HomeMy WebLinkAboutPermit Mechanical 2008-2-20
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2864 Wayside Lp
ASSESSOR'S PARCEL NO.: 1703224102000
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00220
ISSUED: 02/13/2008
APPLIED: 02/13/2008
EXPIRES: 08/20/2008
VALUE:
Springfield TYPE OF WORK: Mechanical Only
PROJECT DESCRIPTION: Gas piping and tankIess water heater.
Owner: MILLS MEREDITH K
Address: 2864 WAYSIDE LP
SPRINGFIELD OR 97477
TYPE OF USE: Alteration
Residential
Phone Number: 541-431-1675
I CONTRACTOR INFORMATION I
Contractor Tvpe
Mechanical
Plumbing
Contractor
CHITTIM ENTERPRISES I INC
KEVIN COHEN PLUMBING INC
License
47396
176311
Expiration Date
03/0812009
05/30/2009
Phone
541-461-2101
(541) 607-9208
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building'
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
ATTEN~r8y.r.~lg8Irlaw requires you to
follow nDowns}ro,ilitslD'tllJ'in'se Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain caples of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
~MechanicaI Issuance Fee~
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Appliance Not Listed
Gas Outlets 1-4
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Backflow Device
Fixture
Minimum/Adjustment Plumbing
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00220
ISSUED: 02/13/2008
APPLIED: 02/13/2008
EXPIRES: 08/20/2008
VALUE:
I Valuation Description t
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$6.00
$2.50
$10.00
$5.00
$35.00
$5.00
$6.00
$2.50
$16.00
$16.00
$18.00
2/13/08
2/13/08
2/13/08
2/13/08
2/13/08
2/13/08
2/13/08
2/20/08
2/20/08
2/20/08
2/20/08
2/20/08
2/20/08
2200800000000000202
2200800000000000202
2200800000000000202
2200800000000000202
2200800000000000202
2200800000000000202
2200800000000000202
2200800000000000224
2200800000000000224
2200800000000000224
2200800000000000224
2200800000000000224
2200800000000000224
$147.00
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Final Plumbing: When all plumbmg work is complete.
Rough Plumbing: Prior to cover and including required testing.
Pal!e 2 of 3
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00220
ISSUED: 02113/2008
APPLIED: 02/13/2008
EXPIRES: 08/20/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 of 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 Contractors Signature
Date
Pa2e 3 of 3
. .' .. \ . .FEE SC'HEDUlE
DeSCriptIOn I Qty.
I.~l~~ utllit~es-relt~irOR' repl!l~~meut 'ONLY..
I Samtary Sewer - first 100 feet Inot offered online at this jUrisdictIOn
I - each additIOnal 100 feet not offered online at this JUrisdictIOn
I Storm Sewer - first 100 feet not offered online at this JUrisdiction
I - each additIOnal 100 feet not offered online at this JUrisdictIOn
I Water Service - first 100 feet Inot offered online at thlsjunsdlcllon
I I - each additIOnal 100 feet Inot offered online at thlsjunsdlctlon
I I Other Sit!;...l!tilities ..
I I - Rain drain collector system not offered online at this jUrIsdlcllon
I I - Drywell
I - Catch baSin or area drain
I - Pressure redUCing valve
I
- Grease Interceptor not offered online at this JUrisdictIOn
I This sectJ.on applies' to additions;"alteratlons o'l':replacemim'ts of
I ,p'!Imblug:'~",,1J.\ I '. I.. ..,.... . I. 11..1.. 11' . %' .
., I Backflow preventer $16 00
I Backwater valve
I Clothes washer
I Dishwasher
I Dnnklng fountain
I Ejectors/sump
.. I ExpanSIOn tank
Fixture/sewer cap
I Floor dram/floor smk/hub
I Garbage disposal
'''1 I Hose bib
I I Ice maker
I I Primer - up to first 5
I I Primer -each additIOnal
I Smk/basm/lavatory
I Tub/shower/shower pan
I Urinal
, Water closet
I Water heater
I.l\:li~ellaneous
I - SWlmmmg pool or spa -
water supply and dram
I - Hydromc heatmg - open loop
system
I
I
I
I
I
I
* CIty Of Springfield
$16001
I
I
I
J
Subtotal $32 00 I
Mmlmum fee used mstead of Subtotal $5000 I
State Surcharge (12% of perITIlt fee) $6 00 I
CIty Of Sprmgfield fees * $7 50 I
TOTAL PERMIT FEE I $63 50
10% Local Admm Fee. 5% Local Technology Fee
(;ity of Springfield
Plumbing Authorization To Begin Work
E-mailedTo:info@kevincohenpJumbing.com
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
i'l,
TYPE ,OF WORK
, ,~, , ,
"'"
D New constructIOn
[i] Addlllon/alteratlOnlreplacement
I,'
1.
CAtEGORY PF,CONSTR,YCTION
')"
',1,' ,
[KJ I or 2 family dwellmg
D Commercial/Industrial
D MullI-famlly
D Accessory BUlldmg
JOB SITE INFORMATION AND lOCATION
'1 ' ,
I Job no, 23343 I Job address 2864 WAYSIDE LP
IOty/State/ZIP, SPRINGFIELD, OR 97477-1328
I SUlte/bldg /apt.no .
I Project name Mills
Cross street/directIOns to Job site.
waYSide off of roundabout on harlow
I SubdiVISIOn
I Tax map/parcel no.
I
I Lot no
1703224102000
"', DESCRIPTION OF WORK I ,
1"< ' I,
"if'
.' ,
mstall nnma water heater
SITE CONTACL. . 'I
I'll)
, II""
I Name Meridith Mills
IPhone (541)431-1675
Emall
I Fax' 431-1675
" .'" """,, . CONTRACTOR-.M!J.'", ,
'y <i ~ ,
I Plmb he no PB363 I CCB he no' 176311
I Busmess Name. KEVIN COHEN PLUMBING INC
I Contact:
IAddress: 4736 ROYAL AVE #15
IOty/State/ZIP. EUGENE OR 97402
I Phone' (541 )6079208 I Fax' (541 )6077033
I Emall mfo@kevmcohenplumbmg com
I Metro he no I City lie no:
Upon review and approval by your local JUriSdiction, your
permit Will be e-malled or faxed Within one bUSiness day,
With instructions on how to schedule your inspection
NOTE ThiS AuthOrization To Begin Work expIres Within 180
days If a permit IS not obtained
The local bUilding department may determine that an
AuthOrization To Begin Work IS null and VOid If It does not
meet applicable land use laws and local ordinances,
Receipt # EC525891
2/20/20089:16:12AM
Ea
Total
not offered onlme at thiS JUrisdictIOn
not offered online at thiS junsdlctlOn
not offered onlme at thiS JUriSdiction
$16001
I
I
I
I
I
I
I
I
I
I
Inot offered online at thiS jUflsdlctlOn
I
I
I
not offered onlme at thiS JUrisdictIOn
not offered onlme at thiS JUriSdiction
I
I
II
$1600
I not offered onlme at thIS JunsdlctlOn
Inot offered onlme at thiS jUrISdlClion
P~LUMBJNG PERMJ..T F.EES .
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00220
COM2008-00220
COM2008-00220
COM2008-00220
COM2008-00220
COM2008-00220
Payments:
Type of Payment
ONLINE CHGS
cRecelOt I
RECEIPT #:
2200800000000000224
DescriptIon
Backflow DevIce
Fixture
MInimum/AdJustment PlumbIng
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 02/20/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of I
ONLINE KEVIN Online
COHEN
PLUMBING
INC
Payment Total:
9:50:48AM
Amount Due
1600
1600
1800
250
600
500
$63.50
Amount PaId
$63 50
$63.50
2/20/2008