HomeMy WebLinkAboutPermit Plumbing 2018-09-13SPRINGFIELD
OREGON
Web Address: www.sprioglield-or.9ov
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, oR 974)7
54r-726-3753Building Permit
Commercial Plumbing
Permit Number: 81 1 -18-002172-PLM
IVR Number: 81 1091641269
Email Addressr permitcenter@sprhglield'or.9ov
Permit lssued: September 13, 2018
TYPE OF WORK
Category o, Construction: Commercral
Submitted Job Value: $0.00
Description ot Work: New Sanitary Sewer
New Domestic Water
JOB SITE INFORMATION
Parcel
1702322201600
Owner:
Address:
PAISLEY LLC
21,I,I PRAIRIE RD
EUGENE, OR 97402
LICENSED PROFESSIONAL INFORMATION
Business name
GREENSUNS INC - Primary
License
CCB
LicEnse number
31366
Phone
54'1-933-1020
PENDING INSPECTIONS
lnspection
3200 Sanitary Sewer
3315 Water Line
lnspection group
Plumb Com
Plumb Com
lnspection status
Pending
Pending
SCHEDULING INSPECTIONS
Various inspections are minimally required on each project and often dependent on the scope of work Contact the issurng
jurisdictron rndicated on the permit to determine requrred inspectrons for this prolect
Schedule or track inspections at www burldingperm[s oregon gov
Schedule by phone call 1-888-299-2821 use IVR number 8'11091641269
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
PERMIT FEES
Fee Description
Technology Fee
Sanitary sewer - Total linear feet
Water service - Total linear feet
State of Oregon Surcharge - Plumb (12olo of applicable fees)
Quantity
Total Fees:
100
100
Fee Amount
$ 10.30
$ 103.00
$ 10 3.00
$24.72
' $241.02
Permits must be posted in clear view on the worksite. Permits expire if work is not started within 180 Oays of issuance or if work is
suspended for 180 Days or longer dependang on the issuing agency's policy.
All provisions of laws and ordinances governing this type of \ ork will be complaed with whether sp6cifi6d 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 - CALL BEFORE YOU Dlc: Oregon law requires you to tollow rules adopted by the Oregon tJtility Notitication Cenier-
Those rules are set forth in OAR 952{01-0010 through OAR 952-001-0090. You may obtain copies of lhe rules by calling the Center at
(877) 6684001 or dial 81'1.
All pe6ons or entities performing work under this permil are required to be licensed unless exempted by ORS 701.010
(Slructural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing).
Pnnred on 9/13/18 Page 1 ol2 sld BurldingPermn-pr
'b
Type of Work: New
Worksite address
820 42nd ST
Springfield OR 97477
Pe.m it Number: 81 1-'l 8-002'1 72-PLM Page 2 ol 2
std_BuildingPermitjr
L-*{8t t-t 8{02 t72-PLM
Receipt Numb6r: 468030
R€coipt Date: 9/13/18
Development and Publ( works
225 F'fth stret
Spnnqnerd, OR 97477
54t 726 1753
permrtcerter@spnnsneld-o. gov
Transaction Receipt City ol Spnngneld
www spnnglield-or gov
Vvi'rtsile address 620 42nd ST, SpringneE, OR 97477
Parcel: 1702322201600
Fees Paid
9/1U18
9/13/18
9t1U1A
224-00000-425603 1034
224-00000-425603 1A34
821-00000-215004-0000
t103.00
$103.00
524 72
$103 00
$103 00
$2412
Sannary sewer - Toiallinear leel
9/13/18
Waler serv ce Totallrnear leel
1 00 Aulomalrc Technology Fee
State ofOregon Surcharge - Plumb (12% ol
1 00,00000-425605-0000 s10 30 $10 30
Cred ca.d authorization
034568
$241 A2
Cash er Kalrna Anderson 3241.02
1tP.00 LnFt
100.00 LnFt
100 Ea
Plumbing Permit Application OEPARTMENT USE ONLY
Permil no - 2tra
g ltr
sPr.NcrqEr-D E-.1
225 Fifih Streer. Springfield OR97477. PH(541)726,3753 . FAX( 54 I )726,3689
Zoning approval veri6ed? ! Yes D No
Sanitadon approval verified? ! Yes ! No
Date
This permit is issued under OAR 918-780-0060. Permits are issued otrl] to the person or contractor doing the work Permits
expire if work is not started n'ithin 180 days of issuance or if work is suspeuded for 180 days,
LOCAL GOVERNMENT APPROVAL
\err residenlial
CATEGORY OF CONSTRUCTION 1 bathroom/l kitchen (includes. .first
I 00 .feer ofwater.isewer lines. hose
bibs. ice maker. undedoor loy,-point
drains and rain4roin packages)
E Residential I Govemment Commercial
Job site address: A ON4D4 I ba$rooms l kitchen s506 00s
i bathrooms'l kirchen s595.00
S23.00
Cin
Reference 1D^)/>
Address: Z
DESCRIPTION OF WORK
State .OL IIP OL
Each additional bathroom (over l)
I Srcrm warer retenrion/delention faciliq
Snte
5 lr,,.
e l ztP
Ta\loi.:
s128.00
s128.00
s99.00
s
S
s
s24.00 $
s99.00 r $
s99.00 s
Cin
E-mail
This installation is being made on residentid or farm properq
I ouned b1 me or a member of mr immediate family. and is
I exemrrt fiom hcensing requiremenL( under OAR a I 8-6s5-00:0
i ,t*"*.,
CONTRACTOR INSTALLATION
Business name q,t€tuSur1t An/ L
Address 41b35
Each additional kitchen (over I )
0 to 2.000 square feel
:.001 to 3.600 square feet $,sE.oo ls
Manufgctured drrelli fab (circle obe)
Connections to building sewer and
u'ater supplJ
Z
Commercial. itrdustrirl. and dwellings other than otre.or
ovo-famih
N{inimun fee s99.00
s24.00
S
Each flr.Iure
lltiscellareous fees
100 storm. sewer. uaEr line p.s103.00 s
Each fix'ture. appunmance. and piping s24.00
$103.00 s
I)
I cin
Y
Far
BCD license no
7.fi'Special!' fixtures
Reinspecdon (no. ofhJs. x fee per hr.)
Special requesred inspections (no. oi Phone
E-mail
CCB license no
I Plumbin g license no Bi
Print name
Sisnature
I hrs. x fee per hr.l
Eacb additiotral inspection: (l s99.00 !
Minimum fee SMedical gas pipitrg
EnEr fee ba-sed on insrallation and equipme vaiue.
DEPARTMENT USE
(A) Enler subbtal ofabove fees
(Mitrimum Permil Fe€ 599.00)
(B) lovesdgative fee (equalro IA])
(C) Enter l2% surcharye (.12 r [A-B])
S
5
S(D) Technolos Fee (5% oflAl)
Crry or SpnrxcrrrlD, OREGoN
JOB SITE INFORMATION AND LOCATION
\(J
PROPERTY OWNER
Name
Phonej t
FEE SCHEDULE
Description Cost
e3.
3.601 to 7.200 square feer s235.00 S
?.201 square feer and greater | $315.00 !
{_ l(Smte:$[-
TOTAL fees atrd surchr rges (A through D): S iq I
I
Totsl
cost
Residential fire sprinklers (itrcludes plan rel,ielr )
Qty.
lrrigarion syslemsBackllo\ S24,OO i S
I Piping or privare storm drainage- I I s24.o0 l (
svstems exceedtnq lhe tlrsl 100 leet I "
Enter value of installalion and equipment S _.
G REENSU NS P0 Box 71698 | EUGENE 0R | 97!75
CONSTRUCIION WWW GREENSUNS COM
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