HomeMy WebLinkAboutPermit Plumbing 2020-03-02SPRINGFIETD
OREGON
Web Address: www.springfield-or. gov
Building Permit
Residential Plumbing
Permit Number: 81 1-2O-O0O4O9-PLM
IVR Number: 811034235687
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Email Address: permitcenter@springfield-or. gov
Permit Issued: March 02, 2020
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: Replace sanitary sewer B5ft
Type of Work: Replacement
JOB SITE INFORiIATION
Worksite Address
1062 B ST
Springfield, OR 97477
Parcel
170335 141 5600
Owner:
Address:
MOORE ROBBIE JEAN
885 NW OAK AVE
CORVALLIS, OR
97330-15 18
LICENSED PROFESSIONAL INFORMATION
Business Name
DRAIN RAIDER ROOTER SERVICE
INC - Primary
License
ccB
License Number
191218
Phone
541-338-8848
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: 811034235687
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 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.
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'
ATTENTION3 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-L947,
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O10
(Structural/Meehanical), ORS 479.540 (Electrical), and ORS 693.010-O20 (Plumbing).
pdnted oni 3lZl2O page 1 of 2 C:\myReports/reports//production/01 STANDARD
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Permat Number: 81 1-20-OOO4O9-PLM Page 2 of 2
Fee Description
Technology Fee
Sanitary sewer - Total linear feet
State of Oregon Surcharge - Plumb (L2o/o of applicable fees)
Printed oil 3/2/20
Quantity Fee Amount
$s.30
$ 106.00
$12.72
$124.O2Total Fees:
C : \myReports/reports//production/0 1 STAN DARD
85
Page 2 of 2
PERMIT FEES
SPRINGFIEI.D
,r,
Transaction Receipt
8t 1 -20-000409-PLM
IVR Number: 81 1034235687
Receipt Number: 473982
Receipt Date:312120
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
permitcenter@spri n gfi eld-or. govOREGON
www.springfield-or. gov
Worksite address: 1062 B ST, Springfield, OR97477
Parcel: 1 70335141 5600
Transaction Units
date
312120 85.00 LnFt
3t2t20
312t20
1.00 Ea
'1 .00 Automatic Technology Fee
Description
Sanitary sewer - Total linear feet
State of Oregon Surcharge - Plumb
(12o/o ol applicable fees)
Fees Paid
Account code
224-00000 -425603- I 034
821 -00000-21 5004-0000
204-00000-42560s-0000
Fee amount
$106.00
$12.72
$5.30
Paid amount
$106.00
$12.72
$5.30
Payment Method: Credit card
authorization: 059026
Payer: art ferreira Payment Amount:$124.02
Cashier: Katrina Anderson Receipt Total:$124.02
Ptinted: 312120 11 :43 am Page I of 1 Fl N_TransactionReceipt_pr
I
Crry or STTNGFIELn, 0RrcoN
Plumbing Permit Application
225 Fifth Street t Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3699
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.
FEE SCHEDULE
Description aty.Cost
ea.
Total
cost
New residential
I bathroom/l kitchcn (includes: firstl00feet ofwater/sewer lines, hose
bibs, ice maker, ttnder"floor low-point
drains and rain-drain packoges)
t333.00 $
2 bathlooms/l kitchen ts2l.00 $MW*rtlxr*d 0613.00 $
Each additional bathroom (over 3)t132.00 s
Each additional kitchen (over l)$r32.00 $
Residential fire sprinklers (includes plan review)
0 to 2,000 square feet s102.00 (
2,001 to 3,600 square feet s163.00 $
3,601 to 7,200 square feet i243.00 $
7,201 square feet and greater t324.00 $
Manufactured dwelling or pre-fab (circle one)
Connections 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 $
Misgellaneous fees
fOO rto.-, sewer, wat".Iil\il 06.00 s loU
ffi appurtenance, and piping t25.00 $
Storm water retention/detention facility t106.00 $
Irrigation systems/Backfl ow t25.00 s
Piping or private storm drainage
systems exceedins the first 100 feet t25.00 $
Specialty fixtures t25.00 $
Reinspection (no. ofhrs. x fee per hr.)1102.00 $
Special requested inspections (no. of
hrs. x fee per hr.)$102.00 $
Each additional inspection: (1)8t02.00 $
Medical gas piping Minirr-rurl 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 $f 02.00)$ ro?
(B) lnvestigative fee (equal to [A])$
(C) Enter l2oZ surcharge (.12 x [A+B])$
(D) Technology Fee (5% of [A])$
TOTAL fees and surcharges (A through D):s t>.{ o7
SPRrX6Ft Er-O
*
DEPARTMENT USE ONLY
Permitno,fl-CED\O4 lt
Date:a >{)
LOCAL GOVERNMENT APPROVAL
Zoningapproval verified? D yes E No
Sanitation approval verified? E yes E No
CATEGORY OF CONSTRUCTION
E(Residential ! Govemment E Commercial
JOB SITE INFORMATION AND LOCATION
city: jp(State: @f/ZIP:QTZUC?
Reference:Taxlot.
DESCRIPTION OF
I
a,
PROPERTY OWNER
Name: ;[^ " D) ST.l^^ r?_ k
,
State:ZIP:
Phone:fi|7 --gA-lzt) I 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 918-695-0020
INSTALLATION
Business name \
Address:r/ S"/ 'Ah^-^ U-* Z zl
City: $,aOH_
-st{te: OIL zIP:Q ?y'a/
Phone Fax:
E-mail: Ari J raJA
CCB license no.: lQ 1j 1Q r-
BCD license no.:
Plumbing license no.:
a
Signature:
Last edited 7 I I /2019 bjones
Job site address: ,/22 2
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Address: D{ /-/
Signature:
Print name: Atrl