Loading...
HomeMy WebLinkAboutPermit Plumbing 2014-4-25 SPRINGFIELD • 225 Fifth St t4 -- = CITY OF SPRINGFIELD Springfield,OR 97477 '.% "• Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00913 www.springfield-or,gav permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/25/2014 EXPIRES: 10/22/2014 STATUS DATE: 04/25/2014 APPLIED: 04/25/2014 • SITE ADDRESS: 521 MAIN ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703353110600 TYPE OF STRUCTURE: Commercial • PROJECT DESCRIPTION: P-Tenant infill-Growler Underground OWNER: BREILA LLC Phone Number: ADDRESS: 3289 WINTERCREEK DR EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor SUNSET HEATING 8 AIR INC CCB 171706 08/18/2014 541-554-2604 General Contractor BILL MARTIN CONSTRUCTION INC CCB 186781 05/19/2015 541-954-9144 A-1 ELECTRIC (C)Electrical Cont 20-479C 07/01/2014 541-688-1608 Plumbing Contractor SUSAN JANE ARNOLD CCB 49561• 12/16/2014 541-484-3787 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. -� � pke- Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility • Notification Center. Those rules are set forth ICE: In OAR 952-001-0010 through OAR 952-001.. HIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by t ITIiORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone ;OMMENCED OR IS ABANDONED FOR number for the he Oregon Utility Notification Center is 1-800-332-2344). • ANY 180 DAY PERIOD. • Springfield Building Permit 4/25/2014 10:32:55AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St I a «EeO„ TRANSACTION RECEIPT SpringfieldiOR 97477 541-726-3753 811-S P R2014-00913 www.springfield-or.gov 521 MAIN ST permitcenter©springtield-ocgov RECEIPT NO: 2014000922 RECORD NO:811-SPR2014-00913 DATE:04/25/2014 LDESCRIPTION ;_�. . [ ACCOUNT CODE/TRANS$CODE _. AMOUNT DUE_-?■ Dishwasher 224-00000-425603 1005 21.00 Floor drain/floor sink/hub 224-00000-425603 1005 63.00 Ice maker 224-00000-425603 1005 21.00 Sink/basin/lavatory 224-00000-425603 1005 - 105.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 30.24 Technology fee(5%of permit total) 100-00000-425605 2099 12.60 Water closet 224-00000-425603 1005 21.00 Water heater 224-00000-425603 1005 21.00 TOTAL DUE: 294.84 _PAYMENT TYPE._ TPAYOR . CASHIER:cCARPENTER COMMENTS • `;AMOUNT PAID Check David Platt 294.84 1009 TOTAL PAID: 294.84 Plumbing Permit Fees Date `{/z ;w/'/ Job# 1 ( ( °11 � Address 54-2-1 /4' Sfr Plan Reviews Type Backflow preventer S Grease/Oil interceptor Catch basin/area drain 1 Roof/deck drain �Cotheswasher 1 1' _Sink/basin/lavatory I 1 -Dishwasher ■Bathtub Drinking fountain ■Shower/shower pan Drywell/trench drain 5 Urinal . .• / Ejector/sump pump system Water closet • CFloor drain/floor sink/hub ,tI Water heater n Hose bibbs El Fixture- Other 1 ' .. Ice maker • Future use -water supply or drain Sanitary Waste or Potable Water Supply not listed Hydronic heating - open loop system Replace in-building water supply or drain • Perimeter Foundation Drain Fixture- remove and cap • Rainwater harvesting system Sewer cap/septic tank demolition Relocated building Solar water heating system _ Special connection -water supply or drain Storm Sewer linear feet Stormwater retention/detention tank/facility Sanitary Sewer linear feet Swimming pool or spa -water supply or drain Water line linear feet Plumbing Permit Application DEPARTMENT USE ONLY SPRINGFIELD - C } gym, r, vt,. 1 t •. . .._ Permit J/Zf �3 Ci�rr ASP ' GFI 4R��ci fa 51) 6/22-5—/ y 2»Fifth Street •Springfield,OR 97477 • P11(541)726-3753 •FAX1541)725-7689 a -ittEGON 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 not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑No Description Qty Cost Total ea. cost Sanitation approval verified? ❑ Yes ❑ No New residential CATEGORY OF CONSTRUCTION I bathroom/I kitchen(includes:first ❑ Residential ❑Government ❑Commercial 100 feet oJmorerSa-ncr lines, hose $262.00 $ bibs. ice maker. underfloor low-point JOB SITE INFORMATION AND LOCATION drams and rain-drain packages) Job site address: CZ i G,h 9- 2 bathrooms/I kitchen - ' $411.00 $ Clt}':� r, pj State: �� ZIP: Q7l�7'� 3 nathrooms/1 kitchen $483.00 $ ?'✓)r!' ( Each additional bathroom(over 3) $104.50 $ Reference: V Taxlot.: - Each additional kitchen(over I) $104.50 $ DESCRIPTION OF WORK Residential fire sprinklers(includes plan review) ?4,12{.14,x4/44 F P— /r 0 to 2,000 square feet $80.00 $ 2.001 to 3,600 square feet $128.00 $ • PROPERTY OWNER 3.601 to 7.200 square feet $192.00 $ ' 7 Name: !e sier_ k/x I 7.201 square feet and greater $255.00 $ I / Manufactured dwelling or pre-fab(circle one) Address: Connections to building sewer and $80,00 $ City: State: ZIP: water supply Commercial,industrial,and dwellings other than one-or Phone: - - Fax: - - two-family E-mail: Minimum fee 580.00 ( S This installation is being made on residential or farm property, Each fixture $21.00 $?�j Z,� owned by me or a member of my immediate family,and.is Miscellaneous lees exempt from licensing requirements under OAR 918-695-0020. 100'storm,sewer,water line $83.50 I $ [• Signature: Each fixture,appurtenance;and piping $21.00 I $ CONTRACTOR INSTALLATION Storm water retention detention facility $21.00 $ Business name: r•{ik+- PL.wa�aolrth- Pipingi or systems $21.00 V Piping or private storm drainage I $21.00 $ Address: po 0,n . 7af _to systems exccedine the first 100 feet Specialty fixtures $21.00 S City: $fc.y.h State: oca, ZIP: ilttls Reinspection(no.of hrs.x fee per hr.) $80.00 5-Phone: - - Fax: - - - Special requested inspections(no.of E-mail: hrs.x fee per hr.) $80.00 5 CCB license no.: t%4510 I BCD license no.: Each additional inspection:(I) $80.00 $ . Plumbing license no.: Medical gas piping Minimum fee S A 1 11 Enter value of installation and equipment$_ Print nalnf: \M/'� G( Enter fee based on installation and equipment value. $ Signature: 7, jej -t APPLICANT USE (A) Enter subtotal of above fees �7 (Minimum Permit Fee$80.00) S G<� (B)Investigative fee(equal to[A]) - $ (C)Enter 12%surcharge(.12 x[A+B]) $7o y (D)Technology Fee(5%of[A]) S e7�� TOTAL fees and surcharges(A.through D): I S ciy?-4.1....-- 440-2500-J(4(112013/Colt)