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Home My WebLink AboutPermit Plumbing 2020-01-06Web Address: www.springfield-or. gov City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Email Address : permitcenter@springfield-or. gov SPRINGFIELD @ Permit Issued: January 06,2O2O TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Replace 60ft sewer line Type of Work: Replacement Worksite Address 1654 16TH ST Springfield, OR 97477 Parcel 1703253 101200 Owner: Address: TRUETT VANESSA 1654 16TH ST SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Business Name BAXTER PLUMBING & ROOTER INC - Primary License ccB License Number L94034 Phone 541-334-6696 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: 811019017616 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store PERUIT FEES Fee Description Technology Fee Sanitary sewer - Total linear feet State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Quantity Total Fees: Permits expare 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 poticy. 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. ATTENTIONs 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 TOL.OLO (Structural/Mechanical), ORS 479.54O (Electrical), and ORS 693,O1O-O20 (plumbing). Winted ot 7/7120 page 1 of 1 Ci\myReports/reports//production/01 STANDARD 60 Fee Amount $s.30 $ 106.00 $L2.72 $L24.O2 Building Permit Residential Plumbing Permit Number: 81 1-2O-OOOO21-PLM M Number: 811019017616 OflEGON JOB SITE INFORMATION SPRINGTI OREGON www.springfield-or. gov Worksite address: 1654 16TH ST, Springfield,OR97477 P arc,el 17 03253 1 0 1 200 Transaction Receipt 81 1 -20-000021 -PLM IVR Number: 811019017616 Receipt Number: 473456 Receipt Date:116120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@springfield-or. gov Transaction Units date 116120 60.00 LnFt 1t6120 1t6t20 1.00 Ea 1.00 Automatic Technology Fee Description Sanitary sewer - Total linear feet State of Oregon Surcharge - Plumb (12o/o oI applicable fees) 224-00000- 42s603- I 034 821 -00000-21 5004-0000 20 4 -00000 - 4256 0 5-00 00 Fees Paid Account code Fee amount $106.00 $12.72 $5.30 Paid amount $106.00 $12.72 $s.30 Payment Method: Credit card authorization: 033060 Payer: BAXTER PLUMBING & ROOTER INC Payment Amount:$124.02 Cashier: Katrina Anderson Receipt Total:$'t24.02 Printed: 1fl20 3:35 pm Page 1 of 1 F I N_Tra nsaction Receipt_pr ,rg8 Plumbing Permit Application DEPARTMENT USE ONLY p"r itro.'b- bOooU\ Date:\t,\lo SPFINGFIELD €n, 225 Fifth Streer o Springfield, OR 97477 . PH\541)726-37 53 . FAX(541)726-3689 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 I E0 days of issuance or if work is suspended for I 80 days. Crrv oF SPRTNGFIELD, OREGoN LOCAL GOVERNMENT APPROVAL Zoningapproval verified? ! Yes n No Sanitation approval verified? ! Yes n No CATEGORY OF CONSTRUCTION E CommercialEResidential! Govemment JOB SITE INFORMATION AND LOCATION Job site address: l(Eq /( L St State: O ((ZTP:City: Taxlot.Reference: DESCRIPTION OF WORK o PROPERW OWNER Name Address City:State ZIP Fax:Phone: 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 91 8-695-0020 Signature: CONTRACTOR INSTALLATION L) I Business name: Address nP:AnU3"7City: EU-J1-State: 6(- Phone:S1l 4k.-7So /Fax: p-mail :T I a"lt> O,Y> d4\Q-(,f t *^-J-t t"-t, c-tbvv- BCD license no.CCB license "o.t 1Q1.6fi o/t f Plumbing license no. Print name Signature FEE SCHEDULE Cost ea. Total costDescriptionQty New residential $333.00 $ I bathroom/l kitchen (includes : first l00feet ofwater/sewer lines, hose bibs, ice maker, underfloor low-point drains and rain-drain packnges) $s21.00 $2 bathrooms/l kitchen $6r3.00 $3 bathrooms/l kitchen $132.00 $Each additional bathroom (over 3) $$132.00Each additional kitchen (over l) Residential fire sprinklers (includes plan review) $$r02.000 to 2,000 square feet $r63.00 $2,001 to 3,600 square feet $243.00 $3,601 to 7,200 square feet $7,201 square feet and greater $324.00 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-family s102.00 sMinimum fee $$25.00Each fixture Miscellaneous fees i106.00 $ (Cfu100' storm, sewer, water line (// i25.00 sEach fixture, appurtenance, and piping t106.00 $Storm water retention/detention facility sIrrigation systems/B ackfl ow t25.00 $Piping or private storm drainage svstems exceedins the first 100 feet t25.00 82s.00 $Specialty fixtures $102.00 $Reinspection (no. ofhrs. x fee per hr.) $102.00 S Special requested inspections (no. of hrs. x fee per hr.) $102.00 $Each additional inspection: (l) $Medical gas piping Minirnurn fee 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]) $(C) Enter l2% surcharge (.12 x [A+B]) (D) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):$ l){.o \S9 Last edited 7/li20l9 bjones