HomeMy WebLinkAboutPermit Plumbing 2019-12-05ONEGON
Web Address: www.springfield-or.9ov
Building Permit
Residential Plumbing
Permit Number: 81 1-19-0027 I 1-PLM
IVR Number: 811088986025
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
541-726-3753
Email Address : permitcenter@springfield-or.gov
SPRINGFIELD
$
Permit Issued: December 05, 2019
TYPE OF WORK
Category of Construction: Townhouses
Submitted Job Value: $0.00
Description of Work: Replace main sewer line approx. 80ft
Type of Work: Replacement
JOB SITE INFORMATION
Worksite Address
1448 MAIN ST APT 1
Springfield, OR 97477
Parcel
1703363202900
Owner:
Address
CONFLUENCE HOLDINGS
LLC
30557 FOX HOLLOW RD
EUGENE, OR 97405
LICENSED PROFESSIOITAL
Business Name
READY ROOTER DRAIN CLEANING
& REPAIR SERVICE INC - Primary
License
ccB
License Number
92524
Phone
54L-744-799L
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.
Sched ule or track inspections at www. build i ng permits.oregon. gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811088986025
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
permits expire if work is not started within 18O Days of issuance or if work is suspend€d 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.
ATTENTIONT Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952-OO1-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503)
232-L987.
All persons or €ntities 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.O10-O2O (Plumbing).
printed on: 1215/19 page 1 of 2 c:\myReports/reports,//prcduction/01 STANDARD
[t -^-.
Permit Number: 811-19-002711-PLM Page 2 of 2
Fee Description
Technology Fee
Sanitary sewer - Total linear feet
State of Oregon Surcharge - Plumb (LZo/o of applicable fees)
Printed on: 12l5/19
Quantity Fee Amount
$s.30
$ 106.00
$t2.72
$124.02Total Fees:
C :\myReports/reports//production/01 STAN DARD
80
Page 2 of 2
PERMIT FEES
SPRINGFIELD
tt,
Transaction Receipt
811-19-002711-PLM
IVR Number: 81 10889E6025
Receipt Number: 473195
Receipt Dale:1215119
City of Springfield
Development and Public Works
225 Fifth Street
Spdngfield, OR 97477
54L-726-3753
permitcenter@spri ngfield-or. govOREGON
www.springfield-or.gov
Worksite address: 1448 MAIN ST, APT# 1, Springfield, OR97477
Parcel: 1 703363202900
Transaction Units
date
1215119 80.00 LnFt
12t5t19 1.00 Ea
Description
Sanitary sewer - Total linear feet
State of Oregon Surcharge - Plumb
(12o/o ol 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
$5.3012t5t19'1 .00 Automatic Technology Fee
Payment Method: Credit card
authorization: 00032d
Payer: READY ROOTER
DRAIN CLEANING &
REPAIR SERVICE INC
Payment Amount:$124.02
Cashier: Katrina Anderson Receipt Total s124.02
Printed: 12l5/19 10:13 am Page 1 of I F I N_Tra nsaction Receipt_pr
Ir
Cmv or SpnrNGFrELo, OnrcoN
Plumbing Permit Application
€n,
vr-
225 Fifth Streer 0 Springfield, OR 97477 t PH(541)726-3753 . FAX(541)726-36E9
This permit is issued under OAR 9lE-7E0-0060. Permits are issued only to the person or contractor doing the work. Permits
expire if workis not started within 180 days of issuance or if work is suspended for 180 days.
FEE SCHEDULE
Description Qty.Cost
ea.
Total
cost
New residential
1 bathroom/l kitchcn (includes : first
100 feet ofwater/sewer lines, hose
bibs, ice maker, ttnderJloor low-point
drains and rain-drain packages)
s333.00 $
2 bathrooms/l kitchen $521.00 $
3 bathrooms/l kitchen s613.00 $
Each additional bathroom (over 3)$132.00 $
Each additional kitchen (over l)il32.00 $
Residential fire sprinklers (includes plan review)
0 to 2,000 square feet $102.00 $
2,001 to 3,600 square feet s163.00 $
3,601 to 7,200 square feet $243.00 $
7,201 square feet and greater 8324.00 $
Manufactured dwelling or pre-fab (circle one)
Connections to building sewer and
water supply $ 102.00 $
Commercial, industrial, and dwellings other than one- or
twefamily
Minimum fee $102.00 $
Each fixture $25.00 $
Miscellaneous fees
100' storm, sewer, water line I $r 06.00 $ {C(o
Each fixture, appurtenance, and piping q $25.00 $
Storm watfl retention/detention facility t106.00 $
Irrigation systems/Backfl ow i25.00 $
Piping or private storm drainage
svstems exceedins the first 100 feet 525.00 $
Specialty fixtures i25.00 $
Reinspection (no. ofhrs. x fee per hr.)$102.00 $
Special requested inspections (no. of
hrs. x fee per hr.)$102.00 $
Each additional inspection: (1)$r02.00 $
Medical gas piping Minimunr fee $
Enter value of installation and equipment S
-.Enter fee based on installation and equipment value.s
DEPARTMENT USE
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)
$ /oG
(B) Investigative fee (equal to [A])$d
(C) Enter l27o surcharge (.12 x [A+B])s l\; Q-
(D) Technology Fee (5% of [A])$ i-aD
TOTAL fees and surcharges (A through D)$lI't. oi
DEPARTMENT USE ONLY
Permit no.)vl
Date:5 t1
LOCAL GOVERNMENT APPROVAL
Zoningapproval verified? ! Yes E No
Sanitation approval verified? f] yes E No
CATEGORY OF CONSTRUCTION
E Residential I Government E Comrnercial
JOB SITE INFORMATION AND LOCATION
Job site address: I q I b l/l n* n
{State: it 7-?
Referenle: J 'Taxlot.:
DESCRIPTION OF WORK
6
6 +Lc\r
P(OPERTY OWNER
Name
Address
City:State:ZIP
Phone: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 name lzo**n'
Address: !1 lv
Ciry: L,*.-State:Of'ZIP il'toL
Phone: ' ?t-W )ti Fax:
E-mail
CCB license no.'tlJ BCD license no.:
Ll
L
license no.:
Print name:
Signature:
Lasr edited 7/l/2019 bjones
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