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Home My WebLink AboutPermit Plumbing 2009-7-16 Plumbing Permit Application II 1~~RE~@tM'rnTfU~f0.NI!y:t.:'"=;.'~..1 ~~>."tiW.'f~"';if..t1;~~~~~~'-~k?:",J.:IIA I Permitd~: c?'1-- ';-77 I I Date: 7//t-10:1' I .. ... 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 '. This permit is issued uuder OAR 9]8-780-0060. Permits are issued ouly to the persou or coutractor doiug the work. Permits expire if work is uot started withiu ]80 days of issuauce or if work is suspeuded for ]80 days. :: 1/ 1;:~i:;;:r;"il:ill'tiW';!1:!~;r;~';!;:EE;ifS0I'lEDU~E"~~!iij:l:;;""-'!l"l"-ff;\ ..".,..';.,..,)d...,"'''';-"",,.;.:.',;<:>'',Tliel'''.;L;;,,__''-..... _.',-" '... "__ ...._ ._...._.~JN;1"'_-.-:_",..~,,~~~ 1~-P~~l:1i~im~~~~~~I.Q:'1'j~fEQstlilll;E@i\11!! i:Q:,#i#17~tP~~",~~i~;o;~3t~!!_~&Q~.t~ 11r~:~P~~~~~~;~~di~RN~6lf~~~eR()V6~:llL"{~mii'9!~1 I Sauitation approval verified? 0 Yes . 0 No r~U~C::{iJiEl.3()RY&:0.1710(;5,NSjliR!'J,!>j1]lbN~,!;~~~; o Resideutial I D Government I. Commercial ~~~~~;:~TiE;~~;~MI(;5,N:::~t1;;()N~~~~ I City: <:;~r,~~lcA I State: <:;) R.. I ZIP: l' &.~J;.;";vn Yl02.1:;y\\ I Lotuo.r>~ Mrg~~~'il![jI:S:0RlemION~()FJliW()RK.~:~lt~~~~;~-{~J r2a..f/~ .p-t:d-,ri~ Obm.l,.:w ~~/I I i-v Ii{ tY(~ " ,i1IJ' l.N~.:Ji LI he 5 ~=~'., .."~""" ..__. .."-' . '"'''' .'" ,,,'- -- '---',\i#',' :"',;, - -~~0~"'~""j l&civ~~~~R.' ~l;R.T~~QW~ER(Ij~~~,~!fg~ I Name: P/JLf?r1JiJ-eu::loPllYleyr!- LLL I Address L\U\ O\u t'C\..~\~ 9 I City:~I\vi.N'\ffkAPstate:\(,)L I ZIP:c{l~l I Phoue: \~. I Fax: - - I E-mail: .- This installatiou is being made au residential or farm property owued by me or a member of my immediate family, aud is exempl from liceusing requiremeuts under OAR 918-695-0020. Siguature: 1~1~~cbNm~ci\l~RfAIN$mAIliJ!f.A.;r,ION~"!~::;l1}.~y;.;i31 I Business uame iRdQ,^ pfu WI fo'~J fY1kd Lie... Address: ;. o. ~ ()y /9'0'-1 . City: Cu~d).JIAVlj 1 Stat~: Lv It" I ZIP: 'Jill,) 4 I Phone:.b-~ '1PH. I Fax3lP-5;G'-2o'-/l I E-mail: )-., ivV\ AI", vvt t./;."... tfL A. t_tC.i....s. rVe-+ I CCB liceuse uo.: 11..1 )J'771 'JkD liceus~ uo.: I Plumbiug liceuse uo.: 3 '} - 5'o~ P B I Priutuame: TUM L.VYokLI'v-, I Signature ~. /../~. I .;.-- 440-2500.] (11/08/COM) I New residential 11 I bathroornll kitchen (includes: first. 100 feet of water/sewer lines, hose ': bibs, ice maker, under floor low-point drains and rain-drain packages) 11 I 2 bathroomslJ kitchen J: $374.00 $ I 3 hathroomsll kitcheu I. $439.00 $ I Each additional bathroom.(over 3) $95.00 I $ I Each additional kitchen (over I)]i $95.00 $ I Residential fire sprinklers (includes plan review) I 0 to 2,000 square feet I $58.00 I 2,001 to 3,600 square feet $116.00 13,601 to 7,200 square feet I $174.00 I 7,20 I square feet aud greater II $232.00 I Manufactured dwelling or pre-fabl'(circle'one) I Con. nectionsto building sewer and If I I $58.00 I $ water supply . . J: Commercial, industrial, and dwellings other than one- or two"family I; MinimumJee.., I ~ $58.00 I I Each fixture :-<: I $19:00 I Miscellaneous fees I 100' storm, sewer, water line 1, I Each fixture, appurtenance, and pipiryg \ StorrIl water retention/detention facilJ.ty Irrigation systems i: Piping o~ private stonn-drainage 1'\ systems exceedinl! the first 100 feet i I Specialty fixtures 1! I Reinspection (no. ofhrs. x fee per hr) I Special requested inspections (no. ofl~ hrs. x fee perhT.) . r Each additional inspection: (1) $238.00 $75.00 $19.00 $19.00 $19.00 $19.00 $19.00 $58.00 $58.00 $58.00 $ $ I I $ I '-.J $01 I I I I I I I I I I $ $ $ $ $ $ $ $ $ $ $ $ $ Minimum fee I Enter value of installation and equiprhent $ '~. 1"::;~:~;~~~I~~~.o~,a~d,:~~~p'~e~~~~~l~,.~ ~"",,~J,l:P.R.IEI!>J,l:Nif~t:lSE~1l\%>~~"Wl'.>{~ I (A) Enter subtotal of above fees Ii (Minimum Permit Fee $58.00) ! $ <; f I (B) Investigative fee (equal to [A]) , $ I (C) Enter 12% surcharge (.12 x [A+B]) $ I (D) Technology Fee (5% of[A]) Ii $ I TOT ALlees aud surcharges (A through D): $ Ii ,I CITY OF SPRINGFIELD H Building/Chmbination Permit I' PERMIT NO: €OM2009-00597 ISSUED: 0'612212009 APPLIED: 0'5/01/2009 EXPIRES: 01115/2010 VALUE: $. 300,000.00 , II l: REQUIRED PARKING It ( Tolal: I; Handicapped: ~.. Compact: Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Springtield TVPE OF WORK: Ten~nt Intill ATTENTION: aregon law requires yo~;~;~(, . follow .nles adopti.f)Yt!,~Et0F(I'JSE:1n lRemodel PROJECT DESCRIPTION: Big Lots Retail Storel Tenao't Inlill Cenler Those rules are set forth I'UtldvO.,U'" AR 952001 . ;n(1ARQS2-001-001OthroughO. ,~_".-. 0090 You may oman, vUIJ'~O U' ...~ . _. - - ,,' '. h nter (Note' the teleP.hone3Number: callmgt ece. . .'.,,, number for the aregon Utility Not\f\CatlO~ Center is 1_800-332-2344). ii SITE ADDRESS: 5790 MAIN ST ASSESSOR'S PARCEL NO.: 1702334101900 Owner: Address: POLEN DEVELOPMENT LLC 21970LVMPI.C SPRINGFIELD OR 97477 Contractor Type General Eleclrical Low Voltage Electrical Mechanical- Plumbing ji 1: Expiration Date ,. 0111412010 " 05/12120 II , 05/11'/20 I 0 ,. 11116/2010' ., TRITON PLUMBING & MECHANICAL LLC 147599 _ \.Mi7-&/2011 . BUIimNG'rNf~RM!\\i~I(9~,RE \~ W1 IS ~Gi . T\i\~ re'''''' NOER i\-lts PER R I' #101' St9Fi~1F-0 U IS ^B ^N00\'1ED F20t SiZe: hI:) ,.. rn (\Q f'\ f'\ I' '. ttt:i~~,W~fl'S1r.uetllre 00 Sq Ft l,st Floor: TY,lpe ol,Heat:,\{ PERI . Sq Ft 2nd Floor: /, \1_'1 \GO.... Ji Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: Yes Occuprint Load: I! I CONTRACTOR INFORMA~ION I Contractor SKVW ARD CONSTRUCTION MARK ERICSON MUZAK LLC MCKINSTRY CO LLC License 158289 82092 142760 172811 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: M B VB I DEVELOPMENT INFORMATION ~ Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Slorm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I Fully hilProved Yes Sidewalk Type: " DownspoutslDrains: 11 Notes: Paee I of 4 Commercial Not lis led Phone 360-546-1625 360-574-6202 800.331.3340 206.762-3311 360-578.1128 25,904 950 658 ,-S:!,:~}I,Rli:I~.l;!, J - Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Mechanical CII Use Bid Amount Use Bid Amount Fee Descriotion Plan Review Comm/Ind/Public + 12% State Surcharge + 5% Technology Fee Bnilding Permit Deferred Submittal Plan Review Fire & Life Safety Planning Final Occy Inspection Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC SauitarylStorm Admiu SDC Trauspo Improvemeut SDC Transpo Reimbursemeut SDC Trausportation Admin + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus Perm ServIFdr 200 amps or less Perm Serv/Fdr 201 to 400 amps + 12% State Surcharge + 5% Technology Fee Fixture Not Covered Plumbing Total Amount Paid Struclural Review 07/14/2009 Initial Review . 05/0112009 Public Works Review 05/0112009 I Valuation Oeseri?tion I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 300,000.00 51,000.00 Total Value of Project F"", pqiIIJ Amount Paid $989.79 $182.73 $90.19 $1,522.75 $456.00 $609.10 $281.00 $147.26 $193.66 $17.05 $7,128.88 $1,955.95 $454.24 $6.96 $48.48 $2.90 $20.20 $228.00 $58.00 $81.00 $95.00 $13.80 $5.75 $57.00 $58.00 $14,703.69 Date Paid 5/1109 6/22109 6/22/09 6/22109 6/22109 6/22/09 6/22/09 6/22/09 6/22/09 6/22109 6/22/09 6/22/09 6/22/09 6/24/09 6/24/09 6/24/09 . 6/24/09 6/24/09 6/24/09 6/24/09 6/24/09 7/16/09 7/16/09 7/16/09 7/16/09 I Plan Reviews I 05/0 112009 05/04/2009 APP LLH APP TSS Paee 2 of 4 CITY OF SPRINGFIELD " I Building/Cpmbination Permit . / PERMIT NO: COM2009-00S97 ISSUED: 06/22/2009 APPLIED: 05/01/2009 EXPIRES: 01/lSi201O VALUE: ~ 300,000.00 Value Date Calculated f'. $300,090.00 $51,0~0.00 $351,000.00 05/07/2009 07/1312009 Recei~t Number I 1200900000000000329 1200900000000000716 1200900000000000716 1200900000000000716 1200900000000000716 12009000000000007]6 1200900000000000716 1200900000000000716 1200900000000000716 1200900000000000716 1200900000000000716 1200900000000000716 1200900000000000716 2200900000000000706 2200900000000000707 2209900000000000706 2200900000000000707 2200900000000000707 2200,900000000000706 2200900000000000707 2200900000000000707 2200900000000000804 2200900000000000804 2200900000000000804 2200900000000000804 I " I , , , mechani~al plans for Big Lots' .'.-l:;,~!!I:~~"i'J~~i . CITY OF SPRINGFIELD ~r " " Building/Cpmbination Permit , Status Issued PERMIT NO: COM2009c00597 225 Fifth Street, Springfield, OR ISSUED: 06/22/2009 APPLIED: 05/0112009 541-726-3753 Phone EXPIRES: 0111512010 541-726-3676 Fax 541-726-3769 Inspection Line VALUE: $ 300,000.00 r Strnctural Review 05/01/2009 05/0712009 WE CJC Sent links to applicant for energy and Spe'Ciallnspection forms 05072009 Plannine Review 05/01/2009 05/14/2009 APP EMM Must meel MDS LUCS requirements enclosed with building permit, ~ome uncompleted from previous MDS for B&I Plumbing. , Install street trees along A Street, add 3 m~re bike parking spaces, restripe1S6 spaces including 4 ADA, provide 'continuons sight obsurring screeni~'g for .outdoor storage area and trash enclosures, all eolosures to be 5' setback from property line. Call LizlMiller at 726-2301 for Final Site Inspection. 1: Structural Review 05/1912009 05/19/2009 10 KLK Sent Noh-residential Energy Forms I! for Exterior Envelope, Lighting and HV AC t~ S.U.B. Structural Review 05/20/2009 05/20/2009 WE KLK Per ph06e call with architect, Door at bottom of Mezzanine Stairs is require4' to be 31-O"x7'-O" for . Egress. Plans Examiner marked on plans. Plans examiner left message for Coni'ractor to provide Deferred Submittal Form for deferred plumbin:g, electrical and mechanical. S.U.B. and Fire reviews pending. I: , Structural Review 06/08/2009 06/0812009 10 CJC Recieved deferred submittal I' agreement forms for plumbing, electrical and mechanical. SUB Review 05/01/2009 06/0812009 APP JF J' See atta~hed documents for energy plan review approval. J " Fire Department Review 05/01/2009 06/10/2009 APP GRG See attached document for Fire Department Plans Review commen~s. I ~ ' Structural Review 06/11/2009 06/11/2009 APP CJC As noted' on plans , Initial Review 07/1312009 07/14/2009 APP LLH Mechani'~al plans for Big Lots Paee 3 of 4 J, CITY OF SPRINGFIELD ,. Status Issued Building/Combination Permit I, PERMIT NO: COM2009-00597 ISSUED: 06/22/2009 APPLIED: 05/01/2009 EXPIRES: 01/15/2010 VALUE: $ 300,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541"726-3676 Fax 541-726-3769 Inspection Line 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. Reouired JpsrH>""{l1S. I 1111. ,. ...ill'" Framing Inspection: Prior to cover and after all rough in inspections have been approved.' Drywall: Prior to taping. I .' Epoxy Anchors: To he done by Certified Spciallnspector. Provide Inspection results to City Building Inspector. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide in~pection test reports to City Building Inspector. Ceiling Grid: After drywall approval but prior to cover. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Electric Service: Approval required prior to utility company energ~zing service. I By signature, I slate 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 sha~1 be done in accordance with the Ordinances of the City of Springtield 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 CommunityServlces Division, Building Safety. I further certify that only contractors and employees who are in co';'pliance with ORS 701.005 will be used on this project. I further agree to ensure that all requir inspections are requested at the proper time, that each address is readable from the street, that the permit card is located the front of the property, and the approved set of plans will remain on the site at all time~ ~onstructio . > It, ~ a; I Owner or Contractors Signat~re Date Page 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00597 COM2009-00597 COM2009-00597 COM2009-00597 Payments: Type of Payment Check cReceintl RECEIPT #: Description Fixture Not Covered Plumbing + 5% Technology Fee + 12% State Surcharge Paid By TRITON PLUMBING s. :.~~l.".~~.I.!I1._-itl............ ...... ~i" . ,. "!1: . "" '-I'f. . -'" .-.. '.- """.~""'''.:'",=''''',,"''~'C .... 2200900000000000804 Received By Check Number Batch Number CJC Page 1 of I City of Springfield Official Receipt Development Services Department pJblic Works Department Date: 07/16/2009 " Item Total: Authorization Number i: How:: Received 2537 In person . Payment Total: I 11:14:IOAM Amount Due 57.00 58.00 5.75 13.80 $134.55 Amount Paid $134.55 $134.55 7/16/2009