HomeMy WebLinkAboutPermit Plumbing 2018-12-28O&EGON
Web Address: www.springfield-or.gov
Building Permit
Commercial Plumbing
Permit Number: 81 1 -1 8-003004-PLM
IVR Number: 81 1076966798
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Email Addressr permitcenter@sprlngfield-or.9ov
SPRINGFIETD
r3
Permit lssued: December 28. 2018
TYPE OF WORK
Category of Construction: Commercial
Submitted Job Value: $0.00
Description of Work: Cap off plumbing fixtures as part of a demolition
Type of Work: Demolition
JOB SITE IN TION
Parcel
'1703'153300801
LARGE CENT LLC
PO BOX 26125
EUGENE. OR 97402
LICENSED PROFESSIONAL INFORMATION
Businoss name
C & R PLUMBING LLC - Pramary
License
ccB
License number
167015
Phone
541-206-7 61 1
PENDING INSPECTIONS
lnspectlon
3999 Final Plumbing
3999 Final Plumbing
3500 Rough Plumbing
lnspoction group
Plumb Com
Plumb Com
Plumb Com
lnspectlon status
Pending
Pending
Pending
SCHEDULING 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 determane required inspections for this project.
Schedule or track inspections at www.buildingpermits,oregon.gov
Schedule by phone call 1-888-299-2821 use IVR number: 811076966798
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
P
Fee Description
Technology Fee
Other - plumbing
State of Oregon Surcharge - Plumb ( 12% of applicable fees)
Quantity Fee Amount
$9.60
$ 19 2.00
$23.04
$224.64Total Fees:
Permits must be posted in clsar view on the wo*site, Permits expiae if rvork is not staated within 180 Oays o, issuance or if work is
suspondod tor ,l80 Days or longor dep€nding on the issuing agency's pollcy.
All provlsions of laws and ordlnances governing thls typ6 of work wlll be complisd with whotho. specified heroin or not. cranting of
a permit does not presum€ to give authority to violate o, cancel lhe provlsions of any othor state or local law regulating construction
or the performance of constructlon.
ATTENTION - CALL BEFORE YOU OIG: Oregon law roquircs you to follow rules adoptod by tho Oregon Utility Notiflcation Csntor.
Thoss rulss are set foath in OAR 952-O0l{010 through OAR 952401.0090. You may obtaln copios of the rules by calling the Center at
(877) 668{00r or dial 611.
All psrsons or entilies pedgrmlng work undor thls permit are .squirsd to bo lice.lsed unl6ss 6xempted by ORS 701.010
{Structural/Mochanical), ORS 479.540 (Elsctrical), and ORS 693.010.020 (Plumbing).
Ptinled o :12128118 Page 1 of 1 sld_BuiidrngPermt_pr
Workslte address
1075 INTERNATIONAL WAY
Springfield, OR 97477
Owner:
Address:
SPRINGFIELD
tt
OREGON
www.springfield-or.gov
Worksite address: 1075 INTERNATTONAL WAy, Spnnglield, OR 97477
Parcel: 170315330080'1
Transaction Receipt
81 1-18-003003-STR
Receipt Number: 468981
Receipt Date: 12128118
City ol Springfield
Development and Public Works
225 Fifth Street
Sprinqfield, OR 97477
541-726-3753
permitcenter@springfield-or.9ov
Fees Paid
Transaction date
12128t18
12t28t18
12t28t18
Units
'1.00 Ea
Dsscrlptlon
Structural building permit fee
State of Oregon Surcharge - Bldg (12% of
applicable fees)
Account cods
224-00000-425602-1 030
821-00000-21 5004-0000
'1 00-00000-425605-0000
Fee amount
$175.32
$21 .04
$8.77
Paid amount
$175.32
$21.04
$8.77
'1.00 Ea
1.00 Automatic Technology Fee
Payment Method Credit card authorization:
09095C
Payer: Richard Aiello Payment Amount:$205.13
Cashier: Thayne Smith Receipt Total:$20s.13
Panted: 12128/18 2:03 pm Page 1 of 1 FIN_TransaclronReceipl pr
I
Crry or Srnrucrmr,o, OnocoN
Plumbing Permit Application
&
215 Fifth Str€d . Springfield- OR 97477 . PH(541)'t26-3753 o FAX154l )716-3689
This permit is issued under O,AR 918-780-0060. Permits are issued onl] to the persoD or contractor doing the work Permits
expire if *'ork is not started $ithitr 180 days of issuance or if work is suspended for 180 days.
A e\r.tnPc + 9clat g t\
Name: ZA*4Z C t-z<
Address: t?c 6 o)< ZC , L,f
ZIP: ? 7 .2
Business name: t2 + L 24z 6 <.-!
ztP: Q7 V7l
i Phone 9"l -729 .d5 t Fa;i
I r-mait
CCB license no.: /3" oi{
I Plu.bing l'".ns. no., ?dZ? f /2
.Ez.a
(B) lnvestigative fee (equal m iA])
| (C) Enter 12% surcharse (.12 x [A-rB])
Print name: ?..,
(D) Technolo$ Fee (5% of[A])
s
s
$
S
DEPARTMENT USE ONLY
oate: \L / t-q, /ie
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? ! Yes n No
Sanitation approval verified? ! Yes E No
CATEGORY OF CONSTRUCTION
n Residential ! Govemment BCommercial
JOB SITE INFORMATION AND LOCATION
Job site address: . A 2 { Z*'€a ^,.1f
, o.o^ L Lta -r
ZIP:Q?a +//Ciry'. t,oatt, C ,/{LO Stale: o L,
Reference I vago*oz -st-l
DESCRIPTION OF WORK
PROPERTY OWNER
City: Zft-.C !,.{Stztet O f-
Phonet t?,r:, yg <), a Fax:
E-mail
This installation is being made on residential or farm property
owned b1'me or a member of m,u., immediate family, and is
exempl fiom licensing requirements under OAR 918-695-0020
Sipnature:
CONTRACTOR INSTALLATION
Ci\,: S?a rpc Fr.4 State. dr'-
FEE SCHEDULE
Description Qty.Cost
e&
Total
cost
l\eri residential
I bathroom/l kitchen (includes:fr t
I 00 feel ofwater/sewer lines, hose
bibs. ice maker. underjloor low-point
dtains and rain-drain packages)
s323.00 $
2 bathrooms/l kitchen s506.00 S
3 bathrooms/l kitchen s595.00 s
Each additional baoroom (over 3)s128.00 s
Each additional kitchen (over 1)$128.00 5
Residential fire spritrklers (includes plan revierr )
0 to 2.000 square feet s99.00 !
2,001 to 3,600 square feet s158.00 5
1,601 to 7,200 square feet s236.00 s
7,f01 square feel and erealer s315.00 S
Manufactured dwelling or pre-fab (circle one)
599.00 sConnections to building sewer and
water supply
Commercial, iDdustrial. aDd dwelliDgs other than one- or
trro-familv
Minimum fee s99.00 $
Each fixtue s24.00 S
\'lisccllancous fces
s103.00 sl00 storm, sewer, water line
Each fix1ure, appunenance. and piping $24.00 $
Srorm u ater retentioo/dete ion facilin $103.00 S
lrigation systems/Baclllou s24.00 s
Piping or private storm drainage
svslems exceedins the fusl I00 feel s24.00 S
sSpecialq fixtures $24.00II
tt
Reinspection (no. ofhrs. x fee per hr. t | | $99.00 | S
s99.00Special requested inspections (no. of
hrs. x fee per hr.)S
s99.00 5Each additiodal itrspection: (l )
Enter fee based on installalion and equipment value
Minimum feeMedicelprprng 5
s
(A) Enter subtolal ofabove fees
(Minimum Permit Fee S99.00)
USE
BCD license no.: PA e?
Lasr eiircd 7/12018 b,iones
TOTAL fees aod surcharges (A through D):
I Permit no.: Ib'oo3oo4 - 57tL-
I
I
lAddress, TZta kr?A twu Ayi I
lsig,,ut*"' EA,w A,;U^
Enter value of installation and equipmenl $
-.
$