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HomeMy WebLinkAboutPermit Plumbing 2014-3-6 SPRINGFIELD- 1 225 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-SPR2014-00492 www.springfield-ar.gov perrnitcentera Gispringfield-or.gov • PROJECT STATUS: Issued ISSUED: 03/06/2014 EXPIRES: 09/02/2014 STATUS DATE: 03106/2014 APPLIED: 03/06/2014 SITE ADDRESS: 138 S 32ND ST,Springfield,OR 97478 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702310000501 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Tenant infill(first to shell space)Martial arts studio OWNER: MCGLADE 8 ALBERTS LLC Phone Number: ADDRESS: 4055 SPRING BLVD EUGENE OR 97405 . L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor PMSI LLC CCB 158286 01/14/2016 503-466-2222 General Contractor BURT WALTER CONSTRUCTION INC CCB 190704 05/17/2014 503-516-8786 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. Iot� -- WPC"! - / • Ow er or Contractor Signature Date 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 3/6/2014 1:45.47PM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD Fifth t O 225 Fifth St TRANSACTION RECEIPT 225held,OR97477 OREGON 541-726-3753 811-SPR2014-00492 www.springfield-or.gov 138 S 32ND ST permitcenter©springfield-or.gov RECEIPT NO: 2014000504 RECORD NO: 811-SPR2014-00492 DATE:03/06/2014 LDESCRIPTION ACCOUNT CODE/TRANS Balance of Minimum Plumbing Permit Fees 224-00000-425603 1005 38.00 Sink/basin/lavatory 224-00000-425603 1005 21.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 Water closet 224-00000-425603 1005 21.00 TOTAL DUE: 93.60 LPAYMENTTYPE PAYOR..°_,CASHIER CCARPENTER '1 __COMMENTS AMOUNT PAID • Credit Card BURT WALTER CONSTRUCTION INC 93.60 991135 TOTAL PAID: 93.60 Mar 06 14,12:16p Stacie 5034540294 p.2 Plumbing Permit Application DEPARTMENT USE ONLY SPRINGFIELD t 6 a4 CITY OF SPRINGEntia 01MG Permit no: 'MI - .Si�(�:1.0 It/- .225 Frith Strut • Springfield OR 97477 • PH(541)726-3753 • fAX(5 1)736-3689 ,pN8GOi1 Date: This per mil 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. II. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE . Cost Total I "Zoning approval verified? El Yes ❑No Description QIy' ea. cost Sanitation approval verified? ❑ Yes ❑No New residential I CATEGORY OF CONSTRUCTION I bathrooniI kitchen(includes.frrsr 100(yet ofowel/vett et-Imes.boar S ❑ Residential ❑Government Commercial bibs, ice nrc7/an', under/lunr lou•-pnDrr $262.00 JOB SITE INFORMATION AND LOCATION I clitit”and rain-acorn pnchnge.r) rnC j 2 bathroomsil kitchen $411.00 $ Job site address. [13:95 d 3 - � 3 bathroomsll kitchen $483.00 $ City' Oe(i n:LC7 u-(o State: 012_ I ZIP' Each additional bathroom(over 3) S104.50 S Reference: U Taxlot.: Each additional kitchen(over I) 5104.50 $ DESCRIPTION OF WORK Residential fire sprinklers(includes plan review) 'U S1--- t4A--` 0 to 2,000 square feet $80.00 $ 2,001 to 3.600 square Feet $128.00 S PROPERTY OWNER 3,6U1to7200squarefeet — $192.00 S 7.201 square feet an greater ' $255.00 S Name: C `e_ / k G toe) Manufactured dwelling or pre-fab(circle one) Address: 1f0S S S f7 r,nC .(3I1l0/ Connections to building sewer and $80.00 $ t. _ mater sup ply City: �sx�Ea'vs2- State: ZIP: % rC,/Q; Commercial,industrial,and dwellings other than one-or I Phone: - - Fax: - - two-family Mini nxun fee i i S80.00 x5;..i' E-mail: CkmCo,rc DC ,co t'-\ -- Each fixture I $21.00 $,#) This installation is being made on residential or farm property owned by me or a member of my immediate Family,and is Miscellaneous fees -_ exempt from licensing requirements under OAR 91R-695-0020. 100' storm.setter, water line $83.50 S Signature: Each fixture,unpin tettaiicz,and piping $21.00 $ CONTRACTOR INSTALLATION Storm water retentionfdetcntimi facility I $21.00 $ Business name: 1"�rr��V,„ 5 L / / L Irrigation 8)stems $21.00 $ Piping or private storm drainace Address: systems exceeding the first IOU feet $21.00 S City: Stale: I ZIP: - Specialty Into/es $21.00 S Reinspection(no.of his,x fee per hr.) $80.00 $ Phone. - - Fax: - - Special requested inspections(no.of 580.00 $ s cy}\ hrs. x fee per ha) E-mail: j1��:- 71.t -S Ye rvIS •C - CCB license no.: j r '1 BCD license no.: Each additional inspection:(I) 580.00 $ 5�fz�b Plumbing license no.: (oQe-V0,p Medical gas piping Minimum fee $ k „ e 1_ / 12 �_ Enter value of installalion and equipment S . Print name' "At Tyr Enter[cc bnsnrl no installation and equipment value. S S ianatinc. APPLICANT USE (A) Liner subtotal of above fees $� 60.0(Minimum Permit Pee 580.0D) (B)Investigative Lee(equal to[Al) $ (C)Enter 12';l,sot charge(.12 a[A+Rj) s 7elfO (D)Technology Fee(5%of[A)) S 06"4 TOTAL fees mid surcharges(A through D): I S O?e.---- • 4-10-2500-1 h11l/2013/COM)