HomeMy WebLinkAboutPermit Plumbing 2020-01-06OREGON
web Address: www.springfield-or.gov
Building Permit
Residential Plumbing
Permit Number: 81 1-2O-OOOO19-PLM
IVR Number: 8L1O294827 87
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54L-726-3753
Email Add ress: permitcenter@springfield-or.gov
SPRINGFIELD
'b
Permit Issued: January 06,2O2O
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: Replace B0 lineal feet of damaged sewer pipe
Type of Work: Repair
JOB SITE INFORMATION
Worksite Address
1132 C ST
Springfield, OR 97477
Parcel
170335 141 1700
Owner:
Address
STRASSE PAZCA LLC
PO BOX 1726
BURLINGAME, CA
940LL-t726
LICENSED PROFESSIONAL IN FORMATION
Business Name
PACIFIC PLUMBING & ROOTER
INC - Primary
License
ccB
License Number
L99420
Phone
541-505-93 12
PENDING INSPECTIONS
Inspection
3200 Sanitary Sewer
Inspection Group
Plumb Res
Inspection Status
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: 811029482787
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
PERMIT FEES
Fee Description
Technology Fee
Storm sewer - Total linear feet
State of Oregon Surcharge - Plumb (L2o/o of applicable fees)
Quantity
Total Fees:
Permlts expire if work is not started within 180 Days of issuance or if work is suspended for 18O 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,
ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification center. Those rules are set
forth in OAR 952-OO1-OO10 through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (5O3)
232-L9a7,
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-O20 (ptumbing),
Printed oil l/7/2o Page 1 of 2 c:\myReports/reportsl/produdion/or STANDARD
80
Fee Amount
$5.30
$ 106.00
$12.72
$t24.02
Permit Number: 81 1-20-OOOO19-PLM
Ptinted oni 7/7120 Page 2 of 2
Page 2 of 2
C i \myReports/reports,//production/01 STAN DARD
SPRINGTIE
Transaction Receipt
811-20{00019-PLM
IVR Number: 8'l I 0294827 87
Receipt Number: 473455
Receipt Date: 1/6/20
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54r-726-3753
permitcenter@spri n gfield -or. gov
{6
ORIGON
www.spnngfield-or.gov
Worksite address: 1132 C ST, Springfield, OR 97477
Parcel: 1703351411700
Transaction Units
date
116120 80.00 LnFt
1t6t20 1.00 Ea
1t6t20
Description
Storm sewer - Total linear feet
State of Oregon Surcharge - Plumb
(12o/o oI applicable fees)
224-00000-425603- I 034
821 -00000-21 5004-0000
20 4 -00000 - 4256 0 5-0000'1 .00 Automatic Technology Fee
Fees Paid
Account code Fee amount
$106.00
$'t2.72
$5.30
Paid amount
$106.00
$12.72
$5.30
Payment Method: Credit card
authorization: 094790
Payer: Michael Gilyead Payment Amount:$124.02
Cashier: Thayne Smith Receipt Total:$124.02
Printed: 1/7/20 3:33 pm Page 1 of 1 Fl N_Transaction Receipt_pr
\r -r-
Crrv or SprNGFIELu, Onncox
Plumbing Permit Apptication
225Fifth Street o Springficld, OR97477 . PH(541\726-3753 . FAX(541)726-1689
This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits
expire ifwork is not started within 180 days of issuance or ifwork is suspended for 180 days.
DEPARTMENT USE ONLY
Permit no.: ZCS -
Date: D I oa Lo
LOGAL GOVERNMENT APPROVAL
Zoningapproval verified? ! Ves E No
Sanitation approval verified? ! Yes E No
CATEGORY OF CONSTRUCTION
E] Commercialfl Residential I Government
JOB SITE INFORMATION AND LOCATION
Job site address: l/ j2 / or7
CityQp41a1a4 tta/State'/rZ ZIP:Qz47b
Taxlot.: /l7o oReference: t7 - O Z. .5 ;- t.l
,/) DESCRIPTION OF WORK
/+c t-
PROPERW OWNER
LLLName:1 2CA
Address: /C &* t 72b
City:fiaa/rpc; flrtut State/e ZIP:Q4ut
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
4-Z
4rt
Business name
Address:
ztw 7 4r'Lcity: /ree.rZ State.T/Z
Phone*tf €Ag c) St Z Fax
E-mail: /p/o a //Z f,aeflao . 44
BCD license no.:CCB license no.: /clQ/'Za
Plumbing license no.
Print name:t
FEE SCHEDULE
Total
costDescriptionQty.Cost
ea.
New residential
s333.00 $
I bathroom/l kitchen (includes : first
l00feet ofwater/sewer lines, hose
bibs, ice maker, ttnde(loor low-poinl
drains and rain-drain packages)
$s21.00 s2 bathrooms/l kitchen
$613.00 $3 bathrooms/l kitchen
$132.00 $Each additional bathroom (over 3)
$r32.00 $Each additional kitchen (over 1 )
Residential fire sprinklers (includes plnn review)
0 to 2,000 square feet $102.00 $
$2,001 to 3,600 square feet $r63.00
s243.00 $3.601 to 7,200 square feet
t324.00 $7,201 square feet and gteater
Manufactured dwelling or pre-fab (circle one)
$102.00 $Connections to building sewer and
water supply
Commercial, industrial, and dwellings other than one- or
two-familv
$102.00 $Minimum fee
$25.00 sEach fixture
Miscellaneous fees
100' storm, sewer, water line il06.00 s
Each fixture, appurtenance, and piping $2s.00 $
$106.00 $Storm water retentionldetention facility
Irrigation systems/Backfl ow $25.00 s
Piping or private storm drainage
svstems exceedins the first 100 feet $2s.00 $
Specialty fixtures $2s.00 $
$Reinspection (no. ofhrs. x fee per hr.)t102.00
$Special requested inspections (no. of
hrs. x fee per hr.)il02.00
Each additional inspection: (l)il02.00 $
Minimum f'ee $Medical gas piping
Enter value of installation and equipment $
-.
Enter fee based on installation and equipment value $
DEPARTMENT USE
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)
$
(B) Investigative fee (equal to [A])$
s(C) Enter l2%o surcharge (.12 x [A+B])
(D) Technology Fee (5% of [A])$
TOTAL fees and surcharges (A through D)$ ta.2
[:st edited 7/l/2019 bjones
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