HomeMy WebLinkAboutPermit Plumbing 2019-12-31OREGON
Web Address: www,springfield-or.9ov
Building Permit
Residential Plumbing
Permit Number: 811-19-OO2892-PLM
IVR Number: 81 1097313870
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-726-3753
Email Address : permitcenter@springfield-or. gov
SPRINGTIELD
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Permit Issued: December 31, 2019
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Descriptaon of Work: Sanitary sewer cap
Type of Work: Other
JOB SITE
Worksite Address
4683 UNION TER
Springfield, OR 97478
Parcel
180205 1202100
Owner:
Address:
TANAGER PROPERTIES LLC
1593 LARKSPUR LOOP
EUGENE, OR 97401
LICENSED PROFESSIONAL IN FORMATION
Business Name
STANTON GREGORY PAYNE -
Primary
License
ccB
License Number
27323
Phone
541-688-7038
PENDING INSPECTIONS
Inspection
3999 Final Plumbing
3200 Sanitary Sewer
Inspection Group
Plumb Res
Plumb Res
Inspection Status
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 textthe word "schedule" to 1-888-299-2821 use IVR number: 811097313870
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permits expire af work is not started within 180 Days of issuance or af work is suspended for 180 Days or longer dependlng 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 952-001-0010 through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503)
232-L947,
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O
(Structural/t{echanical), ORS 479.54O (Electrical), and ORS 593.O1O-O20 (Plumbing).
Printed on: 12/31/f9 Page 7 of 2 C:\myReports/reports//production/01 STANDARD
Permit Number: 81 1-19-OO2892-PLM Page 2 of 2
Fee Descraption
Technology Fee
Fixture cap
State of Oregon Surcharge - Plumb (L2o/o of applicable fees)
Printed on: 12/37/19
Quantity
Total Fees:
Fee Amount
$s.10
$102.00
$t2.24
$119.34
1
Page 2 of 2 C: \myReports/reports//production/0 1 STAN DARD
PERMIT FEES
SPRINGTIELD
$fr
OREGON
www.springfield-or. gov
Worksite address: 4683 UNION TER, Springfield, OR 97478
Transaction Receipt
811-19-,002892-PLM
IVR Number: 81 1097313870
Receipt Number: 473428
Receipt Date:12131119
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
permitcenter@spri n gfiel d-or. gov
Transaction Units
date
12131t19 1.00 Qty
Description
Fixture cap
State of Oregon Surcharge - Plumb
(12olo of applicable fees)
224-00000-425603- 1 034
821 -00000-2 1 5004-0000
204-00000 -425605-0000
12t31t19 1.00 Ea
12t31t19 1.00 Automatic Technology Fee
Fees Paid
Account code Fee amount
$102.00
$12.24
$5.1 0
Paid amount
$102.00
$12.24
$5.10
Payment Method: Check number: 1102 Payer: Tanager Properties Payment Amount:$119.34
Cashier: Thayne Smith Receipt Total:$r 19.34
Ptinled: 12131119 2:25 pm Page 1 of 1 Fl N_Tra nsaction Receipl_pr
Crrv or SrnrNGFIELr, ORncoN
Plumbing Permit Application DEPARTMENT USE ONLY
Permitno.: !9 - OO 7 252
Date: f Z/71/to],
SPRIHGFIELO
*,Ft}l
225 Fifth Street o Springficld,OF.97477 . PH(541)726-3753 . 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 180 days of issuance or if work is suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
Zoningapproval verified? ! Ves E No
Sanitation approval verified? E yes E No
CATEGORY OF CONSTRUCTION
E Residential E Govemment E Commercial
JOB SITE INFORMATION AND LOCATION
Job site address /yv6m ?,y'filce-,
L State: (ZIP:
Referenfe: J'Taxlot.
DESCRIPTION OF WORK
PROPERTY OWNER
i 6
Address:
City
vh,n"'Sl{l--4*Fax:
E-mail
This installation on
owned by me
exempt from
ora of my
lNST
Business nu ",
(1p4 1 Ylirtint/)
'-un t
City:State:v4 nP,q746+
Phone Fax
E-mail
CCB license "o:'j-, 1 BCD license no.
Plumbing license no.
Print name:
Signature:
4
FEE SCHEDULE
Description aty Cost
ea.
Total
cost
New residential
1 bathroom/l kitchen (includes: first
l00feet ofwater/sewer lines, hose
bibs, ice maker, undetfioor low-point
drains and rain-drain packages)
$333.00 $
$521.00 $2 bathrooms/l kitchen
$613.00 $3 bathroons/l kitchen
Each additional bathroom (over 3)$132.00 $
Each additional kitchen (over I )$r32.00 $
Residential fire sprinklers (includes plan review)
0 to 2,000 square feet $102.00 s
2,001 to 3,600 square feet $r63.00 $
$243.00 $3,601 to 7,200 square feet
7,201 square feet and greater s324.00 $
Manufactured dwelling or pre-fab (circle one)
$102.00Connections to building sewer and
water supply $
Commercial, industrial, and dwellings other than one- or
$
Each fixture 125.00 $
Miscellaneous fees
100' storm, sewer, water line i106.00 $
Each fixture, appurtenance, and piping t25.00 $
Storm water retention/detention facility u06.00 $
Irrigation systems/B ackfl ow t25.00 $
Prprng or pnvate storm drarnage
svstems exceedinc the first 100 feet i25.00 $
Specialty fixtures t2s.00 $
Reinspection (no. ofhrs. x fee per hr.)$102.00 $
Special requested inspections (no. of
hrs. x fee per hr.)$r02.00 $
Each additional inspection: (1)$r02.00 $
Medical gas piping Minin-rum fee $
Enter value of installation and equipment S _.
Enter fee based on installation and equipment value.$
DEPARTMENT USE
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $f02.00)$
(B) Investigative fee (equal to [A])$
(C) Enter 120lo surcharge (.12 x [A+B])$
(D) Technology Fee (5% of [A])$
TOTAL fees and surcharges (A through D)$ il.) .'.
Lasr edited 1 ll/2019 bjones
immediate
OAR
Address:
Minimum fee 1102.00