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Home My WebLink AboutPermit Plumbing 2013-6-25 SPRINGFIELD 225 Fifth St -.a._hl ir CITY OF SPRINGFIELD Springfield,OR 97477 Ph one: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01377 www.springfield-or.gov • permitcenter @sprin gfield-or.gov PROJECT STATUS: Issued ISSUED: 06125/2013 EXPIRES: 12/21/2013 STATUS DATE: 06/2512013 APPLIED: 06/25/2013 SITE ADDRESS: 950 INTERNATIONAL WAY,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703153000201 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Remodel storage to office space OWNER: GOLDEN TEMPLE OF OREGON LLC Phone Number: ADDRESS: 950 INTERNATIONAL WAY SPRINGFIELD OR 97477 OWNER: NORTHBANK PROPERTY LLC Phone Number: ADDRESS: PO BOX 529 EUGENE OR 97440 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ORDELL CONSTRUCTION LLC CCB 177132 07/05/2013 541-747-8734 Plumbing Contractor T 8 S PLUMBING INC COB 186903 06/01/2015 541-915-1000 INSPECTIONS REQUIRED Inspections 3150 Underslab Plumbing Underslab Plumbing: Prior to filling the trench and including required testing. 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 3999 Final Plumbing Final Plumbing: When all plumbing work is complete. 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 or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any 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 properly, and the approved set of plans will remain on the site at all times during construction. `( 1G1eN (a,–)---5- l:\ Owner or Co.Qtrictor Signature Date ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT • In OAR 952-001-0010 through OAR 952 o0t- COMMENCED OR IS ABANDONED FOR oocalling the ce brat(Noteethe teleph.-r by ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 6/25/2013 8:38:11AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD ��OREGON TRANSACTION RECEIPT SFrin9i Id�OR97477 541-726-3753 811-S PR2013-01377 www.springfield-or.gav 950 INTERNATIONAL WAY permitcenter @springfield-ocgov RECEIPT NO: 2013001335 RECORD NO:811-SPR2013-01377 DATE:06/25/2013 IDESCRIPTION - .. T ACCOUNLCODE/TRANS CODE ;AMOUNTDUE"i Floor drain/floor sink/hub 224-00000-425603 1005 21.00 Sanitary sewer 224-00000-425603 1005 83.50 Sink/basin/lavatory 224-00000-425603 1005 105.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 27.66 Technology fee(5%of permit total) 100-00000-425605 2099 11.53 Water closet 224-00000-425603 1005 21.00 — -- — — — TOTAL DUE: 269.69 LPAYMENT TYPE -.PAYOR_ CASHIER_CCARPENTER COMMENTS,�N• - AMOUNT PAID Credit Card T&S PLUMBING TRic 269.69 038470 TOTAL PAID: 269.69 • I . .. • . . Plumbing Permit Application DEPARTMENT USE ONLY SPRINGFIELD CITY OF SPRINGFIELD, OREGON Permit no.:/c/3 — /377 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 ♦ FAX(541)726-3689 6j/ 2 5// 3 OREGON Date: / 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. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑No Description Qty. Cost Total ea. Sanitation approval verified? ❑ Yes ea. cost ),,. ❑No New residential CATEGORY OF CONSTRUCTION I bathroom/I kitchen(includes.first ❑Residential 100 feet of water/sewer lines,hose ❑Government ommereial bibs, ice maker, underfloor low-point $262.00 $ JOB SITE INFORMATION AND LOCATION drains and rain-drain packages) Job site address: 9s 0 - r f-�yr,,r f;on 1 W Fi 2 bathrooms/1 kitchen $411.00 $ City: r State: (�� ZIP: 3 bathrooms/1 kitchen $483.00 $ y' t /'�� 7477 Each additional bathroom(over 3) $104.50 $ Reference: Taxlot.: Each additional kitchen(over I) $104.50 $ 44/ DESCRIPTION OF WORK Residential fire sprinklers(includes plan review) �„/, i4fldq � tr £ �, 5 r>,r s 0 to 2,000 square feet $80.00 $ `I 2,001 to 3,600 square feet $128.00 $ , / PROPERTY OWNER 3,601 to 7,200 square feet $192.00 $ Name: ,4/&t.7/253AW/C Algae 7,201 square feet and greater $255.00 $ Manufactured dwelling or pre-fab(circle one) __ Address: Pe, 730Y _ Connections to building sewer and City: (�ti� �State.69t ZIP:GJ7t{yp water supply $80.00 $ Commercial,industrial,and dwellings other than one-or Phone: - - Fax: - - two-family { E-mail: Minimum fee $80.00 $ This installation is being made on residential or farm property Each fixture 2 $21.00 $ IH) owned by me or a member of my immediate family,and is Miscellaneous fees exempt from licensing requirements under OAR 918-695-0020. 100' storm,sewer,water line / $83.50 $410 Signature: Each fixture,appurtenance,and piping $21.00 $ CONTRACTOR INSTALLATION Storm water retention/detention facility $21.00 $ Business name: Ts Plu�,,‘,,3, J AL Piping or systems $21.00 $ p Piping or private storm drainage $21.00 $ Address: pp 1. 0 x t) 2—D V _systems exceeding the first 100 feet City: •8,4,Q_ State: OR— ZIP: 1-)90Y Specialty fixtures $21.00 $ Reinspect ion(no.of hrs.x fee per hr.) $80.00 $ Phone: S/t 1/S/WC) Fax:S -Sac" nC4/ Special requested inspections(no.of $80.00 $ hrs.x fee per hr.) E-mail: , S i ,v. S I?Ia....yl:�ne.1Sa.Plhy../.6.•q l CCB license no.: I6(,SO-3 BCD license no.: / Each additional inspection:(I) $80.00 $ l y Medical gas piping Minimum fee $ Plumbing license no.: X13 / __ & PP g l 13 Enter value of installation and equipment$ Print name: ) Are l o I -- Enter fee based on installation and equipment value. $ Signature: (� APPLICANT USE (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $2%SO (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ ,17,1 D - (D)Technology Fee(5%of[A]) $ //..513 TOTAL fees and surcharges(A through D): $, 966 1 i 440-2500-3(4/1/2013/COM)