HomeMy WebLinkAboutPermit Plumbing 2008-8-15
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2008-01224
ISSUED' 08/15/2008
APPLIED: 08/15/2008
EXPIRES: 02/15/2009
VALUE:
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlIle
SITE ADDRESS 445 S 47TH ST
ASSESSOR'S PARCEL NO 1702324306801
SPFLD
TYPE OF WORK Plumblllg Only
TYPE OF USE
New
Residential
PROJECT DESCRIPTION AddItIon of water closet and lavatory
Owner
Address
PRATTTAWNYA R
445 S 47TH ST
SPRINCFIELD OR 97478
Phone Numbel 541-501-2922
I CONTRACTOR INFORMATION'
Contractor Type
Plnmblllg
Contractor
KEVIN COHEN PLUMBlNC INC
LIcense
176311
ExpIratIon Date
05/3012009
Phone
(541) 607-9208
BUILDINC INFORMATION I
# of UllItS
Pnmary Occupancy Croup
Secondary Occupancy Croup
Pllmary ConstructIOn Type
Seconddry Constl uctlOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type 01 Heat
Water Type
Range Type
Energy Path
Spnnkled Bmldlllg
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Carage/Carport
Sq Ft Other
Occupant Load
n/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKINC
Frontyard Setback
SIde 1 Setback
SIde 2 Setback
Rearydrd Setback
Solar Setbdcks
Overlay DISt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Total
HandICapped
Compact
'0' ,>- ," J~ j"-'n"'" '-I r"...... J'=" \''JJ to
I PUBLIC IMPROVE\\1ENTS I, a nr" " ' Uti I
; I, I _, I c.vJI1 II Y
NOllIIC8' "1 C'Sldewalk Type 0 "r, setlorth
m OAR b5? uJ1 0: ~ Ci 1, L - " on; S52-001-
Storm Sewer AvaIlable 0090 You IllaP.9~!!~p~'!.t~/!?J'YP~'e rules by
SpeCIal InstructlO~ callmg the center (No'e the telephone
!OnCE: number lor the Oregon Ulillty NotlllcatlOn
Notes THIS PERMIT SH Center IS 1-800-332-2344).
1\11 rp('n'....~r ALL EXPIRi: Ie: "-'I~ 1_'
, '. ,~~'-' UIVUtR TH - '-" ""':11\
(,',~~lid~CED OR IS ABl~a~~WllI'~1OO1nDtIon I
8:] DAY PERIOD '- .!,~u rUN ' .
T f C t t $ Per Sq Ft Square Footage
vpe 0 ODS rue IOn
or multIplIer or BId Amount
Street Improvement;
DeScriptIOn
Value
Date Calculated
Paee 1 of 2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED.
APPLIED.
EXPIRES.
VALUE:
cOM2008-0I224
08/15/2008
08/15/2008
02/15/2009
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlIle
Total Value of ProJect
Fees Paid'
Fee DescnptlOn
+ 10% AdmmlstrdtIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
MlllImnm/AdJustment Mechalllcal
Amount PaId
Date PaId
ReceIpt N nmber
$520
$624
$260
$34 00
$1800
8/15/08
8/15/08
8/15/08
8/15/08
8/15/08
3200800000000000571
3200800000000000571
3200800000000000571
3200800000000000571
3200800000000000571
Totdl Amount PaId
$66 04
Plan ReVIews I
To Request an mspectlOn call the 24 hour recOl dmg at 726-3769. All inspections requested before 7.00
a m. will be made the same workmg day, mspections requested after 7:00 a.m. will be made the folIowmg
work day.
I Reomred I n~Olictio~. ,
Rough Plumblllg Pnor to cover and mcludmg reqUIred testmg
Fmal Plumblllg When all plnmblllg work IS complete
By sIgnature, I state and agree, that I have carefully examllled the completed applIcahon and do hereby certIfy thdt dll
IIlformaholl hereon IS true and correct, and I further certIfy that dny and all work performed shall be done III dccorddnce wIth
the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herelll, and
that NO OCCUPANCY wIll be made of any structnre wlthont permIssIOn of the Commulllty ServICes DIVISIOn, BUlldmg Safety
I furthel certIfy thdt only coutrdctors dnd employees who dIe III complIdnce WIth ORS 701 005 wIll be used on thIs proJect
I further agree to ensure that all requIred mspectlOns are reqnested at the proper tIme, that each address IS reddable from the
street, that the permIt carIlls located at the front of the property, and the approved set of plans wIll remdm on the sIte at all
times dunng constructIOn
Owner or Contractors SIgnature
Date
Paee 2 of2
CIty of Springfield
Plumbmg AuthorizatIOn To Begm Work
E-maIled To mfo@kevlDcohenplumbmg com
ta
By Phone
Check on status of permit
(541)726-3753 or Em all permltcenter@CI sprlllgfield or ns
ReceIpt # RC536236
8/15/2008 9 51 17 AM
I 0 New constructl';m
o AddltlonlalteratlOnfTepJacement
I I FEE SCHEDULE
\ Descnphon Qtv
j Site UtdJtIf3:n.pUIl" OR replAcement ONLY
Ea
Total
I Samtary Sewer first 100 feet
-cdch additIOnal 100 feet
I ~torm ~ewer - first ]00 feel
I each addltlonal 100 feet
I I Water Service - first 100 feet
I I - each addlttonall00 feet
I Other ~Ite Utilities
I - Ram drum collector system not offered online at thiS JUflsdlctlOn
I - Drywell not offered onllllc at thJ~ JUnsdlcllon
I - Catch baSin or area dram not offered online at thiS JUTlSdlctlOn
I - Pressure reducmg valve not offered onhne at thiS JunsdlctlOn
I - Grease Interceptor Ino\ offered online at thiS JUflsdlcllon
\1 hiS ...ectlOn applies to ~ddltlons, ulteratlOn.. or replacements of
plumblllg
I Backtlow prcventer I
I Bdckwatervalve I
I Clothe... washer I
I Dlshwd"her
I Dnnkmg fountam
I Ejectors/sump
\ ExpanSIon tan"-
I FJXture/sewerLap
I Floor dram/floor smk/hub
I Garbagt, dIsposal
I Hose bIb
Ilcema"-er
I PTlmt.r - up to first 5
I Pnmer each addltlona\
I Smk/basmllavatory
I Tubhhower/shm...er pan
Urmal
I Water closet
I Water heater
I Miscellaneolls
I SWlmmmg pool or spa
wdter supoly and dram
I - H}dromc -heatmg - open loop
system
I
I
I
I
I
$17 00 I
I
I
$17001
I
I
I
I
I
Subtotal I $3400 I
Mlmmum fee used lllstead of Subtotal $5200 I
State Surcharge (11% of penn II fee) 1 $624 I
City Of SpTlngfield fees *1 $7 80 l
TOTAl PERMI na I $6604 I
:eld fees 10% Admm,strMlor. Fee, -5% lechnology FLe
TYPE OF WORK
CATEGORY OF CONSTRUCTION
[K] I or 2 family dwellmg
o Commercldl / Industrial
o Multi family
o Accessory Blu]dmg
JOB SITE INFORMATION AND LOCATION
I Job no I Job '1ddress 445 S 471 H ST
IClty/State/ZIP SPRINGrILLD OR 974786631
I SUlte/bldg /apt no
I ProJcet n.lmc Pratt
Cross str-eet/du"eehon... to Job !>lte
I SubdiVISion
I Tax map/p neel no
ILot no
]702324306800
DESCRIPTION OF WORK
additIOn ofwdler closet & lavatory
I
IName
IPhon,
IEmHlI
SITE CONTACT
tawnya pratt
(541) 501-2922
I Fax
CONTRACTOR
I Plmb he no PB363 I CCB he no
'Busmess Name KEVIN COHEN PLUMBING INC
I Contact garett connell
IAddre...s 4736 ROYALAVI #15
I City/Mate/LIP EUGENf OR 97402
I Phone (54] )6079208
I Fmatl mfo@kevmcohenplumbmgLOm
I Metro he no
1763]j
Itn (54])6077033
I City he no
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed Within one bUSiness day,
With Instructlons on how to schedule your Inspectlon
NOTE ThiS AuthOrization To Begm Work expires Within 180
days If a permit is not obtamed
I
I
The local bUilding department may determine that an I
AuthOrization To Begm Work IS null and void If It does not I
meet applicable land use laws and local or -,jl~~~ tlOR: .- 0\ )..d4' I
~ ut) Ut ~pnng
S7f
not oITered on]me J.t thIS JUrisdictIOn
not offered onlme at thIS JUrisdictIOn
not oITered onlme at thiS JtlTlSdlctlOn
not alTered onlme at thiS JUTlSdlCIlOn
nOI offeRd onlme at thIS JUriSdiction
not offered onlme at thlS J\lT1SctK1.lOfi
not oITered onhne al thIS JUrisdictIOn
not otTt,red onlme at thiS JUTlSdlctlOn
not offered onlme at thiS JUrisdIctIOn
$17001
$1700
not offered onlme at thIS jUn~dlLl\On
PLUMBING PERMIT FEES
not offered online at IhlS JUrlSU1LtlOn
RCPT# 32UV<('''--
DATE PROCESSED If -IS-DO"
3egln Work musi]e posted at the Job Sltl' untIl replaced by a Permit
PRocEssmwrt7 AU'U' .
ThIS AuthOrizatIon To
225 FIfth Street
Spnngfield, Oregon 97477
541-726-3759 Phone
ii:4'J
CIty of Spnngfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-0l224
COM2008-0 1224
COM2008-0 1224
COM2008-0 1224
COM2008-0 1224
Payments
Type of Payment
ONLINE CHGS
LRecemtl
RECEIPT #
3200800000000000571
Date' 08/15/2008
Description
Fixture
MlIllmumlAdJustment Mechalllcal
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admllllstralive Fee
PaId By
ONLINE PERMIT CHGS
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
NJM
ONLINE
COHEN OnlIne
Payment Total
Page 1 of I
1031 19AM
Amount Due
3400
1800
260
624
520
$66 U4
Amount Paid
$66 04
$66 04
8/15/2008