HomeMy WebLinkAboutPermit Plumbing 2008-2-28
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00292
ISSUED: 02/28/2008
APPLIED: 02/28/2008
EXPIRES: 08/28/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1333 1ST ST
ASSESSOR'S PARCEL NO.: 1703263300544
Springfield TYPE OF WORK: Commercial Miscellaneous
PROJECT DESCRIPTION: Install 2 tankless water heaters
TYPE OF USE: Repair
Commercial
Owner: MARQUIS HEAL THCARE PROP LLC
Address: 4560 SE INTERNATIONAL WAY STE
MILWAUKIE OR 97222
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Plumbing
Contractor
FM SHEET METAL INC
TWIN RIVERS PLUMBING INC
License
8971 0
17695
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type Water Type:
Secondary Construction Type: ~~tl~:
# of Bedrooms: AI I c.lmON: Oregon taw;, JgIQi~)tJ\'~tlJ:
follow rules adopted by t e Ie Bf~~4b1lb1ilding n/a
II W'i-4'~"'r l'antAr. Tbose ru -c 'JM
iv\",.,.3n. 10t. .,. ._f\ )"z. !-
InOAR952-OO1-OO I -~9'~FORMATION
0090. You may o~ta n(Note. the te ep 0
calling the cen,er. .. . ~ tification
Frontyard Setback: "umber for the Oregon UtlhtYi ~fTaylJist:
Side 1 Setback: Center Is 1-800-332- ~leet Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Expiration Date
03/15/2009
03/11/2008
Phone
541-726-3000
541-688-1444
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Page 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
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Appliance Vent
Fixture
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00292
ISSUED: 02/28/2008
APPLIED: 02/28/2008
EXPIRES: 08/28/2008
VALUE:
I Valuation Description I
$ 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 2/28/08 2200800000000000264
$10.00 2/28/08 2200800000000000264
$12.00 2/28/08 2200800000000000264
$5.00 2/28/08 2200800000000000264
$14.00 2/28/08 2200800000000000264
$32.00 2/28/08 2200800000000000264
$5.00 2/28/08 2200800000000000264
$31.00 2/28/08 2200800000000000264
$18.00 2/28/08 2200800000000000264
$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.
~eouiredJnSDections .
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
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.
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00292
ISSUED: 02/28/2008
APPLIED: 02/28/2008
EXPIRES: 08/28/2008
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.
o~~t::-
'/> /Z:?/os/
Date / /
Pa!!e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541:726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00292
COM2008-00292
COM2008-00292
COM2008-00292
COM2008-00292
COM2008-00292
COM2008-00292
COM2008-00292
COM2008-00292
Payments:
Type of Payment
Check
cRecelOll
RECEIPT #:
2200800000000000264
Date: 02/28/2008
DescriptIOn
FIxture
MInimum/Adjustment PlumbIng
Appliance Vent
Gas Outlets 1-4
MInimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstrative Fee
Paid By
TWIN RIVERS PLUMBING
INC
Item Total:
Check Number Authorization
Received By Batch Number Number How ReceIved
djb
30242
In Person
Payment Total:
Page I of I
11:15:52AM
Amount Due
3200
1800
1400
500
31 00
2000
500
1200
10 00
$147.00
Amount PaId
$147 00
$147.00
2/28/2008