HomeMy WebLinkAboutPermit Plumbing 2014-3-12 SPRINGFIELD 225 Fifth St
kCITY OF SPRINGFIELD Springfield,OR97477
•
1 .`o OREGON Phone: 541-726-3753
Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00528 •
www.springfield-or.gov permitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 03/12/2014 EXPIRES: 09/08/2014
STATUS DATE: 03/12/2014 APPLIED: 03/12/2014
SITE ADDRESS: 3125 GATEWAY ST,Springfield,OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1703222003100 TYPE OF STRUCTURE: Commercial .
PROJECT DESCRIPTION: P-Tenant improvement for nail salon
OWNER: BENTON PROPERTIES LTD Phone Number:
ADDRESS: 980 WILLAMETTE ST
EUGENE OR 97401
CONTRACTOR INFORMATION
•
. Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Plumbing Contractor READY ROOTER DRAIN CLEANING 8 REPAIR SERVICE I CCB 92524 02/18/2015 541-744-7991
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.
g � � ) ��
O Contractor Signature Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth NOTICE:
in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
calling the center. (Note: the telephone
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR
Center is 1-80o-332-2344). ANY 180 DAY PERIOD. •
•
Springfield Building Permit 3/12/2014 11:28:40AM Page 1 of 1
•
SPRINGFIELD- CITY OF SPRINGFIELD
k' nea,... 225 Fifth St
k`
OREGON TR ANSACTION RECEIPT 5pringfield,OR 97477
541-726-3753
811-SPR2014-00528
•
www.springfield-or.gov 3125 GATEWAY ST permitcenter @springfield-or.gov
RECEIPT NO: 2014000540 RECORD NO: 811-SPR2014-00528 DATE:03/12/2014
?DESCRIPTION_-___-___. ___ ______ ____ _ __. _ACCOUNT_CODE/TRANSCODE_ : AMOUNT DUE__:
Sink/basin/lavatory 224-00000-425603 1005 189.00
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 heater . 224-00000-425603 1005 21.00
—.._�.---- 'TOTAL DUE: 245.70
LPAYMENT TYPE 'PAYOR - CASHIER:.CCARPENTER COMMENTS_,a_=' - ' AMOUNT PAID i
Credit Card READY ROOTER DRAIN CLEANING 1 245.70
00035d REPAIR SERVICE INC
TOTAL PAID: 245.70
•
•
•
Plumbing Permit Application DEPARTMENT USE ONLY
,.. - SPRINGFIELD
t ® O ERIN IE D, ORES IL Permit no.: 9Y— S-Z.225 Fifth Street ♦ Springfield.OR 97477 ♦ P11(541)726 3753 ♦ FA\(54t)726 3689 3t OREGON Date: 3//7.--//
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.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
Zoning approval verified? ❑ Yes Cost
❑ No Description Qty ea. I Total cost
Sanitation approval verified? ❑ Yes ❑ No New residential
CATEGORY OF CONSTRUCTION I bathroom/1 kitchen(includes:first
/00/eet o/ I'ater/sewer lines, hove
❑ Residential ❑Government pConunercial bits, ice nurkzr, un</e,jloor/on-paint $262.00 $
JOB SITE INFORMATION AND LOCATION drains cite!raiu-tht i,1 packages)
Job site address: 2 bathrooms/I kitchen • $411.00 —$--
3 bathrooms/I kitchen $483.00 $
City: l `(lc-Syc� State: IP:CM1- )
Each additional bathroom(over 3) $104.50 $
Reference: /7�3 22% v Taxlot.:7(0 U Each additional kitchen(over I) $104.50 _ $
DESCRIPTION OF WORK Residential lire sprinklers(includes plan review)
Add h r) �� - �(��-s 010 2.000 square tect $80.00 $
•- /v q / . v°SL_ Sr�)C3 2.001 to 3.600 square feel $128.00 $
"V"d Cl PROPERTY OWNER 3.601 to 7.200 square reel $192.00 $
Name: ` ��� � 7,201 square Ices and greater $255.00 $
Fran -.n../
Manufactured dwelling or pre-fab(circle one)
• Address: �- /,✓/af,-4,.v—c^eTh Connections to building sewer and
water supply $80.00 $
City:�' w ( state: zIP:� water 4UI .
7 Commercial, industrial,and dwellings other than one-or
Phone: - - Fax: - - two-family
E-mail: Minimum lee $80.00 S
This installation is being made on residential or farm property Each fixture $21.00 $
owned by me or a member of my ii nnediate 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 /5 $21.00 521
CONTRACTOR INSTALLATION Storm water retention/detention facility $21.00 S
Business name: ll ] 4,-rte ...Irrigation systems --- $21.00 $
'f�'c-r'u��t-/�� �J Piping or private storm drainage $21.00 $
Address: GS5—D huh 41 �,t� systems exceeding the first 100 feet
City: State:p'' ZIP: l Specialty fixtures $21.00 $
Reinspect ion(nn.of hrs. x fee per hr.) $80.00 $
Phone: '11.1N74gI Fax: - - Special requested inspections(no.of
$60.00 $
E-mail: hrs. x fee per hr.)
CCB license no9 a 4
�I BCD license no.: Each additional inspection: (I) $80.00 $
C }�
Plumbing license n..: 4'C1 (� r Medical gas piping i\l ininm to fee S
IS, Enter value of installation and equipment S
Print name: ) �k.
Enter fee based on installation and equipment value. $
Signature: 1,./------
APPLICANT USE
(A) Enter subtotal of above lees $ ;'3
(Minimum.Permit Fee 580.00)
(13) Investigative fee(equal to Al)I $
(C)Enter 12%surcharge(.12 x( A+B)) $ 75S
(D)Technology Fee(5%of)Al) $ /Q
..__.a.-.. char _.-gh D): S... yC77
TOTAL fees and surcharges(A through
440-2500-1(4/11201 3/COM)