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Home My WebLink AboutPermit Plumbing 2018-10-24 (2)SPRINGIIETD ,b Building Permit Commercial Plumbing Permit Number: 81 1-18{02522-PLM IVR Numbe. 81 I 007243687 City of Springfield Development and Public Works 225 Frfth Street Spnngfield, OR 97477 541 7 26-3153 Email Address: o€rmitcenter@sDrinsfield-or.qov OIIEGON web Address: ww.springfield-or.9ov Permit lssued: Oclohet 24 2018 TYPE OF WORK Category of Constuction: Commercial Submitted Job Value: $0.00 Description ol Work: 1ofl water line and a meter Type o, Work: New JOB SITE INFORMATION Worksite address 111 MAIN ST Springfield, OR 97477 Parcel 1703353206100 Owner: Address: SLONECKER INVESTMENTS LLC PO BOX 1401 SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFOR]IIIATION Busingss name ACE EQUIPMENT & SPECIALTY SERVICES INC - Primary License ccB License number '154093 Phone 541 -7 29-6221 PENDING INSPECTIONS lnspection group Plumb Com Plumb Com Plumb Com lnspectign status Pendang Pending Pending SCHEDULING INSPECTIONS Various inspections are minimally requared on each project and often dependent on the scope of work. Contact the issurng jurisdiction indicated on the permit to determine required inspections for this proiect. Schedule or track inspections at www.buildingpermits.oregon.gov Schedule by phone cal1-A88-299-2821 use IVR number: 811007243587 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits must be posted in clear view on lhe worksite. Permits expire if work is not started within 180 Days ot issuance or if work is suspended for 180 Oays or longer depending on the issuing ag€ncy's poticy. All provisions of laws and ordinances governing this type of work will be complied with wheth€r specifiecl herein or not cranting of a p€rmit doos not presurne to givo authority to violate or cancel the provisions of any other state or local law regulating construction or lhe performance of construction. ATTENTION - CALL BEFORE YOU OIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-O010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (877) 668{001 or dial811. All persons or entities performing wotk under this permit are required to be licens€d unless exempted by ORS 7O1.O1O (Structural/Mechanical), ORS 479.540 (Etectricat), and ORS 693.0r0420 (ptumbing). Printed on 10/?4/13 Page 1 o,2 std_Eurtdrngpermit_pr lnspection 3999 Final Plumbang 3315 Water Line 3620 Backflow Device Permit Numbe r: 81 1-18-002522-PLM Page 2 ol 2 Fee Description Technology Fee Backflow preventer Water service - Total linear feet State of Oregon Surcharge Plumb ( 12olo of applacable fees) Page 2 ol 2 Quantity 1 10 Total Fees: Fee Amount $6.35 $24.00 $ 103.00 $ 1s.24 9148. s9 std_BuildingPermil_PrPnnred on 1o/24l18 PERMIT FEES SPRINGfI€[D ,b *EGON www springfield,or 9ov Wo.ksire address: 111 MA|N ST SpnngIerd oR 97477 Parcel: 1703353206100 Transaction Receipt 8r r-18-002522-PLM Roceipt Numbor: 468i134 Receipt Dato: 10/2418 Oevelo0ment and Publ'c Works 225 Frfth Street 5pn.9neld, oR 97477 54t t 26-3753 perm(center@sD. n9f reld-or.gov Cdy ot Sponqfield Fees Paid 10t2q1a lot24l1a 10t24t14 waler servrce Total linearleei10 0O LrFl t.oo oty 10O Ea 22+0000G42560$ t 034 22+0000G425603-1 034 821-O@0G215004{000 s103 00 t24 00 i15.24 1103 00 $24 0O i15.24 10t24114 1 00 Automalic Technology Fee Slale of Oregon Surcharge - Plumb (12% of 100 00000 a25505 0000 s6 35 $6 35 Paymeol Me&odr Check number 1874 Payer:ace equipment 5148 59 Cashier: Kalrina Andercon Pi .d:10,2./ra a 13pm t148,59 FrN TEnrd'onR.c.'pl_rr Crrv or SpruNGtr'tELD, OnrcoN Plumbing Permit Application OEPARTMENT USE ONLY lboQ)tz>& :25 Fifth Streel . Sprjngfield. OR 97477 . PH(S.4])726-3753 . FAX(54I )726-3 689 Zoning approval verified? E yes D Xo Sanitation approval verified? ! Yes E Xo Dale 1o[]3lt o s323.00 This permit is issued under OAR 918-7E0-0060. Permits are issued onll to the persoo or cootractor doitrg the rork. Permits expire if work is not started llithin 180 days of issuaoce or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Totalcost \€n residential : 1 barhroom'l kttchen (includes .firsti I0(.t .feer o{watelsewer lines hose I bibs. ice maker. underJloor lot-poinr! Residential I Government Commercial drains arui rain-draih packages) I I bathrooms'l kirchen tsos.oo s i -l balhrooms'l kirchen s595.00:iale.ZIPX 7t7)Crtr ,/a2 ' ,/7" 2+ ?<z,t- I Each addidonal batfuoom (over l)s128.00 Each additional kilchen aover I I $1 26.00 s , Residetrtial fire sprinklers (includes plan reriex ) 0 to 1.000 square feet 3.601 to i-200 square feer $99.00 S s236.00 S Fu5?t - S Name 9.n Phone51 -72?-Gzz I OLJ State ZIP Phone Fax This insrallation is being made on residential or farm properq r owned b] me or a member of m) immediate famil). and is exempt from licensing requirements under OAR 9l 8-695-0020 Signature: Business name ec G4,.< S<-.r -4 a ' -qoofass:22.- Cin -lo State:dL \t ZIP:?7?2 ;.201 square feer and erealer Manufactured dwelling or pre-fab (circle one) Connections to buildinq sewer and , waer suppiJ i Commercial i;dustriel. ana a*'ettingi otter then one- or fir o-fr Minimum fee Ea.h fixture s24.00 Miscellsneous fees 100 stom. sewer. water llne i I s1o3.oo s Each fi{ure, appunenance. and piping s24.00 s Stom \Iater retenrio derention faciiin 5103.00 I Irrigation sysrem ackflo s24.00 s Prpine or private storm drainace s24.00the firsi l Specialq flrures 524.00 s Reinspection (no ofhrs. x fee per lr. t s99.00 s Special requested inspecrions (no. of hrs. x fee per hr.l 7t, /s315.00 s .00 s () S .00t-marl Description Cost ea. JOB SITE INFORMATION AND LOCATION lTarilotReference DESCRIPTION OF WORK PROPERTY OWNER f.001 ro 3-600 square feet $158.00 s99.00 CONTRACTOR INSTALLATION I ccB hcerse no.: h' ? 07 J BCD ircenseno Each edditioDal insp€ction: l 00 Piumbing iicense no ' Prini name Signarure L.Enter ,ee based on insrallarion and equipmenl value s (A) Enter subtoral ofabove fees (Minimum Permit Fee S99.{)0)* t).,{ (Bl lnvesdgarive fee (equal ro iA]l (C) Enter 1290 surcharge (.1: x [A-B])s 5 (D) TechDoiog] Fee (5olo of[A]) Medical gas piping Minirnum fee , 5 DEPARTMENT USE s Las1 edrred 7'1.201I brones TOTAL fees &trd surcharges (A through D) Permll no. laa'L I lob site address:,/ ,<PFLL I Address: Cin E-mail: Enier value oiinstallarion anC equipmeni S _-