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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 $b 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