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Home My WebLink AboutPermit Building 2014-09-04E �OR EGON w .springfield-or.gov PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building / Commercial Permit PERMIT NO: 811-SPR2014-01907 Issued 09104/2014 ISSUED: APPLIED: 09/04/2014 09/04/2014 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@spdngfield-ocgov EXPIRES: 03/0212015 SITE ADDRESS: 378 S 58TH ST, Springfield, OR 97478 SCOPE: Interior ASSESOR'S PARCEL NO: 1702334401601 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Add interior doorwav OWNER: EHL PROPERTY LLC Phone Number: ADDRESS: 382 S 58TH ST STE B SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor JOSHUA DANIEL RAY CCB 186742 05/15/2015 541-556-3047 INSPECTIONS REQUIRED Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. By signature, I slate 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 or 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 limes during construction. NI& :A --� Owne r Contractor Signature Date 118 PERMIT SHALL EXPIRE Ir THE WORK 111-1 1ORIZED UNDER THIS PERMIT IS NOT W':Ji 11 NCED OR IS ABANDONED FOR l,W' 180 DAY PERIOD, ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notifioation Center. Those ruleS are set forth In OAR 952-001-0010 through OAR 952.-001- 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 9/4/2014 2c4:34PM Page 1 of 1 LRINGr19LD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,Oft 97477 541-726-3753 OREGON 811-SPR2014-01907 % J .spnnggeld-or.gov 378 S 58TH ST penitaenter@spdngfield-ocgov RECEIPT NO: 2014001935 RECORD NO: 811-SPR2014-01907 DATE: 09/04/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Building Permit Fee 224-00000-425602 1002 82.00 Continuing Education 224-00000-425606 2.50 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 9.84 Technology fee (5% of permit total) 100-00000-425605 2099 4,10 TOTAL DUE: 98.44 PAYMENT,TYPE, PAYOR CASHIER:CCARPENTER 'r COMMENTS AMOUNT PAID f 1426 TOTAL PAID: 98.44 SIT Y O SPRINOFIEL OR) GON 3 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within I suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land -use approval. Signature: Date; This project has DEQ approval. Signature: Date: Zoning approval verified: ❑ Yes ❑ No Property is within flood plain: ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ❑ Residential ❑ Government Commercial JOB SITE INFORMATION AND L CATION Job site address: City: 2 Cost per square foot: State: ZIP: Subdivish n: I Lot no.: Reference: Taxlot: PROPERTY WNER' Name: Address: City: State: ZIP: Phone: Fax: - - E-mail: Building Owner or Owner's agent authorizing this application: Sign here: ❑ This instala ion is being made on residentialr am property owned by me or a member of my immediate family, and is emit from licensing requirements under ORS 701.010. CONTRACTOR INSTALLATION Business name: Address: City: c State: I zlp:97 Phone: Fax: - - E-mail: CCB license no.: $ Print name: Signature: �NbV C' $ ST SUB -CONTRACTOR INF R ATION S Name CCB License # PlumeNumber Electrical (b) Fire and life safety (40%x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3h): S 4. Miscellaneous fees '- Mechanical (a) Seismic fee, 1% (.01 x permit fee [2a]): $ DEPARTMENT USE ONLY Permit no.: Date: or if work is FEE SCHEDULE 1. Valuation information (a) Job description: Occupancy Construction type/ Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: ❑ new Iteration ❑ addition (b) Foundation -only permit? ❑ Yes ❑ No Total valuation: $ , 2. Building fees (a) Permit fee (use valuation table): S 7i (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): (number of hours x fee per hour) $ (d) Enter 12% surcharge (.12 x [2a+2b+2e]): $ ST (e) Subtotal of fees above (2a through 2d): S 3. Plan review fees (a) Plan review (65%x permit fee [2a]): $ (b) Fire and life safety (40%x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3h): S 4. Miscellaneous fees '- (a) Seismic fee, 1% (.01 x permit fee [2a]): $ (b) Technology fee, 5%(.05 x permit fee[2a]): $ (c) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (2e+3c+4a+4b+4c): S 4 � 'K)5 SPRINGFIELD- 225 Fifth St CITY OF SPRINGFIELD Spfingfield,OR97477 %lam Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 j PERMIT NO: 811-SPR2014-01908 www.springfield-ocgov permitcenter@springfield-ocgov PROJECT STATUS: Issued ISSUED: 09/04/2014 EXPIRES: 03/02/2015 STATUS DATE: 09/04/2014 APPLIED: 09/04/2014 SITE ADDRESS: 378 S 58TH ST, Springfield, OR 97478 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702334401601 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Add dishwasher OWNER: EHL PROPERTY LLC Phone Number: ADDRESS: 3B2 S BOTH ST STE B SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type LIG No Lic Exp Phone Plumbing Contractor NORMS PLUMBING LLC CCB 195246 10/19/2015 641-556-7455 INSPECTIONS REQUIRED Inspections 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. vlp 2 114119 O er or Contractor Sianature Date 1<1 rt'i IGE: THIS PERMITSNAt_L EXPIRE IF THE WORI COI' 10R17 EDD ERAQANDONEPERMNOT D FOR ANY 180 DAY PERIOD. ^�l t hell lava requires you to ,ec by the Oregon Utility ;r�+er, f hose I ales are set forth ,2 001-0010 through OAR `952-001- may obtain copios of the rules by ri,i, enter. (Note: the telephone number lot the Oreg on Utility Notification Center is 1-8 332 2344). Springfield Building Permit 9/4/2014 2:01:16PM Page 1 of 1 SPRINGA CITY OF SPRINGFIELD 4 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2014-01908 w .spnngfield-or.gov 378 S 58TH ST permitcenter@springfield-ocgov RECEIPT NO: 2014001934 RECORD NO: 811-SPR2014.01908 DATE: 09/04/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE' Continuing Education Fee 224-00000-425606 2.50 Minimum Plumbing Fee (Three or Fewer Fixtures) 224-00000-425603 1057 82.00 SDC: Improvement Cost - Local Wastewater 443-00000-448025 1184 214.56 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 1183 439.59 SDC: Total Sewer Administration Fee 719-00000-426604 1175 32.71 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 9.84 -----Technology fee (6% of permit total) __100-00000=425605 2099---- 4.10---- TOTAL 99 —4.10 -- TOTAL DUE: 785.30 PAYMENT TYPE' PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID Check David Ray Const 785.30 1426 TOTAL PAID: 785.30 Plumbing Permit Application 9PHINGFIfiLO j. t i �1fr i I DEPARTMENT USE ONLY 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 Zoning approval verified? ❑ Yes ❑ No Sanitation approval verified? ❑ Yes ❑ No CATEGORY OF CONSTRUCTION ❑ Residential ❑ Government Commercial JOB SITE INFORMATION AND LO ATION > Job site address: 3-7C — 6_�� _ — _ � City: j is State: ZIP: Reference: Taxlot.: DESCRIPTION, OF WORK' (A&'CV (A Connections to building sewer and water supply PROPERTY OWNER Name: $ Commercial, industrial, old dwellings other than one- or two-family Address: City: State. ZIP: Phone: $21.00 $ Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 918-695-0020. Signature: CONTRACTOR INSTALLATION Business name: Address: City: State: ZIP: Phone: Fax: E-mail: CCB license no.: BCD license no.: Plumbing license no.: Print name: Signature: 440-2500-J (5/21/2014/COM) FEE SCHEDULE Description Qty,Cost –ea. Total cost New residential 1 bathroom/I kitchen (includes: first 100feet ojwater/sewer lines, hose $268.00 $ bibs, ice maker, underfloor low -point drains and rain -drain packages) 2 bathrooms/1 kitchen $420.00 $ _ 3 bathrooms/1 kitchen $494.00 $ Each additional bathroom (over 3) $107.00 $ Each additional kitchen (over 1) $107.00 $ Residential firesprinklers includes pIllan review 0 to 2,000 square feet $82.00 $ 2,001 to 3,600 square feet $131.00 $ 3,601 to 7,200 square feet $196.00 $ 7,201 square feet and greater $261.00 $ Manufactured dwelling or pre -fab (circle one) Connections to building sewer and water supply $82.00 $ Commercial, industrial, old dwellings other than one- or two-family Minimum fee $82.00 $ Each fixture $21.00 $ Miscellaneous fees 100' storm, sewer, water line $85.00 $ Each fixture, appurtenance, and piping $21.00 $ Storm water retention/detention facility $21.00 $ Irrigation systems $21.00 $ Piping or private storm drainage systems exceedingthe first 100 feet $21.00 $ Specialty fixtures $21.00 $ Reinspection (no. of hrs. x fee per hr.) $82.00 $ Special requested inspections (no. of Ins. x fee per hr.) $82,00 $ Each additional inspection: (1) $82.00 $ Medical gas piping Minimum fee $ Enter value of installation and equipment $ _. Enter fee based on installation and equipment value. $ " APPLICANTIUSE ' (A) Enter subtotal of above fees $ (Minimum Permit Fee $82.00) (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ (D) Technology Fee (50/o of [A]) $ / (E) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through E): $