HomeMy WebLinkAboutPermit Plumbing 2018-09-25SPRIT.IGFIELD
t5
City of Springfield
Development and Public Works
225 Fifth Street
Sprinqrield, OR 97477
541-726-3753
Email Address: permrtcenter@spfl nqfreld'or.9ov
0iiE60l.l
web Address: www.springfield-or.9ov
Permit lssued: September 25, 20'18
TYPE OF WORK
Category ot Construction: Commercial
Submitted Job Value: $0.00
Description of Work: Apt remodel - see structural 811-18-002174
Type of Work: Tenant lmprovemenl
JOB SITE INFORMATION
Owner:
Address
MASAKA PROPERTIES
LLU,I657 DELROSE AVE
SPRINGFIELD, OR 97477
Parcel
'1703353'1 '12000
LICENSED PROFESSIONAL INFORMATION
Business name
BAXTER PLUMBING & ROOTER INC
- Primary
License
ccB
License number
194034
Phone
541-334-6696
PENDING INSPECTIONS
lnspection group
Plumb Com
Plumb Com
Plumb Com
lnspection status
Pending
Pending
Pendang
SCHEDULING INSPECTIONS
Various inspections are minimally requared on each project and often dependent on the scope of work. Contact the issurng
iurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www buildrngpermits oregon gov
Schedule by phone call 1-888-299-2821 use IVR number. 8'11061908300
Schedule using the Oregon ePermitting lnspection App, search "epermitting" In the app store
Permits must be posted in clear view on the $/orksite. Permits expire if work as 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 ot 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 ol any other state or local law regulating constructaon
or the p€rformance of construction.
ATTENTION - CALL EEFORE YOU DIG: Oregon law requir€s you to follow rules adopted by the Oregon Utility Notification Center-
Those rules are set fonh in OAR 952401-0010 through OAR 952{0'l{090. You may obtain copies of the rules by calling the Center at
(877) 668{001 or dial811.
All p€rsons or entities perfoming work under this permit are requircd to be licensed unless exempted by ORS 70'1.010
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.0't0{20 (Plumbing).
Pnnred on: 9/25118 Page I ol2 sld-Build ngPermil,Pr
Building Permit
Commercial Plumbing
Permit Number: 8'l 1 -1 8-002276-PLM
IVR Number: 81 1061908300
Worksite address
12O S 4TH ST
Springfield, OR 97477
lnspection
3999 Final Plumbing
3999 Final Plumbing
3500 Rough Plumbing
Permit Number: 81 1-18-002276-PLM Page 2 of 2
Fee Description
Technology Fee
Clothes washer
Sink/basin/lavatory
Tub/shower/shower pan
Water closet
Water heater
State of Oregon Surcharge - Plumb ( 12% of applicable fees)
Quantity
Total Fees:
Fee Amount
$ 14.40
$48.00
$72.OO
$48.00
$72.00
$48.00
$34.56
$336.96
2
3
2
3
2
std_BuildingPemit_pr
PERMIT FEES
ffi 81 t -18-002276-PLM
Receipt Number:468129
Receipt Date: 9/25/18
oevelopm€nt and Pubrrc works
225 Frfth Stret
spnnolietd. OR 97477
541 726-1753
permtce.ter@sp.rnqfi eld or.gov
Transaction Receipt C y ol Spnngteld
www springtield'or 9ov
V\brksile address: 120 S 4TH ST. Sp.i69lierd, OR 97477
Parcel: 1 7033531 1 20OO
Fees Paid
9t25t18
9t25t1A
9t25t18
9t25t1B
9125t18
9t25l1A
2.00 Qly
2 0O Qty
3 0O Oiy
2.00 Qiy
3.00 Qiy
10O Ea
Tub/shower/shower pan
Slale of O.egon Surciarge - Plumb (12% ot
222L0000s425603-1 034
22@OWM280?1034
224-OOOOG,{2560}1 034
224,000fi )-425603-1 034
224{000G425603-1 034
E2 !,0000G21 5004{000
$48.00
$48.00
t72 00
$46 00
$12 OO
s34 55
$48 00
i48 00
s72 00
$46 00
$72 0O
$34 56
9t25t1A 100 00000 425605 0000 s14 40 $14 40
Payneflt Method: Credil card authorizalon
041726
Pever mi.haelskobe s336 96
Cashrer: Kalrina Anderson 1336.96
FrN IransactonRec.'pr_prPrnred 9/2sx31136am
Crrv or SpnrNcrrnlD, OREGoN
Plumbing Permit Application sPi,icF'4D ry
L " .,'"*€d[ffi- tr=e
Reinspeclion (no. ofhls- x fee per hr.)
0-@2-7G
$l
Permrt no
225 Fifth SEeet . Sprinsfield, OR9?477 . PH(541)726-3753 . FAX(541)726-3689
This permit is issued under OAR 9lE-7E0-0060. Permits are issued onl! to the persotr or cotrtractor doing the worll Permits
expire if work is not started withiD 180 days of issuance or if work is suspended for 180 days.
Sanitation approval verified? ! Yes ! Xo
Ta:i1or.
Name
This installation is being made on residentid or farm properq
owned bl me or a member of my immediate famil]. and is
exempt from licensing requirements under OAR 918-695-0020
Signatue:
Residential fire includes
5
Connections to buildinq sewer and s99.00It
Commercial, iDdustrial, and dwellings other thrn one- or
Each fixlure
Miscellaneous fees
100 storm. sewer. *'ater line s103.00 s
Each frxture. appunenance. and piping
Stolrn water rctention/detention facilio
Irrigarion systemslBackJlo\^524.00 !
rplne or pnvate stofin na€re 52a.00 I Ss exceed $e firsl 100 feer
Speciait-l fixn-res s24.00 s
s99.00 S
Emer value ofinstallarion and e{uipmenl S _
Enler fee based on installation and equlpmen! vaiue
DEPARTMENT USE
s
s
.\
Address a
Crtr Srat
CCB license no
Plumbing iicense no Pn4 /L
2
Prim name
s
JTo,ttJ
5 l-"v S''nk
! fctb/St"*r
L- llor rJE*er H4ley'
2L . eJo lle-5 1nl,r5l.e r
Last edited 7./12018 bjones
(A) EnEr subtolalotabove fees
(Mitrimum Permit Fee S99,00)b
(B) Investieadve fee (equal to [A])
(C) Enrer I loli, sucharge (.1: x [A-B]l
?
s
s
s
s
DEPARTMENT USE ONLY
u
Date \
FEE SCHEDULE
Description Qn Cost
ea-
Total
cost
\e\t residetrtial
1 bathroom/l kitcben (includes: first
100 feet ofwater/srwer lines, hose
bibs. ice maker. undeiloor lou,'-point
draihs and rain4rain pockages)
l S323.00
2 bathrooms,/ I kitchen s506.00 S
3 bathroomsll kitchen s595.00
Each additional bathroom (over 3) |s'128.00
Each additional kitchen (over I )
0 to 2,000 square feet
s128.00
s99.00 5
2,001 Io 3.600 square feel !;1s8.00 s
3.601 rc 7-200 souare feel I s236.00 s
7.201 square feel aDd greater s315 00
MaDufactured dwelling or pre-fab (circle oDe)
Minimum fee s99.00 s
s24.00 5
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? ! Yes E No
CATEGORY OF CONSTRUCT'ON
! Residential ! Govemment ! Commercial
JOB SITE INFORMATION AND LOCAT'ONcJob site address: I
Citr I State ..Iq')7l
Reference
DESCRIPTION OF WORK
PROPERTY OWNER
Citl:Stare ZP
Phone
E-mail
CONTRACTOR INSTALLATION
Business name:/- ul-pn Pl )m/., ,,t z a" U
E-marl / 1a4, /,, ,@ (e l4-, r E/ )7, />, ,,, , (|Dlo-
Ph Fax
BCD iicense no
Special requested inspections (no. of
hrs. x fee per hr.)s99.00 S
Escb additional inspection: ( I )
Medical gas pipiDg
))s24.00 s
$103.00 S
Signature
(D) Technolos/ Fee (5ol; oflAl)
TOTAL fees and surcha es (A through D):,\o
I
,(
Address:
ztP .
s99.OO S
I Minrmum fee S
Fax:
Date l7
Job #l6 -oozr
Address iLo t.4Lr)7-
Sanitary sewer - Total linear feet
Storm sewer - Total linear feet
Water service - Total linear feet
Roof drain
Backflow preventer
Catch basin or area drain
Cothes washer
Dishwasher
Drinking fountain
Drywell, leach line or trench drain
Ejector/sump pump
Fixture cap
Floor drain/floor sinUhub drain
Hose bib
lce maker
lnlerceptor&rease trap
Sinldbasin/lavatory
Urinal
Water closet
Water heater -l-
Other
Alternate potable water heater system
Reinspection fee
Each additional inspection
lnspections for which no fee is speciflcally indicated
lnspections outside normal business hours
Plumbing investigation fee
Plan Review HRS
Stormwater retention/detention tanUfacility
Swimming pool piping
Tub/shower/shower pan
I
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Plumbinq Permit Fees
Type: