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Home My WebLink AboutPermit Plumbing 2019-12-20OREGON Web Address: www.springfield-or. gov Building Permit Commercia! Plumbing Permit Number: 81 1-19-OO2837-PLM IVR Number: 811073741313 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 541-726-3753 Email Address: permitcenter@springfield-or. gov SPRINGIIELD b Permit Issued: December 20,2OL9 TYPE OF WORK Category of Construction: Commercial Type of Work: Tenant Improvement Submitted Job Value: $0.00 Description of Work: #630 New construction TI - toilet, lav, water heater JOB SITE I]TFORMATION Worksite Address 5250 HIGH BANKS RD STE 630 Springfield, OR 97478 Parcel 1702280000400 Owner: Address: HIGH BANKS BUSINESS PARK LLC PO BOX 7867 SPRINGFIELD, OR 97475 LICENSED PROFESSIONAL INFORMATION Business Name KEVIN COHEN PLUMBING INC - Primary License ccB License Number t763LL Phone 54t-607-9208 PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Com Plumb Com Inspection Status Pending Pending SCHEDULING INSPECTIONS 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: 811073741313 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 18O Days or longer depending on the lssuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether speclfied herein or not' Grantlng 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-OO1O through OAR 952-OO1-OO9O, You may obtain copies of the rules by calling the Center at (5O3) 232-t987, All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (Structural/ilechanical), ORS 479.540 (Electrical), and ORS 693.O1O-O20 (Plumbing). priated oil Lzl2o/tg page 1 of 2 C:\myReports/repofts/lprodudionl0l STANDARD \r Permit Number: 81 1-19-0O2837-PLM Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - plumbing Sin k/basin/lavatory Water closet Water heater State of Oregon Surcharge - Plumb (l2o/o of applicable fees) Printed on: 12/2Ol19 Quantity Total Fees: Fee Amount $s.10 $27.00 $2s.00 $2s.00 $25.00 $12.24 $ 1 19.34 1 1 1 Page 2 of 2 C:\myReports/reports//prcduction/01 STANDARD PERMTT FEES Cmv or SpmNGFrELoo ORtrcoN Plumbing Permit Application 225 F iftb Street . Springfi eld, OR 97 47 7 . PH(5 4 l)7 26 -37 53 o FAX( 54 1 )726-3689 This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. h, SNOts 7 ffittTw DEPARTMENT USE ONLY 337Permit no.: Date: (Ll?'o \11 LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoniryapproval verified? E Yes E No Description Qty Cost ea. Total cost Sanitation approval verified? E yes E No New residential CATEGORY OF CONSTRUCTION E Residential I Govemment E Commercial JOB SITE INFORMATION AND LOCATION I bathroom/l kitchen (includes : first I 00 feet of ulater/sewer lines, hose bibs, ice maker, underfloor low-point drains and rain-drain packoges) $ 2 bathrooms/l kitchen 1.00Job site address: 5250 High Banks Rd Suite #630 3 bathrooms/l kitchenSpringfieldState:OR ZIP:97478 Each additional bathroom (over 3)132.00 Reference:Taxlot.:Each additional kitchen (over I )132.00 DESCRIPTION OF WORK Residential fire New construction tenant infill - toilet, lav, water heater 0 to 2,000 feet $ 2,001 to 3,600 feet $ 3,601 to 7,200 square feet $PROPERTY OWNER 7,201 feet and greater $Name: Manufactured orAddress: water supply to sewer $ State:ZIP: Phone Fax andindustrial,thanother orone-Commercial,dwellings Minimum fee $E-mail Each fixture 3 $ Miscellaneous fees 100' storm, sewer, water line 06.00 $ Each fixture,and $ CONTRACTOR INST ALLATION Storm water retention/detention $ systems/BackflowBusiness n6mg. Kevin Cohen plumbing $ Address: 1084 Postal Way ot storm I $ Springfield fixturesState: OR $ZIP:97477 Reinspection (no. ofhrs. x fee per hr.)02.00Phone:541 -697- 9208 $Fax:541 34S - 48OB (no. xhrs.E_mail: t.olmstead@reynoldselectric.com $ CCB license no.: 1763 I I BCD license no.: PB363 Each additional inspection: (1)102.00 $ Plumbing license no.. PB363 Medical Minimum fee $ Print name: Garett Connell valueEnter installationof and $equ ipment feeEnter based on installation and valueequipmentSignature $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $l 02.00)Itt$ (B) Investigative fee (equal to tAl)$ (C)Enter 12%o (.12 x [A+B])$z-L (D) T,Fee (5% of [A]),to$ TOTAL fees and s (A through D)$ last edited 7lll20l9 bjones ft-wt>v< t333.00 $ t6t3.00 S $ $ 1r02.00 8163.00 8243.00 1102.00 i106.00 ;25.00 125.00 i25.00 fee 1r02.00