HomeMy WebLinkAboutPermit Plumbing 2020-01-02OREGON
Web Address: www.springfield-or. gov
Building Permit
Commercial Plumbing
Permit Number: 81 1-19-OO2696-PLM
IVR Number: 81 1014639568
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54t-726-3753
Email Address: permitcenter@springfield-or.gov
SPRINGFI
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Permit Issued: January 02,2O2O
TYPE OF WORK
Category of Construction: Commercial Type of Work: New
Submitted Job Value: $0.00
Description of Work: Installation of onsite storm sewer system for Fischer Village
JOB SITE INFORMATION
Worksite Address
1160 Q ST
Springfield, OR 97477
Parcel
t70326L403704
Owner:
Address:
HABITAT FOR HUMANITY
SPRINGFIELD/EUGENE
1210 OAK PATCH RD
EUGENE, OR 97402
LICENSED PROFESSIONAL INFORMATION
License
ccB
License Number
6297L
Phone
54L-688-2233BABB CONSTRUCTION CO -
Primary
PENDING INSPECTIONS
Inspection
3999 Final Plumbing
3400 Storm Sewer
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. buildi ngperm its.oregon. gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811014639568
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permits expire if work is not started within 1E0 Days of issuance or if 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 whether 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-OO1O through OAR 952-OO1-0O90. You may obtain copies of the rules by calling the Center at (5O3)
232-L9E7,
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010
(structural/t{echanical), ORS 479.540 (Electrical), and ORs 693.O1O-020 (Plumbing),
Printed on: 1/15/20 Page 1 of 2 C:\myReports/reports//production/01 STANDARD
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Permit Number: 81 1-19-002696-pLM Page 2 of 2
Fee Description
Technology Fee
Catch basin or area drain
Storm sewer - Total linear feet
State of Oregon Surcharge - Plumb (I2o/o of applicable fees)
Printed on: 1/15/20
Quantity
Total Fees:
Fee Amount
$21.ss
$ 1s0.00
$28 1.00
$51.72
$5O4.27
6
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Page 2 of 2 C: \myReports/reports//production/o 1 STANDARD
PERMIT FEES
Crrv on SprNGFIELU' ORrGoN
Plumbing Permit Application
225 Fifth Street o Springfield, OR 97477 . PH(541)726-3753 . FAX(541)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.
FEE SCHEDULE
Description ary Cost
ea.
Total
cost
New residential
I bathroom/1 kitchen (includes : first
I 00 feet of v,ater/sewer lines, hose
bibs, ice maker, unde(loor low-point
drains and rain-drain packages)
$333.00 $
2 bathrooms/1 kitchen $521.00 $
3 bathrooms/l kitchen $613.00 $
Each additional bathroom (over 3)t132.00 s
Each additional kitchen (over 1)t132.00 $
Residential fire sprinklers (includes plan review)
0 to 2,000 square feet 8102.00 $
2,001 to 3,600 square feet tr63.00 $
3,601 to 7,200 square feet $243.00 $
7,201 square feet and greater $324.00 $
Manufactured dwelling or pre-fab (circle one)
Connections to building sewer and
water supply $102.00 $
Commercial, industrial, and dwellings other than one- or
two-family
Minimum fee $102.00 $
Each fixture $25.00 $
Miscellaneous fees I
100' storm, sewer, water line $r06.00 $e-bl
Each fixture, appurtenance, and piping t,$25.00 $lsD
Storm water retention/detention facility q s106.00 $
Irrigation systems/B ackfl ow $25.00 $
Piping or private storm drainage
svstems exceeding the first 100 feet $2s.00 $
Specialty fixtures $25.00 $
Reinspection (no. ofhrs. x fee per hr.)$102.00 $
Special requested inspections (no. of
hrs. x fee per hr.)s102.00 $
Each additional inspection: (1)$102.00 $
Medical gas piping Minimum 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 $f02.00)$9rl
(B) Investigative fee (equal to [A])$
(C) Enter l2o/o snrcharge (.12 x [A+B])$
(D) Technology Fee (5% of [A])$ 2t. q(
TOTAL fees and surcharges (A through D):$
SPAINGFIEI D
*,
DEPARTMENT USE ONLY
Permitno.: llPaU?G " ?L
Date:
^
lv \q
LOCAL GOVERNMENT APPROVAL
Zoningapproval verified? E Yes E Uo
Sanitation approval verified? [ Yes E No
CATEGORY OF CONSTRUCTION
I Government [t CommercialE Residential
JOB SITE INFORMATION AND LOCATION
Job site address: I tbO Q e7.
ciry: SP8,lNuFr&uEr State: ofL ZIP:?-1,111
Reference:Taxlot.:
DESCRIPTION OF WORK
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PROPERW OWNER
Name: { a3,t +r €otL d.lne^, rti
Address: rzt O O Arc P rtr.rl trD.
ZrP:?'tloL.Ctty E,l Ui at C;-State:9rf
phone11;ll-?/- Oo?Fax:
E-mail:boutr- CAE.TeIL pgaa,ferU ^{e , Oe-b
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:
R INSTALLA
co,DrDt g.r,>-rr(rLTrw
tsustness name: b6LlA Co^rrI.EJ(tloA,
Address: q 7q \ trltSra,rr A,r€
City: tirtto9,ot State: ol2-ZtP:11,{,o4
Phone$l-(9ts ZL3
E-mail: {rrAlEtr^to^/bgur ASro. eo.-\
Fax:S'll-Ebto
CCB license no.: LZ 41 I BCD license no.:
Plumbing license no.: I
Print name: rF t €AZEa
Signature
Lasr edited 7/l/2019 bjones
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