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Home My WebLink AboutPermit Plumbing 2019-12-18OREGON Web Address: www.springfield-or. gov Building Permit Commercial Plumbing Permit Number: 81 1-19-OO28O7-PLM IVR Number: 81 1067796151 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address : permitcenter@springfield-or.9ov SPRINGTIELD # Permit Issued: December 18, 2019 TYPE OF WORK Category of Construction: Commercial Type of Work: Tenant Improvement Submitted Job Value: $0.00 Description of Work: Adding 2 new sinks and re-locating 1 break sink JOB SITE INFORMATION Worksite Address 3783 INTERNATIONAL CT Springfield, OR 97477 Parcel L703L53200202 Owner: Address: CHAMBERS DEV CORP BOO WILLAMETTE ST STE 750 EUGENE, OR 97401 LICENSED PROFESS]ONAL ,TION Business Name BROTHERS PLUMBING INC - Primary License ccB License Number L98624 Phone 54L-937-2994 PENDING INSPECTIONS 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: 811067796151 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 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 wheth€r 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-OO1-OO10 through OAR 952-OO1-OO9O, You may obtain copies of the rules by Galling the Center at (503) 232-L987. All persons or entities performing work under this permit are required to be licensed unless exempted bY ORS 7O1.O1O (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693'O1O-O2O (Plumbing)' printed on: T2ltallg page 1 of 2 c:\myReports/reports//production/01 STANDARD I SCH EDULING INSPECTIONS Permit Number: 81 1-19-OO28O7-PLM Page 2 ot 2 Fee Description Technology Fee Balance of minimum permit fees - plumbing Sink/basin/lavatory SDC: Total Sewer Administration Fee SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater State of Oregon Surcharge - Plumb (l2o/o of applicable fees) Printed on: t2ll8/L9 Quantity 3 25.45 341 167.98 Fee Amount $s.10 $27.00 $7s.00 $2 5.4s $34 1.00 $ 167.98 $t2.24 $653.77 Page 2 of 2 Tota! Fees: C ; \myReports/reports//production/0 1 STAN DARD PERMIT FEES SPRINGFIELD {t Transaction Receipt 81 1 -1 9{t02807-PLM IVR Number: 81 1067796151 Receipt Number: 473320 Receipt Datez 12118119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 547-726-3753 perm itcenter@spri n gfield -or. govOREGON www.springfield-or. gov Wo*"it" address: 3783 INTERNATIONAL CT, Springfield, OR 97477 Parcel:'l 703'1 53200202 Transaction Units date 121'18119 3.00 Qty 12118t19 '1 .00 Automatic 12118t19 1.00 Ea Description SinUbasin/lavatory Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (12o/o ol applicable fees) SDC: lmprovement Cost - Local Wastewater 224-00000- 425603- 1 034 224-00000-425603- 1 034 821 -00000-21 5004-0000 12t18t't9 1.00 Automatic Technology Fee 204-00000-425605-0000 12t18t19 34'1 .00 Amount SDC: Reimbursement Cost - Local Wastewater 61 I -00000-448024-8800 12t18t19 167.98 Amount 61 1 -00000-448025-8800 12118t19 25.45 Amount SDC: Total Sewer Administration Fee 719-00000-426604-8800 Fees Paid Account code Fee amount $75.00 $27.00 $12.24 $5.10 $341.00 $167.98 $25.45 Paid amount $75.00 $27.00 $12.24 $s.1 0 $341.00 $167.98 $25.45 Payment Method:Credit card authorization: 5'1 8'1 22 Payer: gregg hall Payment Amount:$653.77 Cashier: Katrina Anderson Receipt Total:$553.77 Printed: 12l18/19 1:23 pm Page 1 of 1 Fl N_Tra nsactionReceipt-pr -a-l I Crrv or SpmNGFrELn, ORTGoN Plumbing Permit Application DEPARTMENT USE ONLY Permitno.: \q-@)goq Date: 1a\ rr\tt SPRINGFIELD h 225 Fifth Street a oR 97 4'77 . PH(54t)726-37s3 . FAX(54 I )726-36E9 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. FEE SCHEDULE Description Qty.Cost ea. Total cost New residential I bathroom/l kttchen (includes : first l00feet ofwater/sewer lines, hose bibs, ice maker, underfloor low-poin, drains and rain-drain packoges) I 5333.00 s 2 bathrooms/l kitchen s52t.00 s 3 bathrooms/l kitchen $613.00 $ 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 $163.00 $ 3,601 to 7,200 square feet $243.00 $ 7,201 square feet and greater t324.00 $ Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply i 102.00 $ Commercial, industrial, and dwellings other than one- or two-familv Minimum fee $102.00 s Each fixture $25.00 $ 15,r! Miscellaneous fees 100' storm, sewer, water line $r06.00 $ Each fixture, appurtenance, and piping $25.00 $ Storm water retentior/detention facility $106.00 $ lrrigation systems/Backfl ow $25.00 $ Piping or private storm drainage svstems exceedinq the first 100 feet t25.00 $ Specialty fixtures i25.00 $ Reinspection (no. ofhrs. x lee per hr.)1102.00 s Special requested inspections (no. of hrs. x fee per hr.)$102.00 $ Each additional inspection: (l)$102.00 $ Medical gas piping Minirnurn fee $ Enter value of installation and equipment $ -.Enter fee based on installation and equipment value.s DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) S (B) lnvestigative fee (equal to [A])$ (C) Enter l2olo surcharge (.12 x [A+B])$ (D) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):$ S'tl-Stt ^ Lte 7 Etr-\1- oo ?tVo5-rl lg*tto^S{A LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E Yer E tto Sanitation approval veri{ied? fl Yes E No CATEGORY OF CONSTRUCTION E Residential ! Govemment Commercial JOB SITE INFORMATION AND Job site address:1 at4l CT. ZtP l'1StateCity: Reference:Taxlot. DESCRIPTION OF WORK PROPERTY ER Name: Address: State:ZIP:City: FaxPhone E-mail: This installation is being made on residential 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 Rpor*Ee-s PLrrnQr,</ & a<tc.., Address: ^-? < OFe-6ar<) AOL State: .,9(ZrP Q1,#tDCity: Cps.,vj<ft FaxPhone: 1ry qZl ")qq I E-mail: Cn^A 0 \rO+t.erS^.D/r-rnbirA . Cnn- CCB license no.: l$p,1-2 \BCD license no. .*J Plumbing license no. Print name:f-uoo An Ltfu*zazi< Signature: lrsr edited 7/l/2019 bjones E