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Home My WebLink AboutPermit Plumbing 2019-12-11ONEGON Web Address: www.springfield-or.9ov Permit fssued: December 11, 2019 Building permit Commercial plumbing Permit Number: g1 1-19-OO 27 O6_1LM IVR Number: 811010522108 City of Springfietd Development and public Works 22S Fifth Streer Springfield, OR 97477 547_725_3753 Email Address: permitcenter@springfield-or.9ov Category of Construction: Commercial Submitted Job Value: g0.00 Description of Work: TllRemodel for Joy Church Type of Work: Tenant Improvement Worksite Address 3188 Gateway LOOp Springfield, OR 97477 Parcel 1703222003300 Owner: Address: JOY CHURCH EUGENE 2940-8 CHAD DR EUGENE, OR 97409 Business Name RICHARD ALAN ROUNDS - Primary License ccB License Number L47736 Phone 541-726-544e Inspection 3999 Final Plumbing 3500 Rough Plumbing 3150 Underslab Plumbing Inspection Group Plumb Com Plumb Com Plumb Com Inspection Status Pending 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.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811010522108 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permlts expire if work is not started within 18O Days of issuance or lf work is suspended for 18o 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 whethe. 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 OAR952-O01-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-L9a7. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (StructuraUMechanical), ORS 479.540 (Electrical), and ORS 693.O10-O20 (Plumbing). printed on: t}lfllTg page 1 of 2 C:\myReports/reports//production/01 STANDARD & h---, I TYPE OF WORK JOB SITE INFORMATION LICENSED PROFESSIONAL INFORMATION PENDING INSPECTIONS SCHEDULI}IG INSPECTIONS Page 2 of 2 Permit Number: 811-19-Oo27o6-PLM QuantitY Total Fees: Fee Amount $63.7s $2s.00 $2s.00 $100,00 $42 s.00 $12s.00 $s0.00 $s 2s.00 $ 153.00 $L,49L.75 Fee DescriPtion TechnologY Fee Dishwasher Drinking fountain Floor drain/floor sink/hub drain Sin k/basin/lavatory Urinal Water heater Water closet State of Oregon Surcharge - Plumb (l2o/o of applicable fees) Printed on; f2lfU19 1 1 4 L7 5 2 2L Page 2 of 2 C :\myReports/reports//production/01 STAN DARD PERMIT FEES SPRINGTIELD ,b Transaction Receipt 811-19402706-PLM IVR Number: 8l t0t0522108 Receipt Number: 473261 Recei pt Dale:'l2l I 1 I 19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 perm itcenter@spri ngfield-or. govOREGON www. sprin gf ield-or. gov Woksite address: 3188 Gateway LOOP, Springfield, OR 97477 Parenl: 17Q3222003300 Fees Paid Account codeTransaction Units date 12111119 1.00 Qty State of Oregon Surcharge - Plumb (12o/o ol applicable fees) 12t1',U19 1.00 Qty Drinking fountain 't2rt'u19 4.00 Qty Floor drain/floor sinUhub drain 12111t19 17.00 Qty Sink/basin/lavatory 12111119 5.00 Qty Urinal 12t11t19 21.00 Oty Water closet 12111t19 2.00 Qty Water heater 12111t19 '1 .00 Ea 224-00000-425603- 1 034 224-00000 -425603- 1 034 224 -00000 - 425603- I 034 224-00000- 425603- 1 034 224-00000- 425603- 1 034 224-00000- 425603- 1 034 224-00000- 425603- 1 034 821 -00000-2 I 5004-0000 204 -00000 - 42560 5-0000 Fee amount $2s.00 $25.00 $100.00 $425.00 $125.00 $525.00 $50.00 $153.00 $63.7s Paid amount $25.00 $25.00 $100.00 $425.00 $125.00 $525.00 $50.00 $153.00 $63.751211',U19 1.00 Automatic Technology Fee Payer: RICHARD ALAN ROUNDS Payment Amount:$1,491.75 authorization:034748 Cashier: Katrina Anderson Receipt Total:$1,491.75 Printed: 12l11/19 1:52 pm Page 1 of 1 F I N_Tra nsaction ReceiPt-Pr Description Dishwasher Payment Method: Credit card Crrv or SrnrNGFrELn, OnrcoN Plumbing Permit Apptication 225Fifth Strect o springfield,OR97477 . PH(541)726-3753 o FAX(541)726-36E9 pe€ Ftt' rt - This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire ifwork is not started within 180 days ofissuance or ifwork is suspended for 180 days. h, LOCAL GOVERNMENT APPROVAL Zoningapproval verified? [ Yes n No Sanitation approval verified? ! Yes E No CATEGORY OF CONSTRUCTION ! Residential ! Govemment oEl Commercial JOB SITE INFORMATION AND LOCATION Job site address: 3lg8 Go.telr:onr L-o f, frn \I State:Qi{-zrp:$?(-11 Referenle: J Taxlot. pESCRTPTTON OF WORK o -L.-I J-' PROPERTY OWNER Name cc Address:Cl^n City:[r'q1p,a-State: OR-zIP:1l4oB Phone:(q-1- 554- bzg S Fax E-mail: ynqf t--(Q, ic,*4eUqtne . Lq rt This installation is beiilgXad'e on rYsidential 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: CONTRACTOR INSTALLATION Business name: Address City:State: Of(nP97 ?29 2 Fax: E-mail: R,"*^nlil-^. Ei nr gQ,(9*t CCB license no.:1{1/3Q gcfi ticerise no. Plunrbing license no.: /) / O Adol,,,ro rJ it^r,-r 49 Signature: FEE SCHEDULE Description 4ry.Cost ea. Total cost New residential I bathroom/l kitchen (includes : first l00feet ofwater/sewer lines, hose bibs, ice maker, unde(loor low-point drains and rain-drain packages) s333.00 $ 2 bathrooms/l kitchen $s21.00 $ 3 bathrooms/l kitchen s6t3.00 $ Each additional bathroom (over 3)$132.00 $ Each additional kitchen (over l)$132.00 $ Residential fire sprinklers (includes plan review) 0 to 2,000 square feet $102.00 $ 2,001 to 3,600 square feet s163.00 $ 3,601 to 7,200 square feet 8243.00 $ 7,201 square feet and greater 1324.00 $ Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply ir02.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee u02.00 $ Each fixture YZ $25.00 $ Miscellaneous fees 100' storm, sewer, water line M 06.00 $ Each fixture, appurtenance, and piping t25.00 $ Storm water retention/detention facility t106.00 $ lrrigation systems/Backfl ow t25.00 $ Piping or private storm drainage svstems exceedins the first I00 feet i25.00 s Specialty fixtures i25.00 $ Reinspection (no. ofhrs. x fee per hr.)$r02.00 $ Special requested inspections (no. of hrs. x fee per hr.)$102.00 $ Each additional inspection: (l)$102.00 $ Medical gas piping Minimurn fee $ Enter value of installation and equipment $ _. Enter fee based on installation and equipment value.$ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) s (B) Investigative fee (equal to [A])$ (C) Enter l2%o surcharge (.12 x [A+B])$ (D) Technology Fee (5% of [A])s TOTAL fees and surcharges (A through D):$ DEPARTMENT USE ONLY Permitno.: l1-Q0 27oC \eDate:.tl19 Lasr edited 7/l/2019 bjones Print name: th- ^ ,1,A ttL l 9 iJ, L I tl rv)', -b,', -u, n,"',, it Z I t IY?i t I 4L- t.a^ +: I L I r' .4 I fll- I I I I I J/L I I h , 'lL 5r,,{.1 7. l1 )f". r'ltt \ t'tr, z -crtGrrr- a I LI/' 7rt,t& I (5 It2, 'L v ltv 'rl. { I ,l t 1'I ^(gL'I 7,t I : .u I ,^c t t-.,^,a\7. Ll I I I t , I t,,b, I I L llv 'a 1.. I ,14 "({I I I I I Iglo *.rftnt