HomeMy WebLinkAboutPermit Plumbing 2019-08-29SPRINGFIELD
O REGOil
w€b Addressr www.springfield-or.qov
Building Permit
commercial Plumbing
Permit Numberr 811-f 9-O01993-PLl,t
M Number: 81r060516546
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
gt-726-3753
Ema il Add ress : germ itce nter@sprinqfield-or. qov
TYPE OF WORK
Category of Constructlon: Commercial
Submitted Job Value: $0.00
Description of Work: Demo - capping sewer and water supply
Type of Work: Demolition
IOB SITE I1{FORMATION
Worksite Address
303 S 5TH ST STE 3OO
Springfield, OR 97477
Parcel
1703350000302
CITY OF SPRINGFIELD
202 S 18TH ST
ATTN SPRINGFIELD
UTIUTY BRD
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL INFORI,IATION
Business Name
STANTON GREGORY PAYNE -
Primary
License Number
PENDING INSPECTIONS
Inspection
3999 Final Piumbing
3999 Final Plumbing
Inspection Group
Plumb Com
Plumb com
tnspection Status
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 determine required inspections for this project.
Schedule or track inspections at www buildingpermits,oregon,gov
Call or text the word "schedule' to 1-888-299-2821 use IvR number: 811060516546
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permits exptre tf work is not started within IEO Days of lssuanc€ or if work is .usp€nded for 180 Days or longcr deP€nding on
the issuing agency'3 9ollcy.
Atl provtstons of laws and ordlnances govemlnC thls type of work will be complicd with whether 6pe€llled herein or not.
Granting of a permtt does not presumc to glvc authority to vlolate or cancel the provlslons of anY other stat€ or local law
r€aulating coastructlon or th€ performance ot construction.
ATTEITIOX: Oregon law requlres you to follow rules adopted by the Oregon Utllty tlotificadon Center. Those rules are set
torth in OAR 952-OO1-OO10 $rough OAR 952-Oot -OO9O. You m.y obbin copl.s of the rules by calllng thc Ccnter at (5o3)
232-L947.
All persons or entitles p€rformlng work under this permit ar€ required to b€ llcensed unless exempted by ORS 7O1.O1O
(Structural/I!|€chanlcal), ORS 479.54o (Electrlcal), and ORs 693.O10-020 (Plumblng).
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Permit Issued: August 29, 2019
Owneri
Address:
License
ccB
Phone
541-688-7038
Permit Numberi al l-19-OO 1993-PLM Page 2 of 2
Fee Descriptlon
Technology Fee
Fixture cap
State of Oregon Surcharge - Plumb (12olo of applicable fees)
Quantity Fee Amount
$s.10
$102.00
$12.24
$119.34Total Fees:
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PERMTT FEES
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Crrv or SpruNcrrnlo, ORecon
Plumbing Permit Application DEPARTMENT USE ONLY
Permit no l?-,oa?3
,",", g(2{ \1€x,
225 Fiffh Streer . Springfield, OR 97477 . PHl54l\126-3753 . FAX(54 | )726-3689
This permit is issued urder OAR 9lE-7E0-0060. Permits are issued only to the person or contractor doing the work. Permits
expire ifwork is not started within 180 days ofissuance or ifwork is suspended for 180 days.
FEE SCHEDULE
Description Qty Cost
ea.
Ncrr residentiel
I bathoom/l kitchen (includes: first
lqqfeet ofwater/sewet lines, hose
bibs, ice maker, tnderfloor low-point
drains and rain-druin packages)
i333.00 S
2 balhrooms/ I kitchen s521.00 S
3 bathrooms/l kitchen s613.00 S
Each additional bathroom (over 3)$ 132.00 S
Each additional kitchen (ovcr I )s132.00 $
Reside[tial ,irc spritrklers (includes plan revie$)
0 to 2,000 square fect s102.00 s
2,001 to 3,600 square feet s163.00 s
3.601 to 7,200 square feer $2.13.00 S
7,201 square feei and grcater s324.00 S
Manufectur€d dwelling or prc-fab (circle on€)
Connections to building sewer and
watcr supply !102.00 S
Commercirl. industriel, and d*'ellings other than one- or
t$Gfrmily
Minimum fec sl02.0ll S
Each fixture s25.00 S
llliscrlleneour fees
l00 storm, sewer, water line st06.00 S
Each fixture, appurtenance. and piping s2s.00 s
Slomr water retentiorrdelention facility s106.00 S
lrrigarion systcms/Backfl ow i25.00 S
Pipilg or pdvate storm drainage
svstems exceedinq the first 100 feet $25.00 s
Specialty fixtures i25.00 s
Reinspection (no. ofhrs. x fee per hr.)s102.00
Special reque-ted inspections (no. of
hn. x fee per hr.)sr02.00 $
Each additionel inspection: (l)sr 02.00 5
Medicel gas piping Minimum fee s
Ent€r value of installation and equipment $
-.Entcr fee based on installation and equipment valuc s
DEPARTMENT USE
(A) Enter subtolal ofabove fecs
(Minimum Permit Fee $102.00)
s loL
s
(C) Enter l2% surcharge (.12 x [A+B])s
(D) Technology Fee (5% of[A])S
TOTAL fees rnd surcherges (A through D):$\\1.39
Zoning approval verified? E Y". E No
Sanitation approval verified? ! Yes E No
CATEGORY OF CONSTRUCTION
! Govemmcnt fil CommercialE Residential
JOB SITE INFORMATION AND LOCATION
Ss+-Job site address u
C.LCkY 1)Statet a)1 {?cr7ZIP
DESCRIPTION OF WORK
PROPERTY
(
State: 1f 7.IP:city: <.-,la
12 lFaxc\Phone
This installation is being made on residential or farm property
owned by me or a member of my immediale family, and is
exempt from licensing requirements under OAR 918-695-0020.
Signature:
CONTRACTOR INSTALLATION
Business namc /,.-.1C.---o Pa.,.-u 4,rul .-.
Address (tl?rr'""4.no 1 -
xlrc-(y-ZIP frvCiry: g, , 6, o
Far:.Phone 4litre'totr
I:-rnail:
BCD license noccn riJJse;/o.; yl;'q
Plumbing license no
Print name
Sisnature
I2sr ediied 7rll2019 bjones .'U?/
.$
Total
cost
S
(B) lnvestigativc fee (equal to [A])
LOCAL GOVERNMENT APPROVAL
Taxlot.:Reference:
Address:
Name:
E-mail:
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