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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 $ -. $