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Home My WebLink AboutPermit Plumbing 2018-09-13SPRINGfIELO ls OitEGO N Web Address: www.springfield or.gov Building Permit Commercial Plumbing Permit Number: 81 1-1 8-002191-PLM IVR Number. 81 1039435818 City of Springfield Development and Pubhc works 225 Fifth Street Springfield, OR 97477 541-726-3153 Email Addressr permitcenter@springfield-or.gov Permit lssued: September 13, 20'18 TYPE OF WORK Category of Construction: Commercial Type of Work: Replacement Submitted Job Value: $0 00 Description oI Work: Replace catch basin drain and storm sewer line - Chalet Apts JOB SITE INFORMATION Worksite address 2555 GATEWAY ST APT 1 Springfield, OR 97477 Parcel 1703220002208 CHALET-BIRD 2677 WILLAKENZIE RD STE 3 ATTN BUNTING MGMT GROUP INC EUGENE, OR 97401 LICENSEO PROFESSIONAL INFORMATION Business name EMERALD EXCAVATING INC - Primary License ccB License number 14173 Phone 541-345-1505 PENDING INSPECTIONS lnspection 3999 Final Plumbing 3999 Final Plumbing 3500 Rough Plumbing 3400 Storm Sewer lnspeclion group Plumb Com Plumb Com Plumb Com Plumb Com lnspection atatus Pending Pending Pending Pending SCHEDULING INSPECTIONS Vanous inspections are minimally required on each project and often dependent on the scope of work Contact the issurng jurisdiction indicated on the permit to determine required inspections for thrs project. Schedule or track inspections at www.burldingpermits oregon.gov Schedule by phone call l-8Aa-299-2A21 use IVR number: 811039435818 Schedule using the Oregon ePermitting lnspection App, search 'epermitting" in the app store All provisions of laws and ordinances governing this type of work will be complied with wheth€r specified herein or not. Granting o, a permit does nol presume lo give authority to violate or cancel the provisions ot any other state or local law regulating construction or the performance oI construction. ATTENTION - CALL BEFORE YOl,, DIG: Oregon law requir€s you to follow rules adopted by th€ Oregon Utility Notirication Center. Those rules are set tonh in OAR 952401-0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (877) 668-4001 or dial81r. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 70't.010 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Prinled on'9/13/18 Page r of 2 std_8lildingPermit_pr Owner: Address: Permits must be posted in clear vicw on the worksite. Permits expire if work is not started withan 180 Days of issuanco or if work is susponded for 180 Days or longer depending on the issuing agency's policy. Permit N umber: 8'l l -18-002191-PLM Page 2 of 2 Fee Description Technology Fee Storm sewer - Total linear feet State of Oregon Surcharge - Plumb (12olo of applicable fees) Quantity 41 Total Feesi Fee Amount $s.15 $ 103.00 $ 12.36 $ 120.51 Page 2 ol 2 std_BurldingPemn_p. PERMIT FEES SPRINGFIELD tt OREGON www springfield-or.gov Worksite address: 2555 GATEWAY ST, APT# 1, Springfield, OR 97477 Patcel 17O322OOO22OB Transaction Receipt 811-18-002191-PLM Receipt Number: 468023 Receipt Date: 9/13/18 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L -7 26-37 53 permitcenter@springfi eld-or.9ov Fees Paid Transaction date 9t13t18 Units 41.00 LnFt Description Storm sewer - Total lanear feet State of Oregon Surcharge - Plumb (12% of applicable fees) Account code 22 4 -OOOOO - 42 5603 - 1 034 Fee amount $103 00 Paid amount $'103.00 9/13/18 9t13t18 100 Ea 1.00 Automatic Technology Fee 82'1-00000,215004-0000 1 00-00000,425605,0000 $12 36 $5.15 $12.36 $s 15 Payment N4ethod Credit card authorization 3'13160 Payer: Rodger Knebel Payment Amount $120 51 Cashrer Katrina Anderson Receipt Total:$120.51 Prirted 9/13/18 I1 07 am FIN_TransactionRecerpl pr Plumbing Permit Application t Permil no 8-0)\ql 2:5 Fifth Streel . Spnn8field, OR 97477 . PH(541)726-:7S: . FAX(541 )725-3689 Zoning approval verified? E Yes E No Sanitation approval verified? E yes E No ,Jb€reD i State Date: 1 l3 r(, This permit is issued utrder OAR 918-780{060. Permits are issued onl} to the person or cootractor doing the work Permits expire if work is oot stsrted rr ithin 180 davs ofissuance or if *ork is suspeoded for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Total cost \e$ residential Commercial I bathroom,ll kitchen (includes lrst ) 00.feer gfwaterisewer lines. hose bibs. ice maker under/loor low-point drains and rain-drain packages) Job site address: 255 5 Are 2 bathrooms,/i kitchen d.ZIP:41 s99.00 s S S S 00 s Reference: \au5lA 'p.a .-.t <l=. C+..-* B*s."-r ,v | 3 bathrooms/l kitchen Residential fire s klers fiDcludes I 0 to 2.000 square fe€t 2.001 to 3.600 square feel s1s8.oo ls 3.601 to 7.200 square feer 5236.00 S j.l0l square feet and greater s31s.00 s Manufrctured d fab (circle one) t}lo-famil Minimum fee s99.00 s Miscellaneous fees s24.00 S ss99.00 $99.00 sI (A) Enter submEi ofabove fees (Miditrrum Permit Fee $99.00) Taxlor ttax 'l o -0 -Snaq.{^ S-d.v-6/4 PROPERTY OWNER f xa-e' 'P.,-:,.ra- tV aq.r 4Z*g lea Citlt': Eut-s,,e , State, a4 zlPt g?qo t 1, This installation is being made on residential or farm properg owned b) rne or a member of m)'immediate famill, and is exempt from licensing requirements under OAR 918-695-0020 Signature: 30S s S Business name: €rv..sYLa-0 EXc aq,lArrr Jc- Ei.r z-Irigation systems,lBackfl o$ Address: {29,o VJ. 5n *te Piprng or privare srorm dEinage ceedin firsr I00 Ci:r . Eu 6-e,J €', s,ar, d .ZIP:n7{a'z-Speciall fi$ures Pbone gL3q€.1506 !r*I -3t/r.tA,+5 Special requested inspeoions lno. o hls x fee per hr.)E-mail d <(€€rne r,;. 14 eyc ao,v\ Erch rdditionel iospection: (1) I Plumbing license no i Print name ccl ne-b a- I Enter value ofinsEllation and equipmefli $ - .\Lt/ Enter fee based on in$allation and equipmenr value CCB license no.: l{t13 ] BcD iicense no s00 5 os (B) investigatrve fee (equalto [A])s (CJ Enrer lf9; surcharge (.12 x iA-Bl)S (D)Technolog, Fee (59o of[A])5 ,./ DEPARTMENT USE ONLY Description Qtt Cost ea- CATEGORY OF CONSTRUCTION E Residential ! Govemment ATIONJOB SITE INFORMATION AND $so6.oo l$ s595.00 Each additional bathroom (over 3)s128.00 Each additionai kitchen (over 1)s128.00 RIPTION OF WORKD CONTRACTOR INSTALLATION Each fixturc 100 sewer. waler line s103.00 Each fixture. appunenance. and piping 524.00 $103.00Slorm water retention/detention faciliq $24.00 s s24.00 S Reinspection (no. ofhrs. x fee per hr.) Mmimun feeMedical g8s pipitrg DEPARTMENT USE La$ edrd 7/12018 bjones I foiel f"". "oa rurcbarges (A througb D): 5 lA,5[ Crrv or SpnrxcrreLD, OREGoN I I Cin': ] Connecuons ro buildinp sewer and 399.00 I Si walef suDDt\ I : I Commercial. iDdustrial. and dwellings other then otre- or i Phone:5gl - ?4 1110 I pr*, E -mar l: $24.00 | $ Signarure: {e