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Home My WebLink AboutPermit Plumbing 2019-11-26OREGON web Address: www.springfield-or.9ov Building Permit Residential Plumbing Permit Number: 8lf -19-OO2656-PLM IVR Number: 811016560375 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 Email Address: permitcenter@springfield-or.9ov SPRINGIIELD tbt Permit Issued: November 26,20L9 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 ,OB SITE INFORMATION Worksite Address 6652 THURSTON RD Springfield, OR 97478 Parcel t70234Lt02404 Owner: Address: HARTLERODE EMILY J & ELLIOT M 2044 W 14TH PL EUGENE, OR97402 LICENSED PROFESSIONAL INFORMATION Business Name EMERALD EXCAVATING INC - Primary License ccB License Number t4t73 Phone 541-345- 1505 PENDING INSPECTIONS Inspectaon 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: 811016560375 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 180 Days of issuance or if work is suspended for 18O Days or longer depending on th€ issuing agency's policy. All provisions of laws and ordinances governlng this type of work will be complied with whether speclfied herein or not. Granting of a permlt does not presume to give authorlty to violate or cancel the provisions of any other state or local law regulating constructlon or the performance of construction. ATTENTIONT Oregon law requires you to follow rules adopted by the Oregon Utlllty Notification Center. Those rules are set forth in OAR 952-OO1-OO10 through OAR 952-OO1-OO9O. You may obtain coples of the rules by calling the Center at (5O3) 232-L947. All persons or entities performing work under this permit are required to be lacensed unless exempted by OR.S 7O1.O1O (Structural/Mechanical), ORS 479.540 (Electrlcal), and ORS 693.o1o-o20 (Plumbing)' printed on: 7tt26ltg Page 1 of 2 C:\myReports/reports//production/01 STANDARD tr Permit Number: 81 1-19-O02656-PLM Page 2 of 2 Fee Descraption Technology Fee Sanitary sewer - Total linear feet State of Oregon Surcharge - Plumb (l2o/o of applicable fees) Printed on: 71./26119 Quantity Fee Amount $s.30 $ 1 06.00 $12.72 $t24.02Total Fees: C;\myReports/re@rts//production/01 STANDARD 30 Page 2 of 2 PERMIT FEES SPRINGFIE Transaction Receipt 81 I -19-002656-PLM IVR Number: 81 1016560375 Receipt Number: 473121 Receipt Date: 11/26/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 perm itcenter@spri ngfiel d-or. gov'f,OREGON www.springfield-or. gov Worksite address: 6652 THURSTON RD, Springfield, OR 97478 Parcel: 1702341102404 Transaction Units date '11126119 30.00 LnFt 11t26119 1,00 Ea Description Sanitary sewer - Total linear feet State of Oregon Surcharge - Plumb (12olo of applicable fees) 224 -00000- 425603- I 034 821 -00000-21 5004-0000 204-00000-425605-0000 Fees Paid Account code Fee amount $'106.00 $12.72 $5.30 Paid amount $106.00 $12.72 $5.30 Payment Method: Credit card authorization: 216222 Payer: EMERALD EXCAVATING INC Payment Amount:$124.O2 Cashier: Katrina Anderson Receipt Total $124.02 Prinled. 11126119 10:24 am Page 1 of 1 Fl N_Transaction Receipt_pr Ia '11126119 1.00 Automatic Technology Fee Crrr or SrnrNcF'rELD, Omcox Plumbing Permit Application 225 Fifth Sreet r Springfield, OR 9747? . PH(541)7?6-3753 . F,A'X(541)'126-3'689 DEPARTMENT USE ONLY Permit oo.,\{-OOP b^G Q Date: fr. \>U I q SPRIHGFIELD ,h, 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 1E0 days. FEE SCHEDULE Description Qtv Cost ea. Total cost New residential I bathrooml'l kitchen (includes: first 100 feet of water/sewer lines, hose bibs, ice maker, underJloor Low-point drains and rain-drain packages) $333.00 S 2 bathroomsll kitchen $s21.00 s 3 bathroomsi 1 kitchen 0613.00 S Each additional bathroom (over 3)5132.00 s Each additional kitchen (over l)$132.00 S Residential fire sprinklers (includes plan review) 0 to 2,000 square t-eet s102.00 S 2,001 to 3,600 square feet s163.00 S 3,601 to 7,200 square feet s243.00 S 7,201 square feet and greater 1324.00 S Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply s102.00 $ Commercial, industrial, and dwellings other than one- or rwo-family Minimum fee 5102.00 S Each fixture s25.00 s Miscellaneous fees 100' storm, sewer, water line I i106.00 s /o(^ Each fixture, appurtenance, and piping t s2s.00 S Storm water retention/detention faciiiry $106.00 s Irrigation systems/Backfl ow $25.00 S Piping or private storm drainage svstems exceedins the first i00 feet s25.00 $ Specialty fixtures t2s.00 s Reinspection (no. of hrs. x t'ee per hr.)t102.00 S Special requested inspections (no. of hrs. x fee per hr.)$102.00 s Each additional inspection: (1)s102.00 S Medical gas piping Minimum t-ee S Enter vaiue of installation and equipment $ -.Enter fee based on installation and equipment value.S DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)'bQ (B) Investigative fee (equal to [A])$A' (C) Enter 12oZ surcharge (. l2 x [A+B])$ n,'t?- (D) Technology Fee (s% of [A])$ €.?o TOTAL fees and surcharges (A through D):$\Lq.oz LOCAL GOVERNMENT APPROVAL Zonrngapproval verified? [ Yes E No Sanitation approval verified? ! Ves I Xo .. CATEGORY OF CONSTRUCTION E CommercialXResidentialI Government JOB SITE INFORMATION AND LOCATION, Job site address: hASZ fi-ltrnsrrrol FO . State: @R -ZDcrty: Jpe,^t6Ftc-D Taxlot.:Reference: DESCRIPTION OF WORK l*r* PROPERTY OWNER Name: ELt 1 o Tf frCpf e tznoAE Address: bfosz 'T+4,tfl-S 6'> 3D ZTP:City: 1?&,.*tCF,a-t>State: 6z( Phone:6t{[ 59a. o \q Fax: E-mail: 1la..4,.., p me""l s e qd firir irr.tuitution is beihg 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 Business ou ",fry1gq4r11 &<& Address: 4tSo U . 4 tL Ar.€ ^ zIP 17la zCity: euGe*lZ State: 4( rax: {41.345. i EnPhone: 5+1" 3'1, ,lrlg E-maii:i BCD license no.:CCB license no.: l,l t 73 . Plumbing license no. Pnnt name *J €r1e1- Signature: Last edited 7/1/2019 bjones