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Home My WebLink AboutPermit Plumbing 2008-8-20 Status Issued CITY OF I'lt'KlN&1'1ELD Building/Combination Permit PERMIT NO' COM2008-01256 ISSUED. 08120/2008 APPLIED: 08/20/2008 EXPIRES: 02/2012009 VALUE 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 765 12TH ST ASSESSOR'S PARCEL NO 1703351103900 Spnngfield TYPE OF WORK Plumbmg Only TYPE OF USE AlteratIOn Resldenhal PROJECT DESCRIPTION Bathroom remodel Owner Add. ess HA YES LARRY R & JANICE G 701 RAYNER AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Plumbmg Contractor KEVIN COHEN PLUMBING INC License 176311 Explratton Date 05/30/2009 Phone (541) 607-9208 BUILDING INFOR~ATlONI #ofUmts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms # of Stones Height of Structure Type of Heat Water Type. Range Type Energy Path Spnnkled Buddmg Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load n/a I DEVELOPMENT INFORMATION I Frontyard Setback SIde I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage REQUIRED PARKING Total HandIcapped Compact I PUBLIC IMPROVEM~NTS I Street Improvements Sidewalk Type Storm Sewer A vadable DownspoutslDrams Special, Instruction.,...., ~!.. 'r~"" ~rC' ".....11 to f Notes '1[. IIty I I r'J~ <1' L c:-st IDrlh In ~ ~ I II ~ \ n -::: :E, ...._ DC,J Yc'_' r, C~I obtain OOf-ICc of lie rIJI<?S b I H ~. OCidl Q t'le center (I~c,o the tele~ _v_aI~atton DescriDtlOn - : S PERMIT SHALL EXPIRE IF THE WORK number Tor the OregJll Utility Notl;IC~1jP,n '" ,\~,JTYORIZED UNDER THIS PERMIT IS NOT DescnptlOn Cerf~b~s"hl?D[U:.'ItfuhI4). e\~q tt sq~~e~~~t~lF'~CED OR~I,I,<!3ANDONIID~(llilculated or mu Ip ler or I ,L\!Wuf80 DAY PERIOD Page I of2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO. COM2008-01256 ISSUED. 08/2012008 APPLIED 08/20/2008 EXPIRES: 02/20/2009 VALUE: 225 F,lth Street, Sprlllgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of Project Fees Poul I Fee DescnptlOn + 10% AdmlIllstratJve Fee + 12% State Sunharge + 5% Technology Fee FIxture Mmlmum/AdJustment Plumblllg Amount PaId Date Paid $520 $624 $260 $34 00 $1800 8/20/08 8/20/08 8/20/08 8/20/08 8/20/08 ReceIpt Number 2200800000000001266 2200800000000001266 2200800000000001266 2200800000000001266 2200800000000001266 Total Amount Paid $66 04 I Plan RevIews , ~ To Request an mspectlOn call the 24 hour recordmg at 726-3769. All inspectIOns requested before 7.00 a m. WIll be made the same workmg day, mspectlOns requested after 7:00 a m will be made the followmg work day. I ~e?~lred I"'\lectin", I Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg Shower Pan Pnor to covermg and mcludmg reqUIred testmg Fmal Plumblllg When all plumbmg work IS complete By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do he. eby certIfy that all mformatlOlI hereon IS true and correct, and I further cerhfy that any and all work performed shall be done III accordance WIth the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY wIll be made of any structure WIthout permISSIon of the Commumty Services DIVIsIOn, BUlldmg Safety I further cerhfy that only contractors and employees who are m comphance With ORS 701 005 WIll be used on thIS project I further agree to ensure that all reqUIred mspectlOns ale requested at the proper tIme, that each address IS readable trom the street, that the pernnt card IS located at the front of the property, and the approved set of plans will remalIl on the Site at all times dunng constructIOn Owner or Contractors SIgnature Date Paee 2 of 2 ;~; Il~ it ~~{.-~. I"" \~ r ~~~FEE-scBEi5QqL~~ I Description I Qty l.a I Sl~e ~~l~~e~Wrripa)x~<!!!re-pl~~~jA!:O~!--Y2i0;; ~ " _ ~~~ "t. ir- - "-;.~I I Samtary Sewer ~ first ]00 feet not offered onlme <It this JunsdlcllOn I - each addItIOnal 100 feet not offered onlme at thIs Junsdlctlon I Stann St:wcr - first 100 feel not offered onlme at thIs Junsdlcllon I . each additional 100 feet not offered onlme dllhlS Junsdlctlon JOB'SITEINFORMATION AND LOCATION"c~"" ""c ,,-, .,:::g,i'cl I W S fi 100 t - ~-'" - '" "^ ~ ,.-" ~ ater ervlce- Irsl eel not offered onlmc dtthlSJUflsdlctlOn IJOb no IJob address 765 12TH ST I I - each additional 100 feet not offued onlmc at this JunsdlctlOn IOty/S.a.eIZIP SPRINGFIELD OR 97477-4149 II OliierSJJJ'::qh!~~es,=:' c I SUlte/bldg /apl no I I I RdHl dram lol/cetar systlm nol oJ)en...d onlme at thiS JunsdlctlOn I Project name HAyes I I - Drywell Inot offered onhne at thIS JUrISdIction Cro~s street/directions to job site I - Catch basm or area dram Inot offered onlme at thIS junsdll.t1on I M Pressure reducmg valve Inot offered onlme at thlsjunsdlcUon I M Grease mterceptor nol offered onlme at thlsjunsdlctlOn l-tfhlS ~ic~tl(~~:~PE~ !~~~!tlp~ns~ al~eratlolls or r~pl?C~e~I~_"t~ or ~ ~ plumbmg ,!~~r\+,,2"':_~~ ^"':, r- _ . I Backflow preventer I Backwater vdlve I Clothls washer I DIshwasher I Dflnkmg fountam I Ejectors/sump I ExpansIOn tank I FIxture/sewer cap Illoor dram/floor smk/hub I Garbage dIsposal I Hose bIb I kemaker I Pflmer - up to first 5 I Prnner -each addItIOnal I SInk/basin/lavatory I Tub/shower/shower pan I Urmal I Water closet I Water heater I ~hsce-I~fu:~u~~,7 ..2 '} - IS.... Hnmlng pool or spa. water suoolv and dram I . Hydronlc -heatmg open loop system I~' .- ^ ~ ~LUMBING PERMITFEES I $17 00 I I I I I I I I I I I I I $17 00 I I I I I I I I Subtot,l $34'001 Minimum fee used Instead of Subtotal $5200 I State Surcharge (12% ofpermlt fee) $624 I Cn'\ Ot Sonngfield tees'" $7 80 I I 101AL HRMIl FEE I $6604 I '" CIty Of Spnngfield fees 10% AdmllllStratlon Fee 5% Technology Fee CIty of SP!mgfield Plumbmg AuthOrIzatIon To Begm Work E-malled To mfo@kevmcohenplumbmgcom Check on status of perm It By Phone (541)726-3753 or Emall permltcenter@cl sprmgfield or us ~ J:YPE OF WORK~~:-_ I D New constructiOn [K] AddItiOn/alteratIon/replacement [Xl I or 2 family dwclllllg cATE"G~Y OF cpNS1:~UCTION-jC~; D Multi-famIly o Commcrclal/lndustnal D Accessory BUlldmg 1>- ~'4 I SubdIVISIon ITax map/pareelno L, BATH ROOM REMODEl lLot no 1703351103900 f ',: DESCRIPTION OF WORK ~ 4 ~0^ ~ , c ~"' ~, I Name JANICE IIA yeS Phone I Emall , ," CT~?14<,,^ :- _::;;::~SJIE,C.oN...Acc~;?;~ IFax ~C6NTRACTOR~r":~ - . ~ - 1eJ' , IPlmb lie no PB363 ICCB hc no 176311 I Busllles~ Name KEVIN COHEN PLUMBING INC I Contact gdrett connell ~" Address 4736 ROYAL AVE #15 CIty/Stale/ZIP WGENE OR 97402 Phone (541 )6079208 I Fn (541)6077033 l.mall mlo@kevlncohcnplumblllg com Metro Ill.. no 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 instructions on how to schedule your inspection NOTE ThiS AuthOrization To Begin Work expires wlthm 180 days If a permit IS not obtarned 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 # .RC5364119 8/20/2008 II 56 04 AM , 'c I ~j ;: - ~ lo.al I I I I I I I I I I I I I I $1700 Inot offered onlme at thiS JUrisdiction I I I I I Inot offered onlllle at thiS jUflsdlctlOn Inot offerld onlllll at 11llSjUflSdlcllon I $1700 p not offered onlme at thIS jUnSdlctlOn not offered onlme at thlsjunsdlclJOn " ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit 225 FIfth &treet Sprmgfield, Oregon 97477 541-726-3759 Phone rn;;F;tij IIli: Job/Journal Number COM2008-01256 COM2008-01256 COM2008-01256 COM2008-0 1256 COM2008-0 1256 Payments Type of Payment ONLINE CHGS cRecelOtl RECEIPT #. 2200800000000001266 DescriptIOn FIxture MinImum/AdJustment Plumbing + 5% Technology ree + 12% State Surcharge + 10% AdminIstratIve Fee CIty of SprIngfield OfficIal ReceIpt Development ServIces Department PublIc Works Department Date: 08/20/2008 Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS ddk Page I of 1 ONLINE KEVIN Online COHEN PLUMBING INC Payment Total 12 40 28PM Amount Due 3400 1800 260 624 520 $66 04 Amount Paid $66 04 $66 04 8/20/2008