HomeMy WebLinkAboutPermit Plumbing 2019-08-15Building Permit
Commercial Plumbing
Permit Number: 811-19-001889-PLM-01
IVR Number: 811091021033
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Web Address: www.springfield-or.gov Email Address: permitcenter@springfield-or.gov
Permit Issued: August 15, 2019
Category of Construction: None Specified
Submitted Job Value: $0.00
Description of Work: TI
Type of Work: None Specified
Workslte Address
1914 MARCOLA RD
Springfield, OR 97477
Parcel
1703251301500
Owner:
Address:
TRI-W GROUP LTD
PARTNERSHIP
100 SE CRYSTAL LAKE DR
CORVAWS, OR 97333
":"
Business Name
DOUGS PLUMBING INC - Primary
License
CCB
License Number
110163
Phone
541-688-3385
Inspection
3999 Final Plumbing
3500 Rough Plumbing
Inspection Group
Plumb Corn
Plumb Corn
Inspection Status
Pending
Pending
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 determine required inspections for this project.
Schedule or track inspections at www.buildingperrnits.oregon.gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811091021033
Schedule using the Oregon ePerrnitting Inspection App, search "eperrnitting" in the app store
Permits expire if work Is 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 of 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 of any other state or local law
regulating construction or the performance of construction.
ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (503)
232-1987.
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010
(Structural/Mechanical), ORS 479.540 (Electrical}, and ORS 693.010-020 (Plumbing).
Printed on: 8/15/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD
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P lu m b in g P e r m it A p p lic a tio n
C IT Y O F S P R IN G F IE L D , O R E G O N
225 Fifth Streett Springfield, OR 97477 t PH(541)726-3753 t FAX(541)726-3689
-h;· ij ~- l Permit no.:
. DEPMTMENT USE ONLY
This permit is issued under OAR 918- 780-0060. Permits are issued only to the person or contractor doing the work. Permits
expire if work is not started within 180 days of issuance or if work is suspended for 180 days.
LOCAL GOVERNMENT A.PPROVAl
Zoning approval verified? 0Yes 0No
Sanitation approval verified? 0 Yes D No
,CATEGORV OF. CONStRUCTION
D Residential I D Government
JOB SITE INFORMATION. AND L1
City:
Reference: Taxlot.:
DESCRIPTION OF WORK
D
PROPERTY OWNER
Name:
Address:
City:
Phone: Fax:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family, and is
exempt from licensing requirements under OAR 918-695-0020.
Signature:
, CO-NTRACTOR. INST.
Business name:
City: ZIP:
Phone: Fax:
E-mail:
CCB license no.: BCD license no.:
Plumbing license no.:
Print name:
Signature:
- , <; , - f'EI; SCHEDULE- .,,, :c ..
- -~- \'},. Qty _ Cost Total - Descriptlo·n ;=;'.: ":7 - - f _. st ea. cost- ,- ~ ,. ..
New residential
I bathroom/I kitchen (includes: first
I 00 feet of water/sewer lines, hose ~333.00 $ bibs, ice maker, underfloor low-point
drains and rain-drain packages)
2 bathrooms/I kitchen $521.00 $
3 bathrooms/I kitchen 1$613.00 $
Each additional bathroom (over 3) $132.00 $
Each additional kitchen ( over I) $132.00 $
Residential fire sprinklers (includes Dian review)
0 to 2,000 square feet ~102.00 $
2,001 to 3,600 square feet $163.00 $
3,601 to 7,200 square feet $243.00 $
7 ,20 I square feet and greater $324.00 $
Manufactured dwelling or pre-fab (circle one)
Connections to building sewer and 102.00 $ water supply
Commercial, industrial, and dwellings other than one- or
two-family
Minimum fee ~102.00 $
Each fixture ~25.00 $
Miscellaneous fees
100' storm, sewer, water line $106.00 $
Each fixture, appurtenance, and piping 0... $25.00 $
Storm water retention/detention facility $106.00 $
Irrigation systems/Backflow $25.00 $
Piping or private storm drainage $25.00 $ svstems exceedinz the first I 00 feet
Specialty fixtures $25.00 $
Reinspection (no. of hrs. x fee per hr.) 1$102.00 $
Special requested inspections (no. of 1$102.00 $ hrs. x fee per hr.)
Each additional inspection: (I) ~102.00 $
, - ,_
Minimum fee $ Medical gas piping
Enter value of installation and equipment $
Enter fee based on installation and equipment value. $
•.. ~ ~ _, .. -~., ;~ -bEPARTMENi, USE'-"'" -- ,t,; ,, !":°" =-·~ .
(A) Enter subtotal of above fees $ (O"t-- (Minimum Permit Fee $102.00)
(B) Investigative fee (equal to [A]) $
(C) Enter 12% surcharge (.12 x [A+B]) $
(D) Technology Fee (5% of[A]) $
TOTAL fees and surcharges (A through D): $ Ill}, ?ff
Last edited 7 /I /2019 bjones