HomeMy WebLinkAboutPermit Plumbing 2009-2-12
S ta tus
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00200
ISSUED: 02/12/2009
APPLIED: 0211212009
EXPIRES: 08/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3550 GATEWAY ST
ASSESSOR'S PARCEL NO.: 1703153301700
Springfield TYPE OF WORK: Plnmbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install water beater
Owner:
Address:
INN4 LLC
3550 GA TEW A Y
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION,
Contractor Type
Plnmbing .
Contractor
AUTOMATIC HEAT COMPANY
License
149452
Expiration Date
10/22/2009
Phone
541-726-7654
BUILDING INFORMATION'
# of Units:
Primary Occupancy Gronp:
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 Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Othcr:
Occnpant Load:
nla
I DEV~LOPMENT ~NFORMATION .
REQUIRED PARKING
Street Improvements:
Storm Sewer A vaHable:
Special Instruction:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
ATTENTION: Oregon law requires you to
I PUBLIC IMPROVE~fflffjic:~c~~t:r:~Th~~~; ;~I;~ ~~;'~e;~~~h
In OAR 952-0~i1r.o.QaR<tIj1U6~gh OAR 952-001-
0090. You may 50taln ctfPles of the rules by
. calling the &1'IllJ.fP<(MS>lDrallllitelephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Total:
Handicapped:
Compact:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
. Rearyard Setback: .
Solar Setbacks:
Notes:
NOTICE:
T"I~ ~~"""f _..'
, ., - ,-I~.,,~ U"MLL C^"lit~Uhf{
AUTHORIZED UNDER THIS P~'P~io~f)escfiDtion I
COMMENCED OR IS ABANDONFD fOR ' .
D . t' ANY 1J1O nAV_OCDlnn. $T'er sq'Ft Square Footage
escnp IOn 'l'i"Pe-tlf LOllBl1I'lI\lfIOn I' I' B'd A
. or mu tip ler or 1 mount
Value
Date Calculated
Paee I of 2
Status
Issued
CITY OF SPRIJ'/bJ:<mLD
Building/Combination Permit
PERMIT NO: COM2009-00200
ISSUED: 02/12/2009
APPLIED: 02/12/2009
EXPIRES: 08/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
Fe~s P~id I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
. Fixture
MinimumlAdjustmeut Plumhing
Amount Paid
Date Paid
$6.96
$2.90
$19.00
$39.00
2/12/09
2/12/09
2/12/09
2/12/09
Receipt Nun!ber
3200900000000000079
3200900000000000079
3200900000000000079
3200900000000000079
Total Amount Paid
$67.86
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. .
I Reuuired Insoections I
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
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 doue in accordance with
the Ordinances of the City of Spriugfield 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 eusure 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 remaiu on the site at all
times during construction. .
Owner or Coutractors Signature
Date
Paee 2 of2
City of Springfield
Plumbing Authorization To Begin Work
E-mailedTo:mschilling@automaticheatco.com
Receipt # EC546635
2/11/20093:20:23 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us.
I D New construction
[K] Addition/a]ter~tionlrep]acement
IJob no.: IJob address: '3550 GATEWAY ST
I Ci~Y/StateIZIP: SPRINGFIELD, OR 97477-6007
SUlte!bldg.Japt.no.:
I Project name:
Cross streeUdiredions to job site:
Sanitary Sewer - first 100 feet
- each additional 100 feet
I Storm Sewer - first IOO-reet
I - each additional 100 feet
I Water Service-first 100 feet
I I - each additional] 00 feet
I
I I - ~ain drain collector system
II -Dcyw,1I
I - Catch basin or area drain
I ~ Pressure reducing valve
I
[K] 1 or 2 family dwelling
D Commercial! Industrial
o Multi-family
D Accessory Building
I ~ubdivision:
I tot no.:
I
I
I
I
I
I
I
I
I
I
I
I
nol uITered online allhis jurisdiction I
nOI offered online allhis jurisdiction I
I
I
I
I
$19001 $19.001
IPlmb.lic. no.: 20-390PB ICCBlic. no.: ]49452
I Business Name: AUTOMATIC HEAT COMPANY
I Contact: 149452
IAddress: 3675 FRANKLIN BLVD
I City/Stllt~rp: EUGENE OR 97403
I Phone: (54] )7267654 I Fax: None
I Email: mschilling@automalicheatco.com
I Metro lie. no.: I City lie. no.:
Upon review and approval by your local jurisdictio~;your
permit will be e-mailed or faxed within one busines,s day,
with instructions on how to schedule your inspection.
I
/
J
J Backflow prcventer
I Backwater valve
I Clothes washer
I Dishwasher
I Drinking fountain
I Ejectors/sump
I E~pansion tank
I F-ixture/sewer cap
i Floor drain/floor sinklhub
I Garbage disposal
I Hose bib
I Ice maker
I Primer-up to first 5 (El}ler
Qyt=!)
I Primer -each addilional
.1 Sinklbasinllavatory
I Tub/shower/shower pan
I Urinal
IWalerc-loset
I Water heater
install water heater
I Name: Tim Switzer
I Phone:
jEmail:
IFax:
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine th~t an \
Authorization To Begin Work is null and void if It does not
meet applicable land use laws,and local ord.inances\
I-Swimming pool or spa c
water supply and drain
I - Hydronlc -heating ~ open loop I J I
system .
1~_fi"'''''''''.'''';;:Y-'--_.'-' "...-,.-,.... "'-'-'.e=""",",,'1~' .,. "'I
t;mt~~~j5FWUMI?,Ir!ql~g!3~lY'm~[~elf~~~t;\!~~i~~t;:
I Subtotal I $19.00 I
I Minimum fee used instead of Subtotal $58:00 I
I State Surcharge (12% of permit fee) _ $6.96 I
I City Of Springfield fees'" I $2.90 I
I TOTAL PERMIT FEE $67.86 I
'" City or Springfield fees: 5% Technology Fee
OOm2.au9 - 0J2. C5--Q
Z- /l..-C"i: "ii-""\.. \
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
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200900000000000079
Date: 02/12/2009
7:51:53AM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM ONLINE AUTOMAT Online
IC HEAT
Amount Due
19.00
39.00
2.90
6.96
$67.86
Job/Journal Number
COM2009-00200
COM2009-00200
COM2009-00200
COM2009-00200
Description
Fixture
Minimum! Adjustment Plumbing
+ 5% Technology Fee
+ 12% Slale Surcharge
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
$67.86
Payment Total:
$67.86
cReceintl
Page I of I
2/12/2009