HomeMy WebLinkAboutPermit Plumbing 2008-5-19
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-01298
ISSUED: 09/13/2007
APPLIED: 08/29/2007
EXPIRES: 11/19/2008
VALUE: $ 128,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3950 Marcola Rd
ASSESSOR'S PARCEL NO.: 1702190003500
Springfield TYPE OF WORK: Paving
PROJECT DESCRIPTION: Parking lot redevelopment
TYPE OF USE: New
Commercial
Owner: ORE INDUSTRIAL LUMBER PROD INC
Address: PO BOX 1442
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Engineer
Landscape
Contractor
MORSE BROS
BRANCH ENGINEERING
MEDALLION LANDSCAPE SERVICE INC
License
2101
7118
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 Const~1rom: Oregon law reqUlr"lea~ye:
# of Bedrooms: foftow rules adopted by the Oregmre 'lY1th:
Notification Center. Those rules ar< )xJ 'Building n/a
. I.. ~A;; i52-eS1 *? th'(oug.h n~R 52-o0~.
0090. You may obtain co~MW~_r;f INFORMATION I
calling the center. (Not . .I,~ . .
rober for the Oregon Utility NotIfication
Frontyard Setba9~ Center II 1-800-332-2344J~erlay Dist:
Side 1 Setback: # Street 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:
Phone Number: 541-746-2531
Expiration Date
08/10/2008
Phone
541-689-6600
541-746-0637
541-933-2745
02/28/2010
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 1F THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED fOR
ANY 180 DAY PERIOD.
Notes:
Page 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01298
ISSUED: 09/13/2007
APPLIED: 08/29/2007
EXPIRES: 11/19/2008
VALUE: $ 128,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Estimate
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
128,000.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$128,000.00
$128,000.00
08/29/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Encroachment Permit $135.00 8/29/07 3200700000000000581
Plan Review Comm/Ind/Public $470.00 8/29/07 3200700000000000580
+ 10% Administrative Fee $88.51 9/13/07 3200700000000000617
+ 5% Technology Fee $52.75 9/13/07 3200700000000000617
+ 8% State Surcharge $12.96 9/13/07 3200700000000000617
Curbcut Permit $170.00 9/13/07 3200700000000000617
Fixture $64.00 9/13/07 3200700000000000617
Paving $723.08 9/13/07 3200700000000000617
Storm Sewer - 1st 50 Feet $50.00 9/13/07 3200700000000000617
Storm Sewer Each AddtI 100' $48.00 9/13/07 3200700000000000617
+ 10% Administrative Fee $3.20 5/7/08 1200800000000000440
+ 12% State Surcharge $3.84 5/7/08 1200800000000000440
+ 5% Technology Fee $1.60 5/7/08 1200800000000000440
Storm Sewer Each Addtll00' $32.00 5/7/08 1200800000000000440
+ 10% Administrative Fee $5.00 5/19/08 1200800000000000524
+ 12% State Surcharge $6.00 5/19/08 1200800000000000524
+ 5% Technology Fee $2.50 5/19/08 1200800000000000524
Backflow Device $16.00 5/19/08 1200800000000000524
Minimum/Adjustment Plumbing $34.00 5/19/08 1200800000000000524
Total Amount Paid $1,918.44
I Plan Reviews ,
Initial Review 08/30/2007 08/30/2007 APP LLH
Public Works Review 09/0412007 09/04/2007 APP JHJ Attached SDC Worksheet. No New
SDC's (JHJ)
Structural Review 08/30/2007 09/10/2007 APP DJP
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.
Pa2;e 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-01298
ISSUED: 09/13/2007
APPLIED: 08/2912007
EXPIRES: 11/19/2008
VALUE: $ 128,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Reouired Insoections I
Rough Grading: After gravel is in place but prior to placing concrete.
Underground Plumbing: Prior to filling the trench and including required testing.
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Final Paving: After paving is complete.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
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.
//-
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Owner or Contractors Signature
Date
Pae:e 3 of 3
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
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BACK~'LOW PREVENTION DEVICE PERMIT FEE: $63.50
Contractor Information
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By signing this permit/application, I agree to call for an inspection once the backtlow prevention device
has been installed and is viSIble for inspectIOn (726-3769) I also state that all information on thIS
permit/application is correct
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Datt' S - ley' -D?'
Date of Apphcation
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Checked for Delinquencif'<;
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Shared Dnve (T )/Bulldmg Fonns/Backflow PreventIOn 1.08 doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01298
COM2007-01298
COM2007-01298
COM2007-01298
COM2007-01298
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
1200800000000000524
Date: 05/19/2008
Description
Backflow Device
MInImum! AdJustment Plumbmg
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdminIstratIVe Fee
Paid By
KENNETH CORNELIUS
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 07424C In Person
Payment Total:
Page I of I
11:38:46AM
Amount Due
1600
3400
250
600
500
$63.50
Amount Paid
$63 50
$63.50
5/19/2008