HomeMy WebLinkAboutPermit Plumbing 2020-02-19OREGON
Web Address : www.springfield-or.9ov
Building Permit
Residentia! Plumbing
Permit Number: 81 1-2O-OOO3 17-PLM
IVR Number: 811053758452
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54L-726-3753
Email Address: permitcenter@springfield-or.gov
SPRINGTIELD
{,t
Permit Issued: February L9, 2020
TYPE OF WORK
Category of Construction: Single Family Dwelling Type of Work: New
Submitted Job Value: $0.00
Description of Work: 125ft of sewer line to current house and future house
,OB SITE INFORT,IATION
Worksite Address
1542 7TH Sr
Springfield, OR 97477
Parcel
t703264201701
Owner:
Address:
]UNGE OLAF
1542 7TH ST
SPRINGFIELD, OR97477
LICENSED PROFESSIONAL INFOR]TIATION
Business Name
KIPCO CONSTRUCTION LLC -
Primary
License
ccB
License Number
2023t1
Phone
541-689-9265
PENDING INSPECTIONS
Inspection
3999 Final Plumbing
3500 Rough Plumbing
3200 Sanitary Sewer
Inspection Group
Plumb Res
Plumb Res
Plumb Res
Inspection Status
Pending
Pending
Pending
SCHEDULING INSPECTIONS
Various inspections are minimally required on each project and often dependent on the scope of work. Contact
the issuing jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www.buildingpermits.oregon'gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811053758452
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
permlts erplre lf work is not started withln 18O Days of lssuance or lf work ls suspended for l8O Days or longer dePendlng on
the l3rulng lgcncy'3 pollcy.
All provl3lons of laws and ordlnences governlng thls type of work wlll be complled wlth wh€ther speclfled hereln or not.
Gran$ng of r permlt doG3 not prciumc to glvc luthorlty to vlot.tc or ctnccl the provi3ion3 of tny other 3t!tG or loca! law
regulatlng constructlon or thc performance of constructlon.
ATfENTION: OrcAon law rcqulrcs you to fotlow rulcs adoptcd by the Orcgon Utllity Notlfic.tion Ccntcr. Thosc rulct.rc 3ct
forth an OAR 952-OO1-OO1O through OAR 952-OO1-OO9O. You may obtain copics of thc rules by Galling thG Ccnter at (5O3)
232-1987.
Alt pcrsons or entitaes perlorming work under this permit are required to be licens€d unless eremptcd by ORS 7O1.O1O
(Structural/l.lechanlcat), ORS 479'54O (Electracal), and ORS 693'of O-O20 (Plumblng).
printed on: 2/19/20 page 1 of 2 C:\myReports/reports//productaon/01 STANDARD
&.1
Permit Number: 81 1-2O-OOO317-PLM Page 2 of 2
Fee Descrlptlon
Technology Fee
Sanitary sewer - Total linear feet
State of Oregon Surcharge - Plumb (L2o/o of applicable fees)
Print€d on; 2/19/20
Quantity Fee Amount
$6'ss
$131.00
$15.72
$153.27Total Fees:
C:\myReports/reports//production/o1 STANDARD
125
Page 2 oi 2
PERI.IIT FEES
SPRINGTIELD
ti
OITEGON
www.springfi eld-or.gov
Worksite address: 1*27TH ST, Springfield, OR97477
Parcel'. 17032U201701
Transaction Receipt
8t 1-20400317-PLM
IVR Number: 81 1 053758452
Receipt Number: 473846
Receipt Datez 2119120
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
547-726-3753
permitcenter@springfi eld-or. gov
Transactlon Unlts
date
2t19120 125.00 LnFt
2t't9t20 1.00 Ea
2t19120
Descrlptlon
Sanitary sewer - Total linear feet
State of Oregon Surcharge - Plumb
(12o/o ol applicrble fees)
Fees Paid
Account code
1.00 Automatic Technology Fee
224-00000425603-1034
821 -00000-21 5004-0000
204-00000-425605-0000
Fee amount
$131 .00
$15.72
$6.55
Paid amount
$131.00
$15.72
$6.55
Payment Method: Credit card
authorization: 81 10'13
Payer: JUNGE OLAF Payment Amount:$1s3.27
Cashier: Katrina Anderson Receipt Total:$1s3.27
Printed: 2/19/20 1:57 pm Page I of 1 FIN_TransactionReceipt_rr
Cnyor Spnnc FTELD, O4rcoru
Plunnbi
6',
ng Perrnit Applica tion
SPAIXGFIELT}
&,)1<Fifth Streot ,on.stqj t PH(s4t )726-i7s3 I FAX(54 t)726-3659
This permit is issued under OAR 918_780_0060.expire if work is nof stafted within thl days of issuance or if work
Permits are issued only
suspended for lg0 days.
to theperson or contractor doing the work permits
ts
DEPARTMENT USE YONL
ono,Permit Jo o o 3 7
Date:
LOCAL GOVERNM ENT APPROV ALZoning approval veri fi ed ?flves nNo
ENoflvesSanitationfivenapprovaled?
CATEGORT OF CONSTR UCTION
EflResidential E Govemment ! Commercial
BJO SITE IN FO RMATI ON AN D LOCA TIONLIL 1+b 5fJob site address:
City State 7
Reference
DESCRIPTION OF WORK
urEO a
PROPERTY OWNER
Name
Address: (3tS {^
City: {^State: o(1{ZIP
,3?e Fax:
E-mail
on
of my
This IS
owned by me
exempt from
ora
Signature
INSTALLATION
Business name (-
Address:
,LS
ST
ZIP '{az*
Phone:f{IW
E-mail:
CCB license no.:2o411 BCD license no.:
Print name
Signature
FEE
Description Cost
ea.
Total
costNew residential
$
2 bathrooms/l kitchen .00
3 bathrooms/l kitchen
Each additional bathroom Jover()
Each additional kitchen r)
Residential fire nklers revtew
0 to 2,000 square feet 102.00 $
2,001 to 3,600 square feet $
3,601 to 7,200 square feet $
7,201 feet and .00 $
Manufactured or b
to sewer
water $
industrial,Commercial,and other th one-an ordwellings
two-fa
Minimum fee 102.00 $
Each fixture $
Miscellaneous fees
100' storm, sewer, water line 106.00 OG$
Each fixture, appurtenance, and $
Storm water retention/detention $
Irri gation systems/Backfl ou,$
or storm
the ($z
$
Reinspection (no. ofhrs. x fee per hr.)$
hrs. x fee
(no.
hr.$
Each additional inspection: (l)102.00 s
Medical Minimum fee s
Enter value of installation and equipment $ _.
Enter fee based on installation and equipment value.$
DEP USE
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)$13t.
(B) Investigative fee (equal to [A])$@-
(C) Enter I 2olo surcharge (.12 x [A+B])$
$(D) Technology Fee (5% of [A])
TOTAL fees and su th s
\asr tilrtt{ 1 I \ llt\9 b\ones
q\\D\?
ZIP:
Taxlot.:
City: (yqp,*State:(
Fax*t( {e\-e3qt
Plumbing license no.:
1163.00
1243.00
$25.00
\
i25.00
i106.00
i25.00
i25.00
Specialty fixtures i2s.00
$102.00
1102.00
-o.95