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