
ZIP:
Ta.xlot.
DESCRIPTION OF WORK
OWNER
tName
Address:
ZlPCity:State:
Phone:Fax
E-mail;
This rnsuilation is being made on residential or farm properry
owned by me or a member of my immediate family, and is
exempt from licensing requirements under OAR 918-695-0020.
Signature:
CONTRACTOR INSTALLATION
'?t S?l CBusiness name:I
Address:
ZWState:City:
Phone Fa"r:
E-maii:
CCB license ro.: lQ1.!//BCD license no.
Plumbing license no.
v
Pnnt name I
Signature t
FEE SCHEDULE
Description Qty Cost
ea.
Total
cost
New residential
I bathroomr I kitchen lincludes: frst
100 feet of warerrseweir lines, hose
bibs, ice maker, underfloor iow-point
drains and rain-drain packages)
S
2 bathrooms/i kitchen .00
3 bathroomsi 1 kitchen
Each addirionai bathroom over S
Each additional kitchen (over 1)
Residential fire
0 to 2,000 square t-eet 02.00 $
2,001 to 3,600 t-eet s
3,601 to 7,200 square t'eet s
7.201 square feet and greater s
llanufactured or
Connections to buiiding sewer and
water $
Commercial, industrial, and dwellings other than one- or
SMinimum fee
Each fixture s
Miscellaneous fees
100' storm, sewer, water line 06.00 5
$Each fixture, appurtenance, and
$Storm water retentior/detention t'aciliw 06.00
S
$
storTnor
SSpecialty fixtures
02.00 $Reinspection (no. of hrs. x t-ee hr.)
S02.00hrs. x fee per hr,
Special
SEach additional inspection: (1)
SMinimum ibeMedical
Enter value of installation and equipment S
-.SEnter fee based on installation dnd value.
s lob(A) Enter subtotal ofabove fees
(Minimum Permit Fee 5102.00)$a(B) Investigative fee (equai to [A])17$Enter I 2% surcharge (. 1 2 x
SFee (5% of [A])(D)
s toTOT.AI fees and (A through
tast edited 7/1i2019 bjones
Reference:
s333.00
s
1613.00 s
1132-00
1132.00 s
1163.00
5243.00
1324.00
$102.00
i102.00
s25.00
I
;25.00
i25.00Irri gati on systemVB ackfl ow
;25.00
825.00
i102.00
DEPARTMENT