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Home My WebLink AboutPermit Plumbing 2007-9-21 { ~ o . ,.....( ~ ro u . ,..... 1 ~ ~l < ~ .~ S CU. r'J (l) U .~ > (l) n Q o . ,.....( ~ Q CU ;>- C) ~ r: ~ o " I I .j V , I () cd m 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)7ZG-3753 · FA..'<:: (541)726-3689 City Job Number CoIA^ ZOO 7 - 0 0 3(::) ~ Job Location / II b CF,,_+t.=""'""'~ I /76 S 2 bf.{L( lJl"d . Tax Lot 10700 Assessors Mal" Owner -Cc..dli..ty (Jf'~ l51~ Address I J' t G?Vl-k '''111'''''1.- . Phon/' City 5;.1? kl~ r/-.'t Id I Zip C('7lf? iY Statf 0 ~ BACKFLO'" PREVENTION DEVICE PERMIT FEE: $61.50 COlttracto]' Informatioll Contractor j).)~- ([tP -n1~'h:l,tL'J., [" y (kt4/"L- , Addres~ . Phonf City Stat/' Zip Construction Contractors Registration # Expires ~\O WI' ~ n 0\\\\\'1 By signing this permit/application, I agree ~~~~t~ ~ prevention device has been installed and is visible for inspe~6ij:t~,!65;!~'~~9-ation on this permit/application is correct :O\\\\ca\\on ~~.o010\hf~\eS ot\h8 tu\:. '-, AQ 952-vv -",\I1n COt> .... \e\e~ / - r 1 ('! \n Oru'~ f{\a'l v'" \~o\e: ".e "'o\~" /' " .. < / II ...nogo. \he O8o\et. n U\\\~). Sign~f .... L. ~ AI,--../ -ce.~ '~f the Ot~r~- Date r IL/ 1..'~7 ~~.. C\Uu-- c;en\8t -- ,- For Office Use ):~( ~ 1 Date of Application 1 VI U Checked for Delinquencif<;: ~ " ...' ,1,: \N()t\~ ~ j,t'\Rt \r 'r:\~ ~.HQ \ ~hb1~Ct:". :Irti\'Jt\.\. t:_ft\\~~'(\R \\\\~~~\) \j~{it~ (.\N~~\)GNt.\) ~- r-I\.\.\-\\I~" n 1"Ir.. \S. t"\. ,-\\\r'tv v I"Il'"I r\~.l\. t\~, i'.\ .,'..1 o..t:O\vv, C\J\'~\';'~ , \)f\'\ r \.ole p..N'l ~ ~\J Shared Drive (T:)/Building Fonns/Backflow Prevention 7.07.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1116 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703264410700 Springfield PROJECT DESCRIPTION: Pave parking lot. Owner: OPEN BIBLE STANDARD CHURCH Address: 1116 CENTENNIAL BLVD SPRINGFIELD OR 97477 Contractor Type General Engineer Plumbing CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00309 ISSUED: 04/05/2007 APPLIED: 02/28/2007 EXPIRES: 03/21/2008 VALUE: $ 45,000.00 TYPE OF WORK: Paving TYPE OF USE: Addition Commercial Phone Number: 541-747-7125 I CONTRACTOR INFORMATION I Contractor OWNER BRANCH ENGINEERING OWNER BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Expiration Date Phone License 541-746-0637 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: , A, , t:NTJON: Oregon faw requfres you to Stor~ Sewer A~adable: foll.ow rules adopted by the Oregon Util SpeCial Instruction: Notification Center. Those rules are set fo':rh In OAR 952-001-0010 through OAR 952-001. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center Is 1-800-332-2344). Notes: Pal!e 1 of 3 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: K THIS PERMIT SHAlt exPIRE 11= THE WOR AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PER\OD. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00309 ISSUED: 04/0512007 APPLIED: 02/28/2007 EXPIRES: 03/21/2008 VALUE: $ 45,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Pavine Type of Construction Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 45,000.00 Value Date Calculated Description Total Value of Project $45,000.00 $45,000.00 03/01/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/Ind/Public $221.91 2/28/07 3200700000000000122 + 10% Administrative Fee $40.04 4/5/07 2200700000000000483 + 5% Technology Fee $20.02 4/5/07 2200700000000000483 + 8% State Surcharge $4.72 4/5/07 2200700000000000483 Fixture $14.00 4/5/07 2200700000000000483 Paving $341.40 4/5/07 2200700000000000483 SDC Sanitary/Storm Admin $176.40 4/5/07 2200700000000000483 Storm Drainage Impervious Area $3,528.00 4/5/07 2200700000000000483 Storm Sewer - 1st 50 Feet $45.00 4/5/07 2200700000000000483 Curbcut Permit $80.00 5/24/07 3200700000000000340 PW Disc - 2nd Permit $-30.00 5/24/07 3200700000000000340 Sidewalk Permit $80.16 5/24/07 3200700000000000340 + 10% Administrative Fee $5.00 9/21/07 1200700000000001222 + 5% Technology Fee $2.50 9/21/07 1200700000000001222 + 8% State Surcharge $4.00 9/21/07 1200700000000001222 Backflow Device $14.00 9/21/07 1200700000000001222 Minimum/Adjustment Plumbing $36.00 9/21/07 1200700000000001222 Total Amount Paid $4,583.15 I Plan Reviews I Initial Review 03/01/2007 03/01/2007 APP LLH Plannin!!: Review 03/02/2007 03/14/2007 APP EMM To be constructed per Discretionary Use and Phase I Site Plan Review Zon2003-00046. Public Works Review 03/0212007 03/21/2007 APP JHJ Attached SDC Worksheet. (JHJ) Structural Review 03/01/2007 03/09/2007 WI JMP Received with 7 other large projects plus a large backlog, Structural Review 03/26/2007 03/26/2007 APP JMP Received final internal approval. SUB Review 03/02/2007 03/12/2007 WE JF JMP called and left a message with Morgan for Jim Branch requesting the energy code information, SUB Review 03/23/2007 03/23/2007 APP JF No energy code issues or inspections. Pa!!:e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00309 ISSUED: 04/05/2007 APPLIED: 02/28/2007 EXPIRES: 03/21/2008 VALUE: $ 45,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line 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. l Reouired Insoections I Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 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 of any structure without permission of the Community Services Division, Building Safety. I further certify that only contrac~ors 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 :onstr:tiL ----- Owner or Contractors Signature 1/ }(/o~ I Date Page 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00309 COM2007-00309 COM2007 -00309 COM2007 -00309 COM2007-00309 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000001222 Date: 09/21/2007 Description Backflow Device Minimum/Adjustment Plumbing + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By CAL VARY OPEN BIBLE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1043 In Person Payment Total: Page 1 of I 9:37:05AM Amount Due 14.00 36.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 9/21/2007