HomeMy WebLinkAboutPermit Plumbing 2020-01-22SPRINGFIELD
,&
OITEGON
Web Address: www.springfield-or.qov
Building Permit
Residential Plumbing
Permit Number: 81 1-20-00O134-PLM
IVR Number: 811019826394
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54r-726-3753
Email Add ress : permitcenter@springfield-or. gov
Permit Issued: January 22,2020
TYPE OF WORK
Category of Constructionl Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: 60ft water service line
Type of Work: Replacement
Worksite Address
1132 C ST
Springfield, OR 97477
Owner:
Address:
STRASSE PAZCA LLC
PO BOX 1726
BURLINGAME, CA
94017-1726
INFORMATION
Business Name
PACIFIC PLUMBING & ROOTER
INC - Primary
License
CCB
License Number
199420
Phone
541-505-9312
Inspection
3999 Final Plumbing
3500 Rough Plumbing
3300 Water Service
Inspection Group
Plumb Res
Plumb Res
Plumb Res
lnspection Status
Pending
Pending
Pending
Permits expire if work is not started wathin 180 Days of issuance or if work is suspended 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.
cranting ofa permit does not presume to give authority to violate or cancel the provisions ofany 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 (5O3)
232-L947,
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701,O10
(Structural/Mechanical), ORS 479.540 (Electrical). and ORS 693.O1O-O20 (Plumbing)
Printed ont l/22/20 page 1 of 2
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: 811019826394
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
C | \myReports/reports//productaon/0 1 STAN DA RD
I
JOB SITE INFORMATION
Parcel
170335 14 1 1700
PENDING INSPECTIONS
SCTIEDULING INSPECTIONS
Permit Number: 81f -20-OOO134-PLM Page 2 of 2
Fee Description
Technology Fee
Water service - Total linear feet
State of Oregon Surcharge - Plumb (L2o/o of applicable fees)
Printed on: L/22/20
Quantity
Total Fees;
Fee Amount
$ s.30
$ 1 06.00
$12.72
$124.02
60
Page 2 of 2 C i \myReports/reports//production/0 1 STAN DA RD
PERMIT FEES
SPRINGFIELD
&
OREGOI{
www. springfi eld-or. gov
Worksite address: 1132 C ST, Springfield, OR 97477
Parcel: 1703351411700
Transaction Receipt
81 1 -20-0001 34-PLM
IVR Number: 81 1 019826394
Receipt Number: 473602
Receipt Date:1122120
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
permitcenter@springfield-or. gov
Transaction Units
date
1122120 60.00 LnFt
1t22t20 1.00 Ea
1t22120
Description
Water service - Total linear feet
State of Oregon Surcharge - Plumb
(12o/o oI applicable fees)
224-00000-425603- 1 034
82 1 -00000-2 1 5004-0000
204-00000-425605-00001.00 Automatic Technology Fee
Fees Paid
Account code Fee amount
$106.00
$12.72
$5 30
Paid amount
$106.00
$12 72
$5 30
Payment Method Credit card
authorization: 037480
Payer: PACIFIC PLUMBING
& ROOTER INC
Paymenl Amount:$'t24.02
Cashier: Katrina Anderson Receipt Total:$124.02
Prirlled: 112220 9.32 am Page 1 of 1 Fl N_Tra nsaction Receipt_pr
0 Plumbing Permit Application
225 Fifth Street . Springfleld,OR97477 . PH(541)'126-3'153 . FAX(541)726-3689
This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits
expire if work is not started within 180 days of issuance or if work is suspended for 180 days.
SFHldl{lFl€i-$ l, '
,ffi Permitno.: 20 -@B\-QW
Date: izil ?-D
Zoning approval verified? E Yes E No
Sanitation approval verified? [ Yes E No
CATEGC
E Govemment E Commercial\fuResidential- JOB SITE INI
Job site address: / / 32 C 6r
ztP:Qt4t tCitygpili,t4{t z/J SarcelL,
Taxlot.Reference:
a
r'y''lQ,=,2- fD ff?r'l,LS
Ptr
Name: ar rZA S g '4 Zc A /-/-C
Address: /e 4or t72lJr
State: Ca ztP: WOllCity:&zrl/t,u4Arrt L
Fax:Phone
This installation is being made on residential or farm property
owned bl,me or a member of my immediate family, and is
exempt fiom licensing requirements under OAR 918-695-0020.
Signature:
CONTI
nt hr ta
Address: qDb t I t//en,f a /a* z
€//q-City:State:92.zrp..Qt y'oZ
Phone$1( €o5 QZtZ Fax:lff 50S .Z? t4
E-mair: l u /o g P/fZ Ce-LQclt . Ca rr-r
CCB license no.: lQcl42O BCD license no.
Plumbing license no.
Print name 4';'b.
Signature:
New residential
$333.00 $
I bathroom/l kitchen (includes : first
l00feet ofwater/sewer lines, hose
bibs, ice maker, underJloor low-point
drains and rain-drain packages)
$52I.00 s2 bathrooms/l kitchen
$613.00 $3 bathrooms/l kitchen
$132.00 $Each additional bathroom (over 3)
$r32.00 $Each additional kitchen (over l)
Residential fire sprinklers (includes plan ryy1gtu)
$102.00 $0 to 2,000 square feet
$163.00 $2,001 to 3,600 square feet
s243.00 $3,601 to 7,200 square feet
i324.00 s7"201 square feet and greater
Manufactured dwelling or pre-fab (circle one)
il02.00 $Connections to building sewer and
water supply
Commercial, industrial, and dwellings other than one- or
two-family
Minimum tbe i102.00 $
$25.00 $Each fixture
Miscellaneous fees
100' storm, sewer, water line t106.00 $ V)L,
Each fixture, appurtenance, and piping i25.00 $
i106.00 $Storm rryater retention/detention facility
t2s.00 $Irrigation systems/Backfl ow
s2s.00 S
Piping or private storm drainage
systems exceeding the first 100 feet
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: (l)$102.00 $
Iledical gas piping Minimum fee $
Enter value of installation and equipment $
-.
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)
Enter fee based on installation and value.$
$OQ
(B) Investigative fee (equal to [A])$-#
(C) Enter I 27o surcharge (.12 x [A+B])$ JL.1y
(D) Technology Fee (5% of [A])$ c'lo
TOTAL fees and surcharges (A through D):sl2;\, u
I-ast edited 7i 1 /20 I 9 bjones
FIELD, onnCOX
FEE SCHEDULE
Oescrl$tion Cost
ea.
otal
rost
DEPARTMEHT USE
DEPARTMENT USE ONLY
LOCAL GOVERNMENT APPROVAL
CONSTRUCTION
IN ANt )CATION
IN OF WORKDE$r
E-mail:
iTALLATION
t/t zBusiness name: