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Home My WebLink AboutPermit Plumbing 2020-03-04OREGON Web Address: www.springfield-or.9ov Building Permit Residentia! Plumbing Permit Number: 81 1-2O-OOO431-PLM IVR Number: 811005921843 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address : permitcenter@springfield-or.gov SPRINGFIELD b Permit Issued: March 04, 2020 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: replace 70ft water line Type of Work: Replacement ,OB SITE INFORMATION Worksite Address 1445 WIMBLEDON PL Springfield, OR 97477 Parcel 1703342200818 Owner: Address: BULLOCK MAX E & ELEANORE ANN 1445 WIMBLEDON PL SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORI.IATION Business Name PACIFIC PLUMBING & ROOTER INC - Primary License ccB License Number t99420 Phone 54 1-505-93 12 PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing 3300 Water Service Inspection Group Plumb Res Plumb Res Plumb Res Inspection Status Pending 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: 811005921843 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work ls not started within 18O 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 hereln or not, Grantlng 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 Cent€r. Those rules are set forth ln OAR 952-OO1-OO10 through OAR 952-O01-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-1987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (Structuraultechanical), ORS 479.54o (Electrical), and ORs 693.o1o-O20 (Plumbing). printed oni 314/20 page 1 of 2 C:\myReports/reports//production/01 STANDARD "tt!,. Permit Number: 81 1-20-OOO431-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: 3/4/20 Quantity Fee Amount $s.30 $106.00 $t2.72 $124.02Total Fees: C: \myReports/reports//production/o1 STAN DARD 70 Page 2 of 2 PERMIT FEES SPRINGFIETD tf, Transaction Receipt 811-20-000431-PLM IVR Number: 811005921843 Receipt Number: 47 401.0 Receipt Date:314120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 547-726-3753 permitcenter@spri ngfield-or. govOREGON www. sprin gf ield-or. gov Worksite address: 1445 WMBLEDON PL, Springfield, OR97477 Parcel: 1703342200818 Transaction Units date 314120 70.00 LnFt 3t4t20 1.00 Ea 3t4t20 Description Water service - Total linear feet State of Oregon Surcharge - Plumb ('l2o/o oi applicable fees) Fees Paid Account code 'I .00 Automatic Technology Fee 224 -00000 -425603- 1 034 821 -00000-21 5004-0000 204 -00000 - 425605-0000 Fee amount $106.00 $'12.72 $5.30 Paid amount $106.00 $12.72 $5.30 Payment Method: Credit card authorization: 023721 Payer: pacific plumbing Payment Amount:$124.02 Cashier: Katrina Anderson Receipt Total:$124.02 Prinled: 3l4l2o 10:'15 am Page 1 of 1 Fl N_TransactionReceipt_pr n. "C Plumbing Permit Application Strrttia{tFtEt-E 225 Fifth Street o Springlield. OR 97477 . PH(541\726-3753 . FAX(541)726-3689 This permit is issued under OAR 9t8-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. permit no.: P - No43l -?c 7roDate:e\''{ Zoningapproval verified? E Yes flNo Sanitation approval verified? E yes E No E Government E Commercial Job site address: tq{ 5 U)r'.,f GL6 DO u DL*L-Z ztPa.tq,l'lCityQtctdState:?OL Reference:Taxlot.: 1o' t)orec, gzz.ilaE- (ao*t ttlc--^ul f o v\euji- Name: tAA* Gulloelt- Address: tqq6 tJrra gtlLbbu Fl*'t-L State:DrL ztPA1*11city:f1g1ucr S,rtJ FaxPhoneStl[ U?1, 1,Aq E-mail This installation is being made on residential or farm property owned b1' me or a ntember of my immediate family, and is exempt fi'om licensing requirements under OAR 918-695-0020. Signature: Business name LLr€r,A Lr,cr,*ta LQ-(L Address:Qoktt l&t u.,^qa. L*ucu ztP91"qD2-City:tg.AQ,tlL State:OQ-L Phone:$lt *5 qVrZ rax:$ctt 5OS l1lq E-mair: t*t(o 4 Pp 0- CLL4zJ. Cowt BCD license no. a CCB license no.:1@.47.o Print name Signature New residential s333.00 s I bathroom/l kitchen (includes : first I 00 feet ofwater/sewer lines, hose bibs, ice maker, underfloor low-point drains and rain-drain packages) $521.00 $2 bathrooms/l kitchen $613.00 $3 bathrooms/l kitchen 1132.00 $Each additional bathroom (over 3) it32.00 $Each additional kitchen (over I ) Residential fire sprinklers (includes plan il02.00 $0 to 2,000 square feet 1163.00 $2,001 to 3,600 square feet t243.00 $3.601 to 7,200 square t-eet t324.00 $7,201 square Get and greater Manufactured dwelling or pre-fab (circle one) 1102.00 $Connections to building sewer and water supply Commercial, industrial, and dwellings other than one- or two-familv $102.00 $Minimum fee $25.00 $Each fixture Miscellaneous fees I fr06.00 $ loLo100' storm, sewer, water line t2s.00 $Each fixture, appurtenance, and piping il06.00 $Storm water retention/detention facility 125.00 $Irrigation systems/Backfl ow t25.00 $Piping or private storm drainage systems exceeding the first 100 feet t2s.00 $Specialty fixtures $102.00 $Reinspection (no. ofhrs. x fee per hr.) $r 02.00 $Special requested inspections (no. of hrs. x fee per hr.) $r02.00 $Each additional inspection: (l) Minimum fbe $ Enter value of installation and equipment $ -.Enter fee based on installation and equipment value. (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) $toCP $ (B) Investigative fee (equal to [A])$ (C) Enter l2% surcharge (.12 x [A+B])$ (D) Technology Fee (5% of[A])$ TOTAL fees and surcharges (A through D):o l.ast edited 7,11 /201 9 b jone s FIELD, ORTCOX DEPARTMENT USE ONLY )VALLOCAL GOVERNME}IT APPRI CATEGORY OF fl Residential AND LOCATIONJOB SITE INFORMA }RIPTI(DE8, PI1OPERTY INSTALLATION Plumbing license no.: Qty.Cost ffi- TofalrcostDescription Medical eas oipins DEFARTME}IT USE