HomeMy WebLinkAboutPermit Plumbing 2020-02-07OREGON
Web Address: www.springfield-or.9ov
Building Permit
Commercial Plumbing
Permit Number: 811-19-OO2835-PLU-O1
IVR Number: 81L027 137 228
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-726-3753
Email Address : permitcenter@springfield-or.9ov
SPRINGFIETD
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Permit Issued: February 07, 2O2O
TYPE OF WORK
Category of Construction: None Specified
Submitted Job Value: $0.00
Description of Work: Phase 2 of Pacific Source remodel
Type of Work: None Specified
JOB SITE INFORiIATION
Worksite Address
555 INTERNATIONAL WAY
Springfield, OR 97477
Parcel
1703 154000700
Owner:
Address
PACIFICSOURCE
PROPERTIES LLC
110 INTERNATIONAL WAY
SPRINGFIELD , OR 97477
LICENSED PROFESSIONAL INFORMATION
Business Name
APOLLO SHEET METAL INC -
Primary
License
ccB
License Number
5624L
Phone
509-586- 1104
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
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: BLLOZ7L37228
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 issuing agency's pollcy,
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-OOlO through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling 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 693.01O-O2O (Plumbing).
printed oni 2l7l2o page 1 of 2 C:\myReports/reports//production/01 STANDARD
Permit Number: 81 1-19-002835-PLM-01 Page 2 of 2
Fee Description
Technology Fee
Dishwasher
Floor drain/floor sink/hub drain
Other - plumbing
Sink/basin/lavatory
Water heater
Water closet
State of Oregon Surcharge - Plumb (L2o/o of applicable fees)
Ptinted oni 2/712O
Quantity
2
4
1
11
L
8
Total Fees:
Fee Amount
$33.7s
$s0,00
$ 100.00
$2s.00
$275.00
$2s.00
$200.00
$81.00
$789.75
Page 2 of 2 C :\myReports/reports//prcduction/01 STAN DARD
PERMIT FEES
Cmv or SrnrNGFIELo, ORnGoN
Plumbing Permit Application DEPARTMENT USE ONLY
Perrnit oo.' \t<Uo
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3 5' ?C
Date: lz-\Zo rliffi [/?\
225 Fifli Street r Springfield,OR97477 o PH(541)726-3753 o 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 1E0 days.
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GOVERNMENT APPROVAL FEE SCHEDULE
Cost
ea-
Total
costYesary
n yes
nNo
ENo
Zonrrg approval verifi ed?
Sanitation approval verifi ed?
Description
New residential
s333.00 $
JOB SITE INFORMATION AND LOCATION
l00feet ofwater/sewer hose
OF CONSTRUCTION
E Residential E Government E Commercial
I bathroour/l kitchen (includes: first
bibs, ice maker, undedloor
drains and rain-drain
1521.00 $
J
Each additional kitchen over I
State: Oregon ZTP: 97477
2 bathrooms/1 kitchen
3 bathrooms/l kitchen
Each additional batlroom
Job site addresss5s lntemational
Reference
Springfield
Taxlot.:17031
t613.00 $
8r32.00 $
t132.00 $
DESCRIPTION OF WORK Residential lire revrew
$t102.00Tenant I rovements for 45,000 sf of exi 0 to 2,000 feet
CONTRACTOR INSTALLATION
$
06.00
$
$
$
s
$
$
$
$
State: Oregon Ztpi 97477
2-ce space
PROPERTY OWNER
Springfield
Phone: 541-68G1242
E-mail: Erick. Doolen@pacifi csource.com
Signature:
Commercial, industrial, and dwellings other than one- or
feet2,001 to 3,600
3,601 to 7,200 square feet
feet and7,201
orManufactured
to building sewer and 02.00water
Minimum fee
Storm water retention/detention
Each fixture
Miscellaneous fees
100' stornr, sewer, water line
Each fixture,and
Name: PacificSource
Address: 555 lnternationalWay
Fax:
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.
125.00 $
t25.00 $or
first
ZIP:
hrs. x fee hr.)
Each additional inspection: (l)
Businessname: @
Address
State: OregonCity:966166
BCD license no.
fixtures
Reinspection (no. ofhrs. x fee per hr.)
requested
E-mail:@
CCB license no.: 78483
t25.00 $
$102.00 $
$$102.00
$$102.00
$
$
Minimum feeMedical
Enter value of installation and equipment $
-'Enter fee based on installation and equipment value.
USE
Plumbing license no.
Signature:
printname: €*ffitslttAE
$ ({1((A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)
$€(B) lnvestigative fee (equal to [A])
t@$Enter l2o/o surcharge (.12 x [A+s9' 1{Fee (5% of [A])(D)
$7s1.+TOTAL fees and D):
Lzst edited 7 I U20 I 9 bjones
tq-2t6r
s106.00