HomeMy WebLinkAboutPermit Plumbing 2020-02-27OREGON
Web Address: www,springfi eld-or.9ov
Building Permit
Commercial Plumbing
Permit Nu mber: 81 1-2O-OOO377 -PLM
IVR Number: 811051220565
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54t-726-3753
Email Address: permitcenter@springfield-or.gov
SPRII.IGFIELD
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Permit Issued: February 27, 2O2O
TYPE OF WORK
Category of Construction: Commercial
Submitted Job Value: $0.00
Description of Work: Plumbing for 4 car garage and 4 upstairs units
Type of Work: Move
JOB SITE INFORMATION
Worksite Address
1890 17TH ST
Springfield, OR 97477
Parcel
1703252402900
Owner:
Address:
KWAKE PAUL
PO BOX 238
CHESHIRE, OR 97419
LICENSED PROFESSIONAL II{FORTTIATION
Business Name
JACKO PLUMBING INC - Primary
License
ccB
License Number
t69047
Phone
541-683-7535
PENDING INSPECTIONS
Inspection
3999 Final Plumbing
3500 Rough Plumbing
3150 Underslab Plumbing
3200 Sanitary Sewer
3300 Water Service
3400 Storm Sewer
Inspection Group
Plumb Com
Plumb Com
Plumb Com
Plumb Com
Plumb Com
Plumb Com
Inspection Status
Pending
Pending
Pending
Pending
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: 811051220565
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 Wpe of work will be complied wlth 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.
ATTENTTON: 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-L947.
All persons or entities performing work under this permit are required to be licensed unless exemPted by ORS 7O1.O1O
(structurauMechanlcal), oRs 479,540 (Electrical), and oRs 593.o10-O20 (Plumbing).
printed oni zl27l2o page 1 of 2 c:\mvReports/reports//production/01 STANDARD
L--
Permit Number: 81 1-20-000377 -PLM Page 2 of 2
Fee Description
Technology Fee
Hose bib
Sanitary sewer - Total linear feet
Sin k/basin/lavatory
Storm sewer - Total linear feet
Tub/shower/shower pan
Water closet
Water heater
Water service - Total linear feet
State of Oregon Surcharge - Plumb (l2o/o of applicable fees)
Prinled oni 2127l2O
Quantity
Total Fees:
Fee Amount
$4s.90
$ 100.00
$ 106.00
$200.00
$ 106.00
$100.00
$100.00
$100.00
$ 106.00
$ 1 10.16
$L,O74.06
4
8
8
L2
4
4
4
32
Page 2 of 2 C:\myReports/reports//production/01 STANDARD
PERMIT FEES
SPRINGFIELD
,b
OREGOhI
www.springfield-or.gov
Worksite address: 't890 17TH ST, Springfleld , OR 97477
P arc,el. 1 7 03252402900
Transaction Receipt
811-20-000377-PLM
IVR Number: 81 1051220565
Receipt Number: 473942
Receipt Date:2127120
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
permitcenter@spri n gfi eld-or. gov
Fees Paid
Account codeTransaction Units
date
2127120 8.00 LnFt
2t27120 '12.00 LnFt
2t27t20 32.00 LnFt
2t27t20 4.00 Qty
2127t20 4.00 Oty
2127t20 4.00 Qty
2t27120 4.00 Qty
2t27120 1.00 Ea
2t27t20
Description
Sanitary sewer - Total linear feet
Storm sewer - Total linear feet
Water service - Total linear feet
Hose bib
SinUbasin/lavatory
Tub/shower/shower pan
Water closet
Water heater
State of Oregon Surcharge - Plumb
(12o/o ol applicable fees)
224-00000- 425603- 1 034
224-00000-425603-1 034
224 -00000 -425603- 1 034
224-00000- 42s603- 1 034
224 -00000 -425603- I 034
224-00000-425603- 1 034
224-00000-425603- 1 034
224-00000-425603- I 034
821 -00000-21 5004-0000
204-00000-425605-00001.00 Automatic Technology Fee
Fee amount
$106.00
$106.00
$106.00
$100.00
$200.00
$100.00
$100.00
$100.00
$1 10.16
$45.90
Paid amount
$106.00
$106.00
$106.00
$100.00
$200.00
$100.00
$100.00
$100.00
$1 10.16
$45.90
Payment Method: Check number: 6509 Payer: Paul Kwake Payment Amount:$1 ,074.06
Cashier: Katrina Anderson Receipt Total:$1,074.06
P(inled: 2127 120 8:19 am Page 1 of 1 Fl N_Transaction Receipt_pr
&/
2l27l2l 8.00 Oty
Cmy or SpnrNGFrELn, OnncoN
Plumbing Permit Application
h
225 Fifth Street t Springfield,OR97477 . PH(541)726-3753 r 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 1E0 days of issuance or if work is suspended for 180 days.
>">\?- 11-^0'' q03',
&.{w>
DEPARTMENT USE ONLY
3TNPermit
Date:)-D
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
Total
cost
CostNoaryea.
No
E yes
! Yes
Zoning approval verifi ed?
Sanitation approval verified?
Description
New residential
N $333.00 $
I bathroom/l kitchen (includes: first
100 feet ofwater/sewer lines, hose
CATEGORY OF CONSTRU
JOB SITE INFORMATION AND
E Residential E Government bibs, ice makzr, underJloor
drains and rain-drain
$521.00 $Job site address
Taxlot.:
City 1
Reference:
2 bathrooms/l kitchen
3 batkooms/l kitchen
Each additional bathroom
Edch additional kitchen
{tl
State:
t613.00 $
il32.00 $
$132.00 s
DESCRIPTION OF WORK Residential fire des revrew
$102.00 $0 to 2,000 feet
7//
s
ZIP 7
$
$
$
to
Commercial, industrial, and dwellings other than one- or
2,001 to 3,600 square feet
3,601 to 7,200 square feet
feet and7,201
Manufactured or b
sewer 02.00water
Name:
Address:
CJ,State
Fax:
t02.00
06.00
$
$
$
$
by me
from
ora
/_
property
and is
al farmor
-69s8 -0020.
Minimum fee
Each fixture, appurtenance, and
Each fixture
100' storm, sewer, water line
Miscellaneous fees
E-mail:
This installation is
owned
exempt
il06.00 $CONTRACTOR INSTALLATION Storm water retention/detention
i25.00 $
i2s.00 $
$$2s.00
$r02.00 $
s102.00 $
Business name
BCD license no.Dq?
Irri
or storm
'./Mko
ZIP:
(no.
Each additional inspection: (l)
State:
Fax
E-mail
Specialty fixtures
Reinspection (no. ofhrs. x fee per hr.)
Phone
s102.00 $
$
$
Plumb license no.
DEPARTMENT USE
Minimum feeMedical
Enter value of installation and equipment $
-.Enter fee based on installation and value.
Signature:
Print name
s
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)
(B) Investigative fee (equal to [A])$
s(C) Enter l27o surcharge (.12 x [A+B])
$Fee (5% of [A])(D)
$TOTAL fees and surcharges (A through D):
last edited 7/l /20 I 9 bjones
il63.00
t243.00
of my
x fee
CCB license no.: