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HomeMy WebLinkAboutPermit Plumbing 2019-11-18SPRINGTIELD tb OREGON web Address: www.springfield-or.gov Building Permit Commercial Plumbing Permit Number: 811-19-OO2263-PLM-O1 IVR Number: 811027478880 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 547-726-3753 Email Address : permitcenter@springfield-or. gov Permit Issued: November 18, 2019 TYPE OF WORK Category of Construction: None Specified Type of Work: None Specified Submitted Job Value: $0.00 Description of Work: T.I. for Industrial Source - 2 new bathrooms, new awning area drains, trash encl and k dock drain. Also site storm and sanita sewer work Worksite Address 35OO COMMERCIAL AVE Springfield, OR 97478 Parcel 17023r2t02800 Owner: Address: LAING LEASING LLC T574 W 6TH AVE EUGENE, OR 97402 JOB SITE INFORMATION LICENSED PROFESSIONAL INFORMATION Business Name MCCLAIN CONSTRUCTION LLC - Primary BROWN CONTRACTING INC BERRYMAN CONSTRUCTION CORPORATION License CCB ccB CCB License Number 228L54 It4260 2 14060 Phone 54t-22L-t86L 541-338-9345 541-554-9866 PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing 3150 Underslab Plumbing 3200 SanitarY Sewer 3400 Storm Sewer Inspection Group Plumb Com Plumb Com Plumb Com Plumb Com Plumb Com Inspection Status Pending Pending Pending Pending Pending various inspections are minimally required on each project and often dependent on the scol the issuing jurisdiction indicated on the permit to determine required inspections for Schedule or track inspections at www.buildingpermits'oregon'gov Callortexttheword.,schedule,'to1-888-299-232luseIVRnumber:811027478880 PermitsexpireifworkisnotstartedwithinlsoDaYsofissuanceorifworkissuspendedforl8oDaysorlongerdependingon 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 oo." ioi p.""r-J to give authori'ty to violate or cancel the provisions of any other state or local law regutating construction or the performance of construction' ATTE'{TIoNroregonlawrequiresyoutofollowrulesadoptedbytheoregonUtilityNotificationcenter.Thoserulesareset forth in oAR 952-oo1-oo1o through oAR 952-oo1-oo9o. iou miy obtain copies of the rules by calling the center at (503) 232-L947. All persons or entities Performing work under this permit are required to be licensed (Structural/Mechanical), oRS 479'540 (Electrical)' and ORS 693'O1O-O20 (Plumbing) Printed on: l/l}t}J Page 1 of 2 unless exempted bY ORS 701'o10 pe of work. Contact this project. c:\myReports/reports//prcduction/01 STANDARD SCHEDULING INSPECTIONS Permit Number: 81 1-19-002263-PLM-01 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Page 2 of 2 Fee Description Technology Fee Catch basin or area drain Catch basin or area drain Drywell, leach line or trench drain Sanitary sewer - Total linear feet S in k/basin/lavatory Storm sewer - Total linear feet Water closet Water heater State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Printed on: tt/tB/19 Quantity 1054 Tota! Fees: Fee Amount $s4.3s $22s.00 $75.00 $25.00 $256.00 $7s.00 $3s6.00 $5o.oo $25.00 $ 130.44 $1,27t.79 9 3 1 645 3 2 1 Page 2 of 2 C;\myReports/reports//prcduction/01 STANDARD PERMIT FEES ,gfi ONEGON Transaction Units date 11t18t19 9.00 Qty Iransaction Receipt 811-19A02263-PLM-01 IVR Number: g1 1 O2i47OOOO City of Springfield Development and public Works 225 Fifth Street Springfield, OR 97477 547_726_3753 perm itcenter@sprin gfield_or. gov Paid amount $225.00 $75.00 $50.00 $2s.00 $256.00 $356.00 $25.00 $7s.00 $130.44 $s4.3s Receipt Number: 4Tg016 Receipt Date:11118t19 www.springfield-or. gov Worksite address: 35OO COMMERCIAL AVE, Springfietd, OR 97478 Parcel: 1 7023 12102800 11t18t19 3.00 Qty 11t18t19 2.00 Qty 11118119 1.00 Qty 11118t19 645.00 LnFt Sanitary sewer - Total linear feet 1'1118119 1,054.00 LnFt Storm sewer - Total linear feet Drywell, leach line or trench drain Fee Notes: Truck dock trench drain. Catch basin or area drain 11t18t19 1.00 Ea State of Oregon Surcharge - Plumb (12o/o ol applicable fees) 11t18t19 1.00 Automatic Technology Fee Description Catch basin or area drain Fee Notes: Area Drains. SinUbasin/lavatory Water closet Water heater Fees Paid Account code 224-00000-425603- 1 034 224-00000-425603- 1 034 224-00000-42s603- 1 034 224-00000-425603-1 034 224-00000-425603- 1 034 224-00000-425603- I 034 224 -00000 -425603- 1 034 224-00000-425603- 1 034 821 -00000-21 5004-0000 204-00000-425605-0000 Fee amount $225.00 $75.00 $50.00 $25.00 $256.00 $356.00 $25.00 $75.00 $130.44 $54.35 Payment Method: Credit card authorization: 09529q Payer: MCCLAIN CONSTRUCTION LLC Payment Amount:$1,271.79 Printed: 11118/19 10:34 am Page 1 of 1 Receipt Total: Fl N_Transaction Receipt_pr Cashier: Katrina Anderson $1,271.79 h^, r 1',U18t19 1.00 Qty 11t18t19 3.00 Qry Crry or S PRrNGFrEln, ORTGoN Plumbin g Permit Application SPFIdGF'ELO h, Tlis permif is issued under oAR 918-780-0060. Permits are-issued onry to the person or contracfor doing the work. permirsexpire if work is nof sfarfed within I80 da.ys oiissuarce or if work ir.u.peroea for 180 days. 22s Fifth Street I Springfield, OR 97477 t PH(54D726-3753 )F/'X6qt \726-3685 11 $nlu r \z-?l' DEPARTMENT USE ONL Y Permit no.: Date:lc) APPROVALLOCALGOVERNMENT Zoning approva I veri fi ed?nye. ENo Sanitation approval verifi ed?flYes n uo CATEGORY OF CONSTR UCTION flResidential fl Govemment E Commercial RMATION LOCATIONJOBSITENIFOAND Job site address: j C) State:ZTP: Reference Taxlot. DESCRIPTION OF WORK .\I J Name Address: State: Al--ZIP Phone Fax E-mail This installation is being made on residential or farm property owned by me or a member of my immediate family, andis exempt from licensing requirements under OAR 9i 8-695-0020 CONTRACTOR INST TION Business name Address:b City ZIP:?l v LPhone:Fax: h ('tCuE-mail:m CCB license no.BCD license no. Plumbing license no. Print name 2 na: l'ort I id skh y ltaurl Zl"^t C.W FEE SCHEDULE Description 4ry.Cost ea. Total cost $ 00 feet ofwater/sewer maker, I bathroom/I kitchcn (includes.firstIhoselines, icebibs,unde(loor drains ond rain-drain New residential 2 bathrooms/1 kitchen 1521.00 $ 3 bathrooms/l kitchen s613.00 $ Each additional bathroom (over 3)s132.00 $ Each additional kitchen (over 1 )s132.00 s Residential fire sprinklers (includes plan review) 0 to 2,000 square feet $r02.00 $ 2,001 to 3,600 square feet $163.00 $ 3,601 to 7,200 square feet s243.00 $ 7,201 square feet and greater s324.00 $ Manufactured or pre-fab (circle one) Connections to building sewer and water supply $r02.00 $ Commercial, two-familv industrial, and dwellings other than one- or Minimum fee A $102.00 $ Each fixture {$25.00 $ Miscellaneous fees 100' storm, sewer, water line u06.00 $ Each fixture, appurtenance, and piping 125.00 $ Storm water retention/detention facility 1106.00 $ Irrigation systems/Backfl ow 125.00 $ Piping or private storm drainage svstems exceedine the first 100 feet t25.00 $ Specialty fixtures t25.00 $ Reinspection (no. ofhrs. x fee per hr.)$102.00 $ Special requested inspections (no. of hrs. x fee per hr.)st02.00 $ Each additional inspection: (l)s102.00 $ Medical gas piping Minirnum fee $ Enter value of installation and equipment S _. Enter fee based on installation and equipment value.s DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $f02.00)$ (B) Investigative fee (equal to [A])$ (C) Enter 12%o surcharge (.12 x [A+B])$ (D) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D) Lasr edited 7/l/2019 bjones *b P pta*t City: State: 6f- USlgnature: 1333.00