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Building Plumbing 2014-2-25
SPRINGFIELD 225 Fifth St kit 4.s . � : CITY OF SPRINGFIELD Springfeld,OR97477 Phone: 541-726-3753 .OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00115 wvnv.springfield-or.gov - permitcenter @spnngfield-or.gov • PROJECT STATUS: Issued ISSUED: 02/25/2014 EXPIRES: 08/24/2014 ' STATUS DATE: 02/25/2014 APPLIED: 01/16/2014 SITE ADDRESS: 5250 HIGH BANKS RD,Springfield,OR 97478 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702280000400 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: PL-Industrial business park-Site and underslab plumbing:fixtures are marked as"future" OWNER: HYLAND BUSINESS PARK LLC Phone Number: ADDRESS: PO BOX 7867 SPRINGFIELD OR 97475 . CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor JOHN HYLAND CONSTRUCTION INC GCB 46071 07/11/2014 541-726-8081 • INSPECTIONS REQUIRED Inspections • 3150 Underslab Plumbing Underslab Plumbing: Prior to filling the trench and including required testing. 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 3315 Water Line 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 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 •ignature Date NOTICE: :.. .. ;,: .,. THIS PERMIT SHALL EXPIRE IF THE WORK ATTENTION: op ed law requires you to follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth COMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD. 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). . Springfield Building Permit 2/25/2014 10:58:47AM - Page 1 of 1 • SPRINGFIELD - CITY OF SPRINGFIELD � ,, TRANSACTION RECEIPT 225 Fifth St Springfield,OR97477 { `OREGON 541-726-3753 811-SPR2014-00115 www.springfield-ocgov 5250 HIGH BANKS RD _ permitcenter @springfleld-cr.gov RECEIPT NO: 2014000408 RECORD NO: 811-SPR2014-00115 DATE:02/25/2014 D •I• ON i'-.? : ' nt _ t'P _ , .4,. `r. _"ACCOUNT.CODEITRANSCODEr,:[" *;:`AMOUNTADUE'�1t Backflow preventer . 224-00000-425603 1005 42.00 Catch basin or area drain' 224-00000-425603 1005 126.00 Floor drain/floor sink/hub 224-00000-425603 1005 21.00 Hose bibb 224-00000-425603 1005 105.00 Sanitary sewer 224-00000-425603 1005 83.50 • Sanitary sewer-each additional 100 feet or portion of 224-00000-425603 1005 21.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 • 93.06 Storm Sewer 224-00000-425603 1005 83.50 Storm Sewer-Each additional 100 feet or portion of 224-00000-425603 1005 168.00 Techhology fee(5%of permit total) 100-00000-425605 2099 38.78 Water Line 224-00000-425603 1005 83.50 Water Line- Each additional 100 feet or portion of 224-00000-425603 1005 42.00 TOTAL DUE: 907.34 WBAYMENTaTYPE•F lfki R car itER ccARPENTER COMMENTS-. - AMOUNT PAID : :L� Check HYLAND BUSINESS PARK LLC 907.34 61325 TOTAL PAID: 907.34 • • • • • • SPRINGFIELD — CITY OF SPRINGFIELD 225 Fifth St " `EO OREGON TRANSACTION RECEIPT 225 Fifield,OR97477 541-726-3753 811-SPR2013-02744 www.springfieldbcgov 5250 HIGH BANKS RD permitcenter©spnngfield-or.gov RECEIPT NO: 2013002747 RECORD NO:811 SPR2013.02744 DATE: 12/27/2013 1o1 1_CI 411nittr iitzt '_g`"'.2- ..1_ `.:'.:: .'ACCOUNT CODE(LRANS.CODEy,._� ""',: `lAMOUNT DUET Structural Plan Review Fee Residential 224-00000-425602 1061 2,488.07 TOTAL DUE: 2,488.07 rfPAYMENS TYPE PAYOR .caSNIERi osoaSar+ `., `11=_ COMMENTS AMOUNT PAID ;r.-' ---x , ., Check JOHN HYLAND CONSTRUCTION INC 2,488.07 61318 TOTAL PAID: 2,488.07 s Structural Permit Application SPRINGFIELD j DEPARTMENT USE ONLY t I "{ CITY OF,SPRINGFIELD, OREGON \IOaaeoN� Permitno..,),77 oe ZU c. 225 Fifth Street•Springfield,OR 97477•PB(541)726-3753•FAX(541)726-3659 ----- ----- / Date: /z/ 7�/ 3 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days f issuanc or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE This project has final land-use approval. 1.Valuation information Signature: Date: a Job description: This project has DEQ approval. � ) Industrial Business Park Signature: Date: Occupancy B, F, and/or S Zoning approval verified: ❑Yes ❑No Construction type: VB Property is within flood plain: ❑Yes ❑No Square feet: B 1 d 1 (9, 934) ; Bid 2 (29, 377) CATEGORY OF CONSTRUCTION Cost per square foot: ❑Residential ❑Government ®Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of Heat: Mechanical Deferred Job site address: 5250 High Banks Road Energy Path: Simplified Trade Off City: Springfield State: OR ZIP: 97478 Anew Dalteration ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ®No Reference: I7QZ aft)O Taxlot: 0040 O Total valuation: 001-0 Oti PROPERTY OWNER 2.Building fees Name: High Banks Business Park LLC (a)Permitfee(usevaluationtable): SgDSJ A Address: PO Box 7867 (b)Investigative fee(equal to[2a1): $ City: Springfield State: OR ZIP: 97475 (c)Reinspection($ per hour): $ Phone: 541-726-8081 Fax: 54-1-741-0896 (number ofhoursxfeeperhour) ng E-mail: Shaun @jhconst . com (d)Enter 12%surcharge(.12x[2a+2b+2c]): $ /Qtj (e)Subtotal of fees above(2a through 2d): s q/�'/ Building Owner or Owner's agent authorizing this application: 3.Plan review fees T �-i_ ., /A - (a)Plan review(65%x permit fee[2a]): $ Sign hereEr±7 .__� (b)Fire and life safety(40%x permit fee[2a]): $ jj Tr 2, L r ❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $ me or a member of my immediate family,and is exempt from licensing 4.Miscellaneous fees requirements under ORS 701.010. (a)Seismic fee, I%(.01 x permit fee[2a]): $ ,g CONTRACTOR INSTALLATION (b)Technology fee,5%(.05 x permit fee[2a]): $ ''PIy Business name: John Hyland Construction �7 ,f oil Address: PO Box 7867 TOTAL fees and surcharges(2e+3c+4a+4b): $/_9IerO .� City: Springfield State: OR ZIP: 97475 Phone: 54-1-726-8081 Fax: 54-1-741-0896 _ E-mail: shaun@jhconst . com CCB license no.: 46071 Print name: Shaun Hyland Signature: SUB-CONTRACTOR INFORMATION Name CCB License# Phone Number Electrical New Way Electric 51088 591-686-2365 Plumbing Mechanical