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Home My WebLink AboutPermit Plumbing 2013-7-30 SPRINGFIELD 225 Fifth St kir' s° CITY OF SPRINGFIELD Springfield,OR 97477 C IN Phone: 541-726-3753 ` OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01711 www.springfield-or.gov permitcenter @springfield-or.gay PROJECT STATUS: Issued ISSUED: 07/30/2013 EXPIRES: 01/25/2014 STATUS DATE: 07/3012013 APPLIED: 07/30/2013 SITE ADDRESS: 1501 MOHAWK BLVD,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703253404401 • TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Bathroom area and smoking patio addition OWNER: MIT PROPERTIES LLC Phone Number: ADDRESS: PO BOX 214 • SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor C 8 R PLUMBING LLC CCB 167015 07/01/2014 541-736-9582 General Contractor FM SHEET METAL INC CCB 89710 03/15/2015 541-726-3000 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 property, and the approved set of plans will remain on the site at all times during • construction. Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- t E. 0090. You may obtain copies of the rules by R IF calling the center. (Note: the teleph:.,,ao HORIZED PEMIT UNDER SHALL THIS EXPIRE PERMIT THE IS WORK NOT number for the Oregon Utility Notification 'AMENDED OR IS ABANDONED FOR Center is 1-800-332-2344). Y 180 DAY PERIOD. Springfield Building Permit 7/30/2013 8:13:47AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD ......L._...,iii klit-a- 225 Fifth St `OREGON TRANSACTION RECEIPT SpriingfieldoR 97477 541-726-3753 811-S PR2013-01711 www.springfield-or.gov 1501 MOHAWK BLVD permitcenter©springfield-or.gov RECEIPT NO: 2013001658 RECORD NO:811-SPR2013.01711 DATE:07/30/2013 [DESCRIPTION - . . • r Y - -,.-. __ACCOUNT CODE/TRANS CODES__AMOUNT DU-ELI Fixture 224-00000-425603 1005 105.00 Floor drain/floor sink/hub 224-00000-425603 1005 42.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 25.20 Technology fee(5%of permit total) 100-00000-425605 2099 10.50 Urinal 224-00000-425603 1005 21.00 Water closet 224-00000-425603 1005 42.00 TOTAL DUE: 245.70 L PAYMENT TYPE; PAYOR - CASHIER CCARPENTER' ' COMMENTS - • =_ AMOUNT.PAID' ..- _J Credit Card C& R PLUMBING LLC 245.70 369935 • TOTAL PAID: 245.70 • • • • 'PiuMbing Permit Application DEPARTMENT USE ONLY SPRINGFIELD'r_bn'". •+ ". ,GI � ti7P,R GPF t'OREGO.N t m ,I a-: Permit no.: Si 3- (7( --. I,.n `C1s ),: u}. 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: 7/36/e • 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. 1 ..,i ;: LOCAL„GOVERNMENT .APPROVACIWZALM „' ' ,,,'k,.,;-?UN, ;[aFEEi,;SCFIEDULE i;i:v. , ;,s,,'..: +°,' Zoning approval verified? ❑ Yes ❑No Descnption k" 'r,+ i Qty +cost Total , kr ,il,.+a I _digit y >> 4 A' ,' .r..I rea :cost Sanitation approval verified? ❑ Yes ❑No ±' New residential "t CATEGORY,iOF''CONSTRUCTION 'YA a s'.`ix 1 bathroom/1 kitchen(includes:first 100 feet of water/sewer lines, hose ❑ Residential ❑Government [ I Commercial bibs, ice maker, underfloor low point $262.00 $ - Pfri.i ;JOBzSITE',INFORMATION; AND;LOCATION> R` drains and rain-drain packages) Job site address: (Sol &&o l 1`.,d, 2 bathrooms/1 kitchen $411.00 $ [ 3 bathrooms/1 kitchen $483.00 $ City: c.(3 State: © ZIP: GOO'2 7 S(� 7 Each additional bathroom(over 3) $104.50 $ Referenc : I Taxlot.: Each additional kitchen(over I) $104.50 $ r'liV. 7,2 ' .''n$DESCRIPTI!ONf `:/OF WORKK'? k ti&i4-rrafrA Residential fire sprinklers(includes plan review) - kofv"p ad 'i- I�OI f1).72 0 &i'4r6L .5- 0 to 2,000 square feet $80.00 $ - 2,001 to 3,600 square feet $128.00 $ „l;;`t;,cF,'*) , -:r ?;,P,,ROOP ERTW?OWN E R'='tt1`{";r Mir;"t ,g? „; - 3,601 to 7,200 square feet $192.00 $ Name: / r fn'o L7 7,201 square feet and greater $255.00 $ - Manufactured dwelling or pre-fab(circle one) Address: ft)eaeji ( y Connections to building sewer and $80.00 $ .- --1 water supply City: -u� State: (�M, ZIP: �7 / 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 j p $21.00 $J Qa 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 60- $83.50 $ Signature: Each fixture, appurtenance,and piping $21.00 $ %l %`CONTRACT.OR"'INSTALLATION , `!!u.ya";,,:tik , Storm water retention/detention facility $21.00 $ Business name: c_ 9 IY 6, - Irrigation systems $21.00 $ L Piping or private storm drainage Address: 37y0 y(,..y r 41'e. 5 fe.. systems exceeding the first 100 feet $21.00 $ City:S n ��g( I State: at ZIP: q 7y;�' Specialty fixtures $21.00 $ Reinspection(no.of hrs.x fee per hr.) $80.00 $ Phone:Pi-7q - 7(,/( Fax:0f- - - Special requested inspections(no.of E-mail:�'2.l/m b e (/4/# . `,,ry /1 hrs.x fee per hr.) $80.00 $ CCB license no.: 1670/s BCD license no.: PG 7 Each additional inspection:(1) $80.00 $ Plumbing license no.: Medi gl g"s ptpmg „}'�,`':;<t`vs 't-5.ti:- t Minimum fee $ Enter value of installation and equipment$ . Print name: Gr4.' CPc Enter fee based on installation and equipment value. $ Signature: e$ - '_-. f . - , `o�,�+,'"�, :s �APPLICANT„�USE� ��x, t _ (A) Enter subtotal of above fees / o) , j (Minimum Permit Fee$80.00) - $ / (6 Z t J (B)Investigative fee(equal to [A]) $ 11 W L 0 i (C)Enter 12%surcharge(.12 x[A+B]) $ 2S '1J fi, G [ Pet (D)Technology Fee(5%of[A]) $ (4 St �(b"f-/ - TOTAL fees and surcharges (A through D): $ ?VC- 2 7 2 f) 440-2500-1(4/I/2013/COM)