HomeMy WebLinkAboutPermit Plumbing 2020-02-21CitY of SPringfie\d
D ev ero p m ent .19r:
ItH H'5,
Springfield' OR97477
s4r-726'3'153
SPR,INGTIELD
{6
OR.EGON
Web Address: www springfield-or' gov
Building Permit
Residential Plumbing
Permit Number: 811-2O-OOO340-PLM
IVR Number: 811030800253
Email Address : permitcenter@springfield-or'gov
Permit Issued: FebruarY 2t' 2020
CategorY of Construction: Single FamilY Dwelling
Submitted Job Value: $0'00
Type of Work: RePlacement
DescriPtion of Work: 60ft replace sewer line stub to home
Parcel
170335 1407000
Owner:
Address:
DOWNS RUSSELL & JANE
1043 E ST
SPRINGFIELD , OR97477
Worksite Address
1043 E ST
Springfield, OR97477
JOB SITE INFORMATION
INFOPROFESSIONALLICENSED
Business Name
PACIFIC PLUMBING & ROOTER
INC - Primary
License
ccB
License Number
L99420
Phone
541-505-9312
Inspection
3500 Rough Plumbing
3200 Sanitary Sewer
3999 Final Plumbing
Inspection GrouP
Plumb Res
Plumb Res
Plumb Res
Inspection Status
Pending
Pending
Pending
Permits expire if work is not started within 180 Days of issuance or if work as 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 complaed 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 lau,
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
lorah ,n oAR gs2-ool-oolo through OAR 952-OO7-OO9O. You may obhin coples of the rul€s by calling the Center at (503)
232-19A7.
All persons or entitles 9,erforming work under this permlt are reguired to be ricensed unress exempted by oRs 7o7.o11(s*u."urat/nechani@r), oRs 479.540 (Erectricar), and oRs 593.010-020 (prumbing).
Printed on: 2/27/20
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: 811030800253
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Page 7 of 2 C: \myReports/repo rts/ / produclion/ O I STANDA RD
TYPE OF WORK
PENDING
SCHEDULING INSPECTIONS
Pern it Nu nber: gt t- 20_OO o34o_p LM
Fee Description
Technology Fee
Sanitary sewer - Total linear feet
State of Oregon Surcharge _ plumb (t2o/o ofapplicable fees)
Quantity
Page 2 of 2
Fee Amount
9s.30
$ 106.00
$72.72
9724.O2
60
Page 2 ot 2
Total Fees:
C:\myReports/reports//production/0 1 STANDARD
Printed on: 2/21i 20
PERMIT FEES
SPRINGFIELD
,b
Transaction ReceiPt
811-20{00340-PLM
IVR Number: 811030800253
Receipt Number: 423823
Receipt Date:2121t20
CitY of SPringfretd
DeveloPment and Public Works
225 Fifth Street
SPringfield, 0R 97477
541-726-3753
permitcenter@springfi eld-or. gov
Paid amount
$106.00
$12.72
$5.30
www.springfield-or.gov
Worksite address: .1043 E ST, Springfield , OR g\47l
Parcel: 1 7033 SI4O7OOO
Transaction
date
2t21t20
OREGON
Units
60.00 LnFt
1.00 Ea
1.00 Automatic
2t21t20
2t21t20
Payment Method: Credit card
Description
Sanitary sewer - Total linear feet
State of Oregon Surcharge _ plumb
(12o/o ot applicable fees)
Technology Fee
Payer: pAClFlC pLU
Fees Paid
Account code
224-00000_425603_ 1 034
82 1 -00000_2 1 5o04_0000
204 -00000 -42 56 05_oooo
Fee amount
$106.00
$12.72
$5.30
MBING4&ROOTER I Payment Amount;$124.02
$124.02
Cashier: Katrina Anderson
Receipt Totat:
Ptinled: 2t21t2o g:31 am
Page 1 of 1
Fl N_Tra nsaction Receipt_pr
*,-. /
Plumbing P ermit APPlication
225 Fi Street a oR97477 I PH(541 )726-3753 . F AX(541)726-3689
This permit is issued under oAR 91g-7g0-0060. 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.
3\
Permtt no.:
Date:
Zoning aoproval verifled? ! Ves E No
Sanitation approval verified? E Yes I No
Job site address: t O.{ } E 5T
Residential ! Government ! Commercial
clty:3D $\A State: QQI zrP: q1q11
t- Quo+<(Loy4
Reference:Taxlot.:
Vo'
*zPLo, l-nrt- -
Na:me u
{o Ao*tt-
Dotprr t
Address: Ip L{ } E bt
city, 9p StJ State:OQ.Z ztP:41411
ptrone:*lt 1r{{ 5Dq,b Fax:
E-mail: Dorpr.r.g, J\A (r- tlor rttAtr- ,(_onvt
This installation is being made on residential or farm properfy
owned by me or a member of my immediate family, and is
exenlpt fi'om licensing requirements under OAR 918-695-0020.
Signature:
Business name:CtL b,nbru I Gr-
I Aer,aAddress: 4oUll i/l;iTi
crty: LUqQn L State:C?-L ztp:Q1{oZ
Phone:p{{ 5O5 qyrT-Fax*ll 5125111{
E-mail: tU (O PtA O,zco4au , C-ov,t
CCB license no.: IAQ.Lf-O no.
Plumbing license no.
New residential
I bathroom/l kitchen (inc ludes : first
I 00 feet ofwater/sewer lines, hose
bibs, ice maker, underJloor low-point
drains and rain-drain packages)
t333.00 $
2 bathrooms/l kitchen is21.00 $
3 bathrooms/l kitchen s613.00 $
Each additional bathroom (over 3)$r32.00 s
Each additional kitchen (over l)$132.00 $
Residential fire sprinklers (includes plan review)
0 to 2,000 square feet $102.00 $
2,001 to 3,600 square feet 1163.00 $
3,601 to 7,200 square feet $243.00 $
7,201 square feet and greater $324.00 $
Manufactured dwelling or pre-fab (circle one)
Connections to building sewer and
water supply $r02.00 $
Commercial, industrial, and dwellings other than one- or
Minimum fee $102.00 $
Each fixture s25.00 $
Miscellaneous fees
100' storm. sewer. water line I t106.00 $ lo\l
Each fixture, appurtenance, and piping t2s.00 $
Storm water retention/detention facility $106.00 s
Irrigation systems/Backfl ow $25.00 $
Piping or private storm drainage
svstems exceedins the first 100 feet $25.00 $
Specialty fixtures s2s.00 $
Reinspection (no. ofhrs. x fee per hr.)s102.00 $
Special requested inspections (no. of
hrs. x fee per hr.)$r02.00 $
Each additional inspection: (l)$102.00 $
Minimum fee s
Enter value of installation and equipment $ _.
Enter fee based on installation and equipment value.
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)lo?
$
$
(B) Investigative fee (equal to [A])s€
(C) Enter l20% surcharge (.12 x [A+B])$ lz.17
(D) Technology Fee (5% of[A])s 970
TOTAL fees and surcharges (A through D):$
Last edited 7/l /20 1 9 bjones
*FfitrtaflEllE
fiEE
*rseriplib#ci*r
*o$f
Mbdic*ls*$;#l i*s
trsp,i.[Rf.l![:E]]If, u. ,,,
Onx',cox
LOCA I. GOV ERI,I M E NT...*FP..ROVA iJ
CATEGORY OF.,
JOB }CATION
DEST}RIFTIOH $F WORK
PIiOFERTY
Print name: