HomeMy WebLinkAboutPermit Plumbing 2007-9-14
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01352
ISSUED: 09/14/2007
APPLIED: 09/05/2007
EXPIRES: 04/14/2008
VALUE: $ 184,423.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2049 S 57TH ST SPRINGFIE TYPE OF WORK: Miscellaneous
ASSESSOR'S PARCEL NO.: JASPER MDWS 6 ADD P
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Pump Station for Jasper Meadows
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
Phone Number: 541-228-1081
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Engineer
Contractor
KIPKO
J K GUCKENBERGER ELECTRIC INC
WEST YOST ASSOCIATES
BUILDING INFORMATION I
License
52470
45129
Expiration Date
02/03/2011
04/24/2008
Phone
541-689-9265
541- 7 46-4656
541-431-1280
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I~IMPROVEMENTSI
ATTENTION: Oregon law requ r .
Street Im~6fl?)WVWI~s adopted by the Oregon II h Sidewalk Type:
. . . & tar Those rules are set fort
Stor~ seW6iI~I;\~_obf_00.10thrOU9h OAR 952..Q01- NOTICE: Downspouts/Drains: WORK
Special Id~~~u may obtain copies of the rules by THIS PERMIT SHALL EXPIRE If MT~i IS NOT
'. th enter (Note: the telephone ORIZED UNDER THIS PER
Notes: n~a~I~;r fO~ fhe Or~gon Utility Notification AUTH ENGED OR IS ABANDONED FOR
Center is 1-800-332-2344). COMM AV PERIOD
ANY 180 Dt'\l .
Pal!e 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01352
ISSUED: 09/14/2007
APPLIED: 09/05/2007
EXPIRES: 04/1412008
VALUE: $ 184,423.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
184,423.00
Value
Date Calculated
Description Tvpe of Construction
Total Value of Project
$184,423.00
$184,423.00
09/05/2007
~
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $123.31 9/14/07 1200700000000001198
+ 5% Technology Fee $59.06 9/14/07 1200700000000001198
+ 8% State Surcharge $94.49 9/14/07 1200700000000001198
Add, Alter, Extend Circ Ea Add $32.00 9/14/07 1200700000000001198
Addressing Assignment $35.00 9/14/07 1200700000000001198
Backflow Device $16.00 9/14/07 1200700000000001198
Building Permit $927.14 9/14/07 1200700000000001198
Fire SF Fee - Non-Residential $52.00 9/14/07 1200700000000001198
Fixture $16.00 9/14/07 1200700000000001198
Perm Serv/Fdr 200 amps or less $140.00 9/14/07 1200700000000001198
Plan Review Comm/lnd/Public $602.64 9/14/07 1200700000000001198
Water Line - 1st 50 Feet $50.00 9/14/07 1200700000000001198
Total Amount Paid $2,147.64
I Plan Reviews I
Fire Department Review 09/06/2007 09/14/2007 APP GRG Per Les Benoy's report of his
meeting with AI Gerard.
Initial Review 09/05/2007 09/05/2007 APP LLH
Planninl! Review 09/06/2007 09/14/2007 APP EMM Andy Limbird confirmed his
approval given to Les Benoy.
Public Works Review 09/06/2007 09/12/2007 APP JHJ No issues.
Structural Review 09/05/2007 09/12/2007 WI JMP
Structural Review 09/14/2007 09/14/2007 APP JMP Received final internal approvals.
SUB Review 09/06/2007 09/14/2007 APP DH Roy Hankins agreed to submit the
energy code forms in information
for the exterior lighting.
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Pal!e 2 of 3
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2007-01352
ISSUED: 09/14/2007
. APPLIED: 09/05/2007
EXPIRES: 04/14/2008
VALUE: $ 184,423.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Reauired Insoections I
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Final Plumbing: When all plumbing work is complete.
BackfIow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Foundation: After forms are erected but prior to concrete placement.
SUB Final: After all required energy inspections have been requested and approved.
SUB Exterior Lighting
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
~ /,b;J~ 7/;0/107
ov46 or Contractors Signature
Date
Pal!e 3 of 3
Date
ZON~
INITIALS~k\ _
DATE ~\'1 (T"\
SOURCE ",r
~- s- 0\
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number Co~?~"l. ~ t!!> l ~ 5""L
1. LOCATION OF INSTALLATION:
"lD ~
l'lv'f.. S. '5,-fL ?t.c-k-
LEGAL DESCRIPTION:
-:J~ ~~S ~MbSNrl-U"""
JOB DESCRIPTION:
'~\Jm~ b7WnON
Installation, Alteration or Relocation
200 Amps or less $ 55.00
201 Amps to 400 Amps $ 76.00
401 Amps to 600 Amps $110,00
Over600~mps or 1000 Volts see "B" above.
D. - Branch Circuits
New Alteration or Extension Per Panel
~ One Circuit
~ Each Additional Circuit or with
. \ _ , Service or Feeder Permit
Owners N~TI~itniir-br~a\ti'ieauires yOU tOn, _____ _,_
Address i;Al~.I~~ a,dog;e"dJ2.Y.t~ Ot9g..9J)~lity E.; Miscellaneous (Service/feeder not included) -Each Installation
f.'~(f.l'attG1:'tt:1(~~19Ufl{~ forth -- ._-
City ~~Ol-0.\lttgJP~_~~9~-.o91- Pump or irrigation $ 55.00
-'t5.~ ~lIarou am c ... ~~a~d~y , .,.
I m.9~rr~ center. (Note: the telephone Slgn/Outlme LIghtmg $ 55.00
OWNER 1~Wft\iillQNJregon Utility Notification Limited Energy/Residential $ 28.00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. "CONTRACTOR INSTALLATION ONLY
Electrical Contractor ,\ K~ E7..JSZ..2IU C
Address d 151 (::0 n ,'S +-
City ~nnjJ;'tl[,( Phone -,<-Jb- 4-0;61::,
Expiration Date
ZJ- 15,5 S
10- / - I
aD -C)..ll G
1-1-0"6
Supervisor License Number
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
3.
COMPLETE FEE SCHEDULE BELO"!
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$117,00
$ 21.00
$55.00
B. Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
'Reconnect Only
~
$ 70.00
$ 83.00
$138.00
$180,00
$413,00
$ 55,00
\~.Q -
C. :. Temporary Services or Feeders
1.'__ c.,...... .'.' ..;,.... ,.,....:.c -- .-....... .
'8
$ 48.00
$ 4,00
]'(..---
Inspection Request: 726-3769 ~ {}~ TOTAL ?-\. ~. ~ to
~X Sh"'" Dri"lTW.;Jding F.m,lEloctri~l Pornti, AppH""'.. 7-07.doc
225 FiftJl Street
SpriJIgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01352
COM2007-01352
COM2007-01352
COM2007-01352
COM2007-01352
COM2007-01352
COM2007-01352
COM2007-01352
COM2007-01352
COM2007-01352
COM2007-01352
COM2007-01352
Payments:
Type of Payment
CreditCard
cReceintJ
RECEIPT #:
Description
Plan Review Comm/lnd/Public
Addressing Assignment
Fire SF Fee - Non-Residential
Building Permit
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
Fixture
Water Line - 1st 50 Feet
Backflow Device
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
TIM DREILING
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001198
Date: 09/14/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 086236 In Person
Payment Total:
Page 1 of 1
12:07:25PM
Amount Due
602,64
35.00
52,00
927,14
140.00
32.00
16,00
50.00
16.00
59,06
94,49
123.31
$2,147.64
Amount Paid
$2,147,64
$2,147.64
9/14/2007