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HomeMy WebLinkAboutPermit Miscellaneous 2013-9-26 SPRINGFIELD 225 Fifth St ___L__....411i CITY OF SPRINGFIELD Springfield,OR 97477 .. _(.i Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02161 vrww.springfield-or.gov permitcenter @springfield-or.gav PROJECT STATUS: Issued ISSUED: 09/26/2013 EXPIRES: 03/25/2014 ' STATUS DATE: 09/26/2013 APPLIED: 09/25/2013 SITE ADDRESS: 3315 MARCOLA RD,Springfield,OR 97477 SCOPE: Commercial Miscellaneous ASSESOR'S PARCEL NO: 1702300001917 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Breakroom and locker room remodels OWNER: KINGSFORD MANUFACTURING CO Phone Number: ADDRESS: PO BOX 24305 OAKLAND CA 94623 • CONTRACTOR INFORMATION Il - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor TWIN RIVERS PLUMBING INC CCB 17695 03/11/2015 541-688-1444 • INSPECTIONS REQUIRED • Inspections 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 .. J;w Qt..- c Date 0a_ yet f. 4-• NOTICE' ATTENTION: Oregon law requires you to •THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT ; in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR • 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD, calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 9/26/2013 11:20:58AM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD t 22 Fifth S TRANSACTION RECEIPT Spriingfield10R 97477 " OREGON 541-726-3753 811-SPR2013-02161 www.springfield-or.gov 3315 MARCOLA RD permitcenter @springfield-or.gav RECEIPT NO: 2013002152 RECORD NO:811-SPR2013-02161 DATE:09/26/2013 DESCRIPTION- �� _`__ACCOUNTCODE/TRANS-CODE-- _-AMOUNT_DUE__ Floor drain/floor sink/hub 224-00000-425603 1005 84.00 Hose bibb 224-00000-425603 1005 42.00 Shower/Shower pan 224-00000-425603 1005 84.00 Sink/basin/lavatory 224-00000-425603 1005 168.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 60.48 Technology fee(5%of permit total) 100-00000-425605 2099 25.20 Urinal 224-00000-425603 1005 42.00 Water closet 224-00000-425603 1005 84.00 TOTAL DUE: 589.68 _ PAYMENT TYPE PAYOR CASHIER:JLARSON . _ COMMENTS AMOUNT PAID J Credit Card TWIN RIVERS PLUMBING INC _ 589.68 316252 • TOTAL PAID: 589.68 • TWIN RIVERS PLUMBING Fax:541-688-9272 Sep 25 2013 01:07pm P001/001 -Plumbing Permit Application j DEPARTMENT USE ONLY _ 5P e(v�et�t3 '. -I " ':F+, " 3'O c. I a, Permit no.:j ( 2 Oat G ! 225 Fifth bircct • Sprmetleld.OR 97477 • PN(5a1)726 3753 • A\(541172G 3687 , GnEGOM j Date: This permit is issued tinder OAR 918-780-0060. Permits are issued only to the person or contractor doing the work Permits expire if work is 0ol started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Cost ( Total Zoning approval verified? ❑Yes ❑No Description Qty• ea. ( cost . 1 Sanitation approval verified'? ❑Yes ❑No New residential I CATEGORY OF CONSTRUCTION 1 hathroom/I kitchen(includes:fir$ I /00!i•e/o rutensenrer lines.naw 5262.00 S ❑ Residential _ I ❑Government p Commercial _ bibs:. ice rnaker. nuderllnor lour-point JOB SITE INFORMATION AND LOCATION «ruins and rain-drain ����'��� 2 bathrooms/1 kitchen $4'11.00 8 Job site address: , �I S Cola_Cl., -: '1 $483.00 $ ,gyp .0 •-1--f 3 ualhroon!sil kitchen City: p(t^,I 1>G.Act Stale: �1 I zip: ! r Each additional bathroom(ever 3) i 5104.50 5 Reference: U 1 Taxlet.: Each additional kitchen(duct I) I $104.50 S DESCRIPTION OF WORK c Residential fire sprinklers(includes plan review)._ ' I - 1 R R - 7 O to 2.000 square.feet $80.00 $ __._ _�..t��__...—_ii__ -•. . _. __— 23001 to 3,600 Square feet $128.00 8 . J -- PROPERTY OWNER P 3,601 to 7,200 square feet 8102.00 $ F� (� 7,201 square feel and greater $255.00 l 5 F Name: t li� j r N Yt HaIi�;�' r�d )'F Manufactured dwelling nrpro-fab(circle one) Address: n(';f- `1 I Connections to building sewer and I Sgp 00 $ V I t - water supply. State: : ZIP: City: - Commercial,industrial,and dwellings-other than one-or Phone: - - _I Fax: ____—._ two-family - Minimum fee $80.00 $ E-mail: _ - tach !ixtu!e Op 521.00 S This installation is being made on residential or farm properly Miscellaneous fees owned by me 0r a amber of my immediate family,and is exempt from licensing requirements under OAR 918-595-0020. 100'storm,sewwcr.water line I $83.50 5 Each Ilzture,appurtenance,and piping $21.00 $ Signature: _ CONTRACTOR INSTALLATION Storm 5taterretention/detentions facility $21.00 00 $ y !irrigation sysiem9 $21.00 $ Business name: F-l� t 2 s ' n I , Piping Of private storm drannase $21.00 $ 1 . r , , J systenls cscccding die first 10 feet Address: s.�j�j�j Xl V F 1� �y /� $21.00 S �' l Sitt✓ O I ZIP; "1 j1.-1'-/� specialty futures -- --,- - Cilyt Gi�J,(�j� 1 Rcinspection(no. of hn.s fee pcf 1114 $ao00 $ e Phone. f , rl , i-i'C. .' ��. --.1. �I Special requested inspccdOlIS(no.or $80.00 5 —a '/fin to 1 Lrs.sfee per hr.) E-mail: lr tt.Vr cLA J._. t ,-,e-,,,. �.fro _ .. _hr _ {�p1� Each additional inspection: (I) $80.001 5 CCB license no.: i 4-SC��� I BCD license no.: / -- . Medical gas piping Vlinimum 1 $ • eb� Plumbing lr- : !� f r t - ' -- Leier value of installation and equipment$ Print name; !p•y.,1111/7, ' (•7 r /� Enter Ice based on installation and equ pmcnt value. I S Signature/ �'Il Y / ✓�//�rl� J — APPLICANT USE ', F.nter subtotal of above Fees (A) S (Minimum Permit Fee$80.00) i (B)Investigative lee(equal to(Ai) S 1 (C)Enter 12%surcharge(A2 x(l1+B]) 5 LaZi'I'echnology Fee(59e of[A]) I LTOTAL fees and surcharges(A through I)): I $ 449-2500•)(4/I121)13!COM