The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2020-02-18SPRINGFIELD OREGON Web Address: www.springfield-or. gov Building Permit Commercial Plumbing Permit Number: 81 1-2O-OOO3OO-PLM IVR Number: 81 1013988715 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or. gov Permit Issued: February L8,2O2O TYPE OF WORK Gategory of Construction: Commercial Submitted Job Value: $0.00 Description of Work: Backflow Type of Work: New JOB SITE INFORMATION Worksite Address 1089 28TH ST Springfield, OR 97477 Parcel t7023L220t300 Owner: Address: LAND BARON HOLDINGS LLC 1OB9 28TH ST SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORTTIATION Business Name SIGNATURE PLUMBING CORP - Primary License ccB License Number 2195 13 PENDING INSPECTIONS Inspection 3999 Final Plumbing 3620 Backflow Device Inspection Group Plumb Com Plumb Com Inspection Status Pending Pend ing 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. Sched ule or track inspections at www. build ing permits.oregon'gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811013988715 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store permits expire lf work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer dependang 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-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-t987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1'O1O (Structural/Mechanical), ORS 479.54o (Electrical), and oRS 693.01o-o20 (Plumbing)' printed on: 2/18/20 page 1 of 2 C:\myReports/reports//production/01 STANDARD {6 Phone 541-870-8545 Permit Number: 81 1-20-000300-PLM Page 2 of 2 Fee Description Technology Fee Backflow preventer Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Prlnled oil 2/18120 Quantity Total Fees: Fee Amount $s.10 $2s.00 $77.O0 $r2.24 $ 119.34 1 Page 2 of 2 C: \myReports/reports//production/01 STAN DARD PERMIT FEES SPRINGTIELD ww.springfield-or.gov Worksite address: 1089 28TH ST, Springfield , OR 97477 Parcel: 1702312201300 Transaction Receipt 811-20{00300-PLM IVR Number: 81 10139887t5 Receipt Number: 473828 Receipt Date:2118120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54r-726-3753 permitcenter@spri n gfi eld -or. govGON ,w ORE Transaction Units date 2t18t20 1.00 Qty 2t18t20 ',l.00 Automatic 2t18120 1.00 Ea Description Backflow preventer Balance of minimum permit fees - plumbing State of Oregon Surcharge - Plumb (12o/o oI applicable fees) 224-00000-425603- 1 034 224-00000- 425603- 1 034 82 1 -00000-2 1 5004-0000 20 4 - 00000 - 425605-0 0 0 02118t201.00 Automatic Technology Fee Fees Paid Account code Fee amount $25.00 $77.00 $12.24 $5.1 0 Paid amount $2s.00 $77.00 $12.24 $5.1 0 Payment Method: Check number: 14681 Payer: Childs Auto Repair Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total:$119.34 Printed: 2/18/20 11:25 am Page 1 of 1 F I N_Tra nsaction Receipt_pr *-/ Cruy on SrnrNGFIELu, OntrGoN Plumbing Permit Application )r<Street o Springfield, OR 97477 . PH(541\726-3753 . FAX(541)726-3689 LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E Yes E No Sanitation approval verified? E yes E No CATEGORY OF CONSTRUCTION ElResidential I Government [El Commercial JOB SITE INFORMATION AND LOCATION Jobsiteaddress: fd3? 2g'f-l 9f City: {.47 ,.a..,{.r I State:$'ft ztP:?7?'17* l7o2 /ZL Taxlot.U DESCRIPTION OF WORK fTa c,\lo-:a ( OWNER Name /r tl Address o?a /t ,r{State: (fl ztY: f,77t8 Phone:o" E-mail:, / fias,/g This installation is being made on residential member of my immediate or owned ex€mpt by me from ora 9 8-695-0020. INSTALLATION Business name: 5 Address: }ta A,lL + City: e,rui,-6f,..\.{State: ((ztp.c1111 1 Phoneflf {r>i-q,au ot Fax E-mail: Cr, an afu ,<- Otvr,tl>rn4 4 ", O @ q mL.l Cor"') CCB license rro.2lq i3 Plumbing license no.: l$Za \\ Print name: TfCl.V DEPARTMENT USE ONLY Permit no.: DO - 0 00 '{O ' Date:)t(\),o FEE SCHEDULE Description aty Cost ea. Total cost New residential I bathroom/l kilchen (includes. first l00feet of water/sewer lines, hose bibs, ice maker, underfloor low-point drains and rain-drain packages) $333.00 $ 2 bathrooms/l kitchen $s2r.00 $ 3 bathrooms/1 kitchen s6I3.00 $ Each additional bathroom (over 3)$132.00 $ Each additional kitchen (over I )$132.00 $ Residential fire sprinklers (includes plan review) 0 to 2,000 square feet $102.00 S 2,001 to 3,600 square feet $r63.00 $ 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 $102.00 $ Commercial, industrial, and dwellings other than one- or two-family Mininrum fee tI02.00 $ Each fixture $25.00 $ Miscellaneous fees 100' storm, sewer, water line i106.00 $ Each fixture, appurtenance, and piping t25.00 $ Storm water retention/detention facility u06.00 $ lrrigation systemsiBackfl ow f t25.00 $>1 Piping or private storm drainage svstems exceeding the first 100 feet $25.00 $ Specialty fixtures $2s.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: (l)$102.00 $ Medical gas piping Minirnum 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 $f02.00) t lr> (B) Investigative fee (equal to [A])$ (C) Enter 12'% surcharge (.12 x [A+B])$1)-2-\ (D) Technology Fee(5%o of [A]I -$ 5,10 TOTAL fees and surcharges (A through D):$ ((1.3.1 SPFINGFIELO h, (vrr' This permit is issued under OAR 91E-7E0-0060. 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. Lasr edited 7/li20l9 bjones FaxJcl/ -/41. bb5,f BCD license no.: Sisnaffi