HomeMy WebLinkAboutPermit Plumbing 2014-2-24 SPRINGFIELD - 225 Fifth St
` — CITY OF SPRINGFIELD Springfield,OR 97477
'. t Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00403
www.springfieldor.gov permilcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 02/24/2014 EXPIRES: 08/23/2014
STATUS DATE: 02/24/2014 APPLIED: 02/24/2014
SITE ADDRESS: 631 W CENTENNIAL BLVD,Springfield,OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1703274305805 TYPE OF STRUCTURE: Commercial .
PROJECT DESCRIPTION: Plumbing for a new tenant infill consist of ADA bath and kitchen
OWNER: CENTENNIAL SHOPPING CNTR LLC Phone Number: •
ADDRESS: 7831 SE STARK ST STE 103
PORTLAND OR 97215
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Plumbing Contractor C 8 R PLUMBING LLC CCB 167015 07/01/2014 541-736-9582
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 requ' ed inspections are requested at the proper time,that each address is readable from the street, that the
permit card is locate• at t •.V property, and the approved set of plans will remain on the site at all times during
construction. "
i /' •_:!_ . - z
Owner or Contractor Sig - ure Dat• - -
- - 'NI ^lemon law requires you to
NOTICE: f .3 adopted by the Oregon Ur:' 'y
THIS PERMIT SHALL EXPIRE IF THE WORK , td.,..licalion Center. Those rules are set tcrih
AUTHORIZED UNDER THIS PERMIT IS NOT ii, in OAR 952-001-0010 through OAR 952-001-
COMMENCED OR IS ABANDONED FOR -i3;'; '-. 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 2/24/2014 1:40:28PM • Page 1 of 1
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SPRINGFIELD"-- CITY OF SPRINGFIELD
225 Fifth St
`t OREGON TRANSACTION RECEIPT SpnngfielROR 97477
541-726-3753
811-SPR2014-00403
www.spnngfieldor.gov 631.W CENTENNIAL BLVD permitcenter @springfleld-or.gov
RECEIPT NO: 2014000394 RECORD NO: 811SPR2014-00403 DATE:02/24/2014
D o ., - £wzs,° _3 - x __-_ °nnt`ACCOUNT<CODE/TRANSICODE AMOUNTaDUE,..
Floor drain/floor sink/hub 224-00000-425603 1005 105.00
Sink/basin/lavatory 224-00000-425603 1005 63.00
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
Water closet 224-00000-425603 1005 21.00
Water heater 224-00000-425603 1005 21.00
��,,� TOTAL DUE: 245.70
OF AYMENTaTYRE P,AYORli CASHIERraTiON . COMMEN AMQUNTjI ID,':t-
Credit Card Marcus Thompson Construction - 245.70
514294
TOTAL PAID: 245.70
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Plumbing Permit Application DEPARTMENT USE ONLY `
SPNINGFIELD aZS::: � .....
P
., $I E O SPR GFIEL QREGON 7 t Permit no.:d(( Zo/y ticL,C2)
225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: C- ( z 72-t/y
This permit is issued under OAR 918-780-0060: Permits are issued only to the person or contractor doing the work. Permits
expire if work is not started within 180 days of issuance or if work is suspended for 180 days.
•LOCAC,GOVEFt NMENT APPROVALx,' of i5�", u , FEE;SCHEDULE
,m r,. �.., `"art ,FiW
Zoning approval verified? El Yes ❑No -` - ` ri ' Cost *tT$al t'Descrlptl n : - 1 - Qty & s, oce ✓.a.41 :42AA q.r.i LW1°xs,r r -.s . _Tea 5cst d
Sanitation approval verified? ❑ Yes ❑No New residential
_ o
"'''- 7;CATEGORYz OF`CONSTRUCTION r 4zV Y x , , I bathroom/1 kitchen(includes:first
100 feet of water/sewer lines,hose
111 Residential ❑Government 'Commercial $262.00 $
bibs, ice maker, underfloor low-point
"; e 'JOB;ISITE:INFORMATION;'AND LOCATION""`4` tt? drains and rain-drain packages)
Job site address: a 3/ !A 4&?41 ry 414L 2 bathrooms/1 kitchen $411.00 $
3 bathrooms/1 kitchen $483.00 $
City:�tat4 fEt_b State: D2 ZIP:vii 7
"t Each additional bathroom(over 3) $104.50 $
Reference: 17.6 3 271-3 Taxlot.: QSYc 3 Each additional kitchen(over I) $104.50 $
1`Xl** t ' 1gDESCRIPTION‘.`O,F WORK^ :fit,:17C4P pz; Residential fire sprinklers(includes plan review)
A/IA&,ki -cr a Kw .ftnaa'f lA17/7. . , 0 to 2,000 square feet $80.00 $
C.€01.C15131 /' ' dg4- Jl 4- /. ./ / 2,001 to 3,600 square feet $128.00 $
;.*,, 2..P ', ''_ k,'RROP.ERTY- OWN EIRr,:'I ?5+r ; �` +7. r41,- 3,601 to 7,200 square feet $192.00 $
Name: e.-64-r 4Ji AL S�rPi.(� e ft �G 7,201 square feet and greater $255.00 $
�""f Manufactured dwelling or pre-fab(circle one)
Address:75 Si SE - 5=p,Rk Sr 41 03 Connections to building sewer and
City: water supply $80.00 $
f D fti- ,a) State: 0 R ZIP:'1., ,,Z:i,�j
Commercial,industrial,and dwellings other than one-or
' Phone: - - - Fax: - - two-family
E-mail: Minimum fee - $80.00 $ 4 ,9 -
This installation is being made on residential or farm property Each fixture {'/ $21.00 $13/.Oa
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 $
Signature: Each fixture,appurtenance,and piping $21.00 $
1`.1`1 *CONTRACTOR':'INSTALLATION „t '�'St s Storm water retention/detention facility $21.00 $
Business name: eye PI 6, GC_G Irrigation systems $21.00 $
./,vn+ Piping or private storm drainage
Address: 3 7 So k.4,47n 4V e, 5",,:Lt. 4 systems exceeding the first 100 feet $21.00 $
City: S p/.\- �[d State: D� ZIP: q7 Y.7 F Specialty fixtures $21.00 $
Reinspection(no.of hrs.x fee per hr.) $80.00 $
Phone:Sy(- 7,49(,- 7611 Fax:SW-at- J61 S Special requested inspections(no,of
E-mail: crp/A4 , @ y a
hoe(mvi
hrs.x fee per hr.) $80.00 $
CCB license no.: (6 70 ((7S BCD license no.: PQto`�
Each additional inspection:(1) - $80.00 $
Plumbing license no.: 7-z z q u P - - _ ?Medical gas ptpmg&ay • t,) ,`qs Y Minimum fee $
Print name: tea., S, At .y Enter value of installation and equipment$
Jp Enter fee based on installation and equipment value $
Signature: �• Q ,, , . ¢ z �APPLICANT: USE '-;g
d (A) Enter subtotal of above fees $
(Minimum Permit Fee$80.00) 231.ad
, (B)Investigative fee(equal to[A]) S z 3 1.0O
(C)Enter 12%surcharge(,12 x[A+B]) $sc.4+u
(D)Technology Fee(5%of[A]) $ II .-S 5
TOTAL fees and surcharges(A through D):
Z 7s- 77--
440-2500-1(4/12013/COM)