HomeMy WebLinkAboutPermit Plumbing 2019-11-26SPRINGIIELD
OREGON
Web Address: www.springfield-or. gov
Permit Issued: November 26, 2OLg
Building Permit
Commercial Plumbing
Permit Number: 811-19-OO26S5-pLm
IVR Number: 81 1063994149
CitY of SPringfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
Email Address: permitcenter@springfield-or. gov
TYPE OF WORK
Category of Construction: Commercial
Submitted Job Value: g0.00
Description of Work: Site work & modular buildi ng plumbing connections
Type of Work: New
JOB SITE INFORMATION
Worksite Address
3115 INDUSTRIAL AVE
Springfield, OR 97478
Parcel
L7023t2t00700
Owner:
Address:
2BE-VENTURES LLC
4660 MAIN ST BLDG C
sTE 500-2
SPRINGFIELD, OR 97478
LTCENSED PROFESSIONAL rN FORMA,TION
Business Name
EUGENE SAND CONSTRUCTION
INC - Primary
License
CCB
License Number
L77967
Phone
54 1-683-6400
PENDING INSPECTIONS
Inspection
3999 Final plumbing
3150 Underslab plumbing
3170 Underfloor plumbing
3200 Sanitary Sewer
3300 Water Service
3400 Storm Sewer
Inspection Group
Plumb Com
Plumb Com
Plumb Com
Plumb Com
Plumb Com
Plumb Com
fnspection Status
Pending
Pending
Pending
Pending
Pending
Pending
SCHEDULING INSPECTIONS
Various inspections are minimally required
the issuing jurisdiction indicated on
dependent on the scope of work. Contact
on each project and often
the permit to determine required inspections for this project
Schedule or track inspections at www.build ingperm its.oregon. govCall or text the word "schedule,, to 1_888_299_2821 use IVR number: 811063994149Schedule using the Oregon epermitting Inspection App,search "epermitting,, in the app store
lfll.":,ilH:lrt#'.1ff:t started within 18o Davs of issuance or if work is suspended for 180 Days or ronser dependins on
All provisions of laws and ordinances governing this type of work wirt be compried with whether specified herein or not.:J,T,.j1,il::j""..,T:1,:ffiH:,,:?:n:,:j*kf,l*;;;;;;;i"J,,il,.,-,oions orany o*re. siaie or,oca, ,aw
ATTET{TroN: oregon law requlres you to fotlow rules adopted by the oregon uarity [otification center. Those rures are setlt#i;;r1- es2-oo1-oo10 throush oon grr-oor-i-oro. ,ou .iv outuir-"op,l" i.n. rutes by calins the center at lsos;
All persons or entities ,"tfojl1li work under this permit ar€ required to be ,censed unless exempted by oRs zo1.o1o(structurauMechanicar), oRs 479.540 ttrectricail,-a-nd oRs 693.o10-020 (prumbing).
Printed on: Lt/26t19
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Permit Number: 81 1-19-002655-PLM
Fee DescriPtion
Technology Fee
Floor drain/floor sink/hub drain
Hose bib
Other - Plumbing
SanitarY sewer - Total linear feet
Storm sewer - Total linear feet
Water service - Total linear feet
State of Oregon Surcharge - Plumb (L2o/o ot applicable fees)
Printed on: Lllz6l79
Quantity
Total Fees:
Fee Amount
$19.6s
$2s.00
$25.00
$2s.00
$ 106.00
$106.00
$ 106.00
$47.16
$4s9.81
1
1
1
76
50
85
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PERMIT FEES
SPRINGFIELD
,b
Transaction Receipt
81 1 -{ 9-002655-PLM
IVR Number: 8t I 063994149
Receipt Number: 473135
Receipt Date:11126119
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-726-3753
perm itcenter@spri ngfi eld-or. govOREGON
ww\r/. sp rin gf ield-or. gov
Worksite address: 31 15 INDUSTRIAL AVE, Springfleld, OR 97478
Parccl: 1702312100700
Fees Paid
Account codeTransaction Units
date
11126119 76 00 LnFt
11t26t19 50.00 LnFt
11t26t19 85.00 LnFt
11t26t19 1.00 Oty
11t26t19 1.00 Qty
11t26t't9 1.00 Qty
1',U26t19 1.00 Ea
Description
Sanitary sewer - Total linear feet
Storm sewer - Total linear feet
Water service - Total linear feet
Floor drairVfloor sinuhub drain
Hose bib
State of Oregon Surcharge - Plumb
(12% ot applicable fees)
Other- plumbing 224-00000-425603-1034
Fee Notes: Modular building plumbing connections.
224-00000 -425603- 1 034
224-00000-425603- 1 034
224 -00000 -425603- 1 034
224-00000 -425603- 1 034
224-00000- 425603- I 034
82 1 -00000-21 5004-0000
204-00000-425605-0000
Fee amount
$106.00
$106.00
$106.00
$25.00
$25.00
$25.00
$47.1 6
Paid amount
$106.00
$106.00
$106.00
$25.00
$25.00
$25.00
$47.1 6
$19.6511t26t19'1.00 Automatic Technology Fee
Payment Method: Credit card Payer: Thomas & Sons
authorization: 237179
Transaction Comment: via phone
Payment Amount:$459.81
Cashier: Katrina Anderson Receipt Total:s459.81
P tinled: 1 I 127 I 19 1 0:53 am Page 1 of 1 Fl N_Tra nsactionReceipt_pr
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$19.65
Plumbing Pennit Application fffiaficltt
ta+
Thfo permit is irgued under OAR 91&7s0{m$. Pemits eru issued ody to lhe person or cortla6or daingthe rort permihuFire if roI* ir not stlrH withir 1S0 days of imuenee or if wor* Ir nropcnCei for !E0 daya
Y bnJ"* A/r*, frt -u+- fe,/
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e as h"tt o(grvrate..,u-\s .Lna
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>te t Q-oo \-t 5f
l"flst €ditcd 7/1/2'019 bjors
\q -CO2 tv55'Permit no.:
Date: t I ZQ tq
Zoning appmval verified?No
Sanitation verified?Yes ENo
EI Residential Government
fob site addrcss:
SHe:a W:
Narre:
Address:
frE:,
E-mail:
5"..4
$tlrte:ZD:
Busincss name:
Address:
Phone:
CCB licenseno.rfi?qd7 BCD licetlse no.:
licercc no.:
Print name:
Ncr rcgidontirl
u33.00 s
2 bdroome/l litchen r52r.00 $
3 bsfhrmm$l h'ehen i613.m $
(ovcrE€ch additio,lsl bsltroom tl32.00 s
Each additional kitchcn (over I)tr3?.00 $
reviev)Rlgldeffirl trft ryrinHenr (includoe ptru
0 to 2,000 square Get r104.00 $
2,ll0l to 3,600 sqrrar€ feet $r63.00 $
3,fi1fu7,200 quare ftet rr43.fit $
feet and gr€atcr t
or
$
Com-mcrcial, iadsctrirl, ard d*ctlllgr
frro-Ant'ly th*n ore or
Minimumfee t102.00 s
Bach ffxAuE n5.06 $
Mitellercour frcs
100'srm, scwer, u&line il{,6.00 s
lach fixtre, appurlEoance, aad prprng t25.00
$torm net rrtmfion/&tention faciiity tl06.00 $
Inigdioa systErns/Baclf,low p*{n $
Pipiry 0r privab stom drainage '.-
srsGms exceed.inn the firgt 100 fest ir5"00 s
Specialty fixtrucs pa00 $
Reinspection (m. of hrs. x fee per ln )tr02.00 $
Specid rcquested iarpections (no. of
brs. x fee perhr.)11fi1.00 s
E*cb rdditioarl impxtiou: (t)ilrtr.00 $
Minimum fee $
Enter valuc ofirstrllation sd $
(A) Errer qrbbtal ofabove fees
ffi niuua ?ermit Fcr $t 02.fi1)
Etrter &c based on installatioa md vrlue.(
$
(Bi Iavestigrtive tse (equst ro tAl)$
(C) Eltcr t2% surc,haqge (.12 x [A+BI)$
@) Tec;hnologrfee (50z6of [A])t
TOTAL fooe and surclrrges {A t[rougt Il):$
Aa..rz^xa^e',*+ffiev1,vr^^g a-,-Asr>^5 tY.*' c,,-
Ct'rr' 0r SpRINr.i FIIILD, OttL(;o\
made on
me ora
of
iicensiagexgmpt
This
i324.0S
$ater supply ll02.00