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Home My WebLink AboutPermit Plumbing 2020-02-19OREGON Web Address: www.springfield-or. gov Building Permit Residentia! Plumbing Permit Nu mber: 81 1-2O-OOO3O9-PLltl M Number: 811041792156 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address : permitcenter@springfield-or.9ov SPRINGFIELD tt, Permit Issued: February L9,2O2O TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Sanitary Sewer Repair 15ft. Type of Work: Repair ]OB SITE INFORMATION Worksite Address 2535 J ST Springfield, OR 97477 Parcel 170336 1 10 1800 Owner: Address: MCGEE KATRINA M 2535 r ST SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL IN FORMATION Business Name EMERALD EXCAVATING INC - Primary License ccB Phone 541-345- 1505 PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Res Plumb Res Inspection Status Pending Pending SCH EDULING 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. Sched ule or track inspections at www. build ing permits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 81t041792L56 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 180 Days of issuance or if work is susp€nded for t8O 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. 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-OO1-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-L987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7o1.o1o (Structural/Mechanical), ORS 479,540 (Electrical), and ORS 593.010-O20 (Plumbing) Printed oil 2/L9l2O page 1 of 2 C:\myReports/rercrts//prcduction/0 1 STAN DARD License Number t4t73 Permit Number: 81 1-20-OOO3O9-PLM Page 2 ol 2 Fee Description Technology Fee Sanitary sewer - Total linear feet State of Oregon Surcharge - Plumb (l2o/o of applicable fees) Printed on: 2/19/20 Quantity 15 Total Fees: Fee Amount $s.30 $ 106.00 $L2.72 $124.02 Page 2 of 2 C: \myReports/reports//production/01 STAN DARD PERMIT FEES SPRINGFIELD OREGON www.spnngfield-or. gov Worksite address: 2535 J ST, Springfield, OR97477 Parcel: 1 703361 1 01 800 Transaction Receipt 8{ 1 -20-000309-PLM lVR Number: 81 1041792156 Receipt Number: 473841 Receipt Date:2119120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54r-726-3753 perm itcenter@spri n gfi eld -or. gov $t Fees Paid Account codeTransaction Units date 2l19l2o 15.00 LnFt 2t19t20 2t19t20 1.00 Ea 1.00 Automatic Technology Fee Description Sanitary sewer - Total linear feet State of Oregon Surcharge - Plumb (12o/o ot applicable fees) 224-00000-425603-1 034 82 1 -00000-2 I 5004-0000 204 -00000 - 42 56 0 5-0000 Fee amount $106.00 $'t2.72 $5.30 Paid amount $106.00 $12.72 $5.30 Payment Method: Credit card authorization: 31 91 23 Payer: EMERALD EXCAVATING INC Payment Amount:$124.02 Cashier: Katrina Anderson Receipt Total:$124.02 Ptinled. 2119120 1 1 :34 am Page 'l of 1 F I N_Tra nsaction Receipt_pr Cmv or SpnrNGFrELo, ORtrcox Plumbing Permit Application LOCAL GOVERNMENT APPROVAL Zoningapproval verified? ! Yes E No Sanitation approval verified? E Y". f] No CATEGORY OF CONSTRUCTION Residential ! Government E Commercial JOB SITE INFORMATION AND LOCATION Job site address: 2535 T. 5r . city: j l5B,,t (Fta-D State: 6(ZIP Referenle:Taxlot.: DESCRIPTION OF WORK AJt fr PROPERTY OWNER Name Address: ZqAc- tr. 5r ciry: {0A, ^tbFtezl)State: 4R .ZIP Phone:Jll-Ql{15cl6 Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 9l 8-695-0020 Signature: CONTRACTOR INSTALLATION Business name W\e{2,/t.-( Address: 4Z4o W, Qtt- *te City: furutJe State:d zrP: 471OL Phone:4l 'U5- tSAs-Fax:!.1i Srtf ,lW? E-mail J .2t'e 4,r )f CCB license no.Lt l1] . Plumbing license no. Print name:r\e Signature: FEE SCHEDULE Description Qty Cost ea. Total cost New residential I bathroom/l kitchen (includes : first l00feet of water/sewer lines, hose bibs, ice maker, undetfloor low-point drains and rain-drain packages) $333.00 $ 2 bathrooms/1 kitchen $521.00 s 3 bathrooms/l kitchen $613.00 $ Each additional bathroom (over 3)i132.00 s Each additional kitchen (over l) 'l32.00 s Residential fire sprinklers (includes plan revieu) 0 to 2,000 square feet $102.00 S 2,001 to 3,600 square feet $163.00 s 3,601 to 7,200 square feet $243.00 $ 7,201 square feet and greater $324.00 $ Manufactured dwelling or pre-fab (circle one) Comections to building sewer and water supply $ 102.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee $102.00 $ Each fixture $25.00 $ Miscellaneous fees 100' storm, sewer, water line \$l 06.00 $(aG Each fixture, appurtenance, and piping $25.00 s Storm water retention/detention facility $106.00 $ Irrigation systems/B ackfl ow $25.00 $ Piping or private storm drainage svstems exceedins the first 100 feet t25.00 s Specialty fixtures i2s.00 $ Reinspection (no. ofhrs. x fee per hr.)Ir02.00 $ Special requested inspections (no. of hrs. x fee per hr.)s102.00 $ Each additional inspection: (1)$102.00 $ Medical gas piping Minirnum fee $ Enter value of installation and equipment $ -. Enter fee based on installation and equipment value.$ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) s tob (B) Investigative fee (equal to [A])$ (C) Enter l20% surcharge (.12 x [A+B])sLL'{Z- (D) Technology Fee (5% of [A])$5'ro TOTAL fees and surcharges (A through D):$7.{,ob h, Z25Fifrh Street o Springficld, OR 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. DEPARTMENT USE ONLY Permit no.:o3a. Date ?\4 >-D [2st edited 7/l/2019 bjones E I BCD license no.: I