HomeMy WebLinkAboutPermit Plumbing 2009-9-22
City of Sprinefield
Plumbing Authorization To Begin Work
E-mailedTo:kellien@c1earwire.net
Check on slat us of permit
~! Phone: 541-726-3753 or Email: pennitcenter@ci.springfield.or.us
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Description I Qty. Ell. J Total
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Subtotal $76.00 I
(Stale surcharge (12% ofpennil lotal) S9.12 j
I Technology fee (5% of permit total) $3.80 I'
I TOTAL PERMIT FEE $88.92 (
I 0 New Construction 0 '~ddition/a1tc~tionlrepll1cemenl
1~~':::::-~~'%:;%%~~~CATEG'oRYJ6F.!c6NSTRUCTlON::.~~~. '~.... ~~. '<~i~:-!
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D Accessory Building 0 Commercial/Industrial
1~~~~~JoE{SITEiiNEORMATION'ANb4'ilOcATioNT,);lfl,"!i'!,'iif';~~~'I
I Job Address: 188 W B ST I
I City/StatcJZIP: SPRINGFIELD, OR 97477 I
I Suite/blda:.Iapt.no.:
I Projret Name: McCulh?cb Raben H
I Cross Street/directions to job site:
Please check all lhalapply;
DMed gas/vacuum system or health
care facility
DVlI\:uumdrainagcwastelllldvenl
system
DCommercia' booster pump
DlnslalIBliDnofmulti-purposefire.
spnnklersystcms
DWlISlewaterprclrcsunenl5Yslcrn
I or 2 famiIY'~.we]]in~
o
:'Multi-family
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'''';'7'::'' '~~DESCRIp'TION_OF.,w.oRK'~~~"F",~*r~"?,,,",,""
Replacing 2 Water Closets & 2 Lavatories. Discontinuing 2 WaterCJosets, 2 Lavatories & 2
sinks. Reference permit #Com2009-01267
Name: KellieNorris
Phone: 541.683.37]5'
Fax: 54]-484-6698
Email: kellien@c1enrwire.nel
Plumb lie. no.: 20.386PB.
CCUllc.no.: 136463
Business Name: EMK MECHANICAL ]NC
Contact:
Addrm: 4290 W I ]TH AVE STE A
City/StatclZIP: EUO~NE,OR 974025402
Phone: 541.683-3715
Fax:
Emllil:
oc
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Metro lle. no,:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be
e-mailed or faxed within one business day, with Instructions on how to
schedule your Inspection.
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NOTE: This Authorization To Begin Work expires within 180 days If a pennit Is
not obtained.
The local building deparbnent may determine that an Authorization To Begin
Work Is null and void if It does. not meet applicable land use laws and local
ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
a,7/2{~V:~}:--O/d~ 7
r/d;;)!07 /l/7L
69600-BPB-09-00004
9n2/2009 12:29 pm
Approval Code: 029568
o Redaimed wastewater
o Chemical drainalle waste and vent
systems
o Mulli-purpoSl: Fire sprinkler system
o Water service wilh insidedillfTleter or
no~jnaJpipesizeof2"ormo~except
2"'systemsdesignedlstampedby
licensed Oregon engineer
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Status
Issued
CITY OF SPRINl.'J:<lELD
Building/Combination Permit
PERMIT NO: COM2009-01267
ISSUED: 09/15/2009
APPLIED: 08/27/2009
EXPIRES: 03/15/2010
VALUE: $ 140,000.00
225 Fifth Street. Springfield, OR' ':'
541-726-3753 P~one'''' . '
541-726-3676 Fax
, 541-726-3769 Inspec,tion'Line ,
SITE ADDRESS: 188 W B ST
ASSESSOR'S PARCEL NO.: 1703352312401
Springfield TYPE OF WORK: Office
PROJECT DESCRIVTION:
. ; TYPE OF USE: Alteration
, Rem~dell Alteration to Existing Office Space
Replacing two water closets & two lavatories, two sinks 9/2212009.
Commercial
, Owner:
Address:
.. .
, MCCULLOCH ROBERT H
175 W B ST BLDG L '
SPRINGFIELD OR 97477
Phone Number: 541-913-5109
Contractor Type',
General
Electrical
Plumbing
n .'
';' I CONTRACTOR INFORMATION I
, " Contractor License
MCKENZIE COMMERCIAL CONTRACTOR45539
RITE ELECTRIC 178518
EMK MECHANICAL 136463
BYILDING INFORMATION I
Expiration Date
07/21/2011
09/24/2009
08/2312011
Phone
541-343-7143
541-895-4466
541-683-3715
# of Units:
Primary Occupancy Group:
Secondary Occupan~y Group:
Primary Construction Type
Secondary Cons.tructio,! Type:
# of Bedrooms: "
3
B
S-1
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
2 Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
No Occupant Load:
2,400'
2,400
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback: ;
Side 2 Setback: "
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Notes:
: NOTICE:
~ '
I, THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
I PUBLIC IMPROVEMENTS' ATTENTION: Oregon law requires you to
foISillewa'lk~'FYPe:Jted by the Oregon Utility
Notification Center. Those rules are set forth
, 'In oDownsl'out<ffirains:, h 0 ^ R 952 .0.01 J
. ... ........... ~ .....:rl ~v I V U roug ,... -_
.0.09.0. You may obtain copies of the rules by
calling the center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1-8.0.0-332-2344). '
Street Improvements:
Storm Sewer Available:,
Special Instruction: '
Page 1 of 4
,
, 'Status
Iss'uedi ",;,
, 225 Fifth Street, Springfield, OR,
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.,.: .
,
Bid Amount
Tvpe of Construction
Description
Use Bid Amount
n 1. ";.
Fee Description
Plan Review Comm/IndlPublic
Plan Review Fire '& Life Safety
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee ,
Building Permit . ',' "
+ 12% State Surcharge
+ 5% Technology Fee
Fixtu re
Total Amoun,t Paid
Structural Review
Initial Review
Plannine: Review
Public Works Review
Structural Review', ,I"
;
i . \
"
ji
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\ '
"
08/31/2009
08/29/2009
08/31/2009
08/31/2009
09110/2009
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
140,000.00
Total Value of Project
Fpp.\,,~
Amount Paid
Date Paid
$566.51
$348.62
; $7.32
$3.05
$55.00
$6.00
$104.59
$43.58
$871.55
$9.12
$3.80
; $76.00
8/27/09
8/27/09
9/3109
9/3/09
9/3/09
9/3/09
9/15/09
9/15/09
9/15/09
9/22/09
9/22/09
9/22/09
$2,095.14
I Plan Reviews I,
08/31/2009
08/31/2009
APP LLH
APP EMM
09/10/2009
09/1012009
DON CTM
WI KLK
Page 2 of4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01267
ISSUED: 09/15/2009
APPLIED: 08/27/2009
EXPIRES: 03/]5/2010
VALUE: $ 140,000.00
Value
Date Calculated
$140,000.00
$140,000.00
08/27/2009
Receipt Number
3200900000000000610
3200900000000000610
2200900000000001000
2200900000000001000
2200900000000001000
2200900000000001000
1200900000000001062.
1200900000000001062
1200900000000001062
2200900000000001078
2200900000000001078
2200900000000001078
Waiting for Approvals from Fire,
Planning and Public Works;
Building Review Complete.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Falc' " ;'
541-726-3769 Inspection Line
;"t,
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01267
ISSUED: 09/15/2009
APPLIED: 08/27/2009
EXPIRES: 03/]5/20]0
VALUE: $ 140,000.00
Status
Issued
Fire Department Review
08/31/2009
09/1412009
APP GRG Plans Review: office remodel. Job
#COM2009-01267. Occupancy
,Classification: B/S-1. Construction
Type: V-B. 4,800 sq. ft. Occupant
Load: 27. Plans reviewed under the
}007 Springfield Fire Code and 2007
Oregon Structural Specialty Code.
Provide or maintain address
numbers in contrasting color from
the background positioned plainly
visible and legible from the street or
road fronting the property (2007
Oregon Structural Specialty Code
501.2 and 2007 Springfield Fire
Code 505.1).
Fire extinguisher locations shown on
Plan Sheets 3/9 and 4/9. Will verify
on inspection.
Illuminated exit lights shown on
Plan Sheet 3/9. Will verify on
inspection.
Emergency egress illumination
shown on Plans Sheets 3/9 and 4/9.
,Will verify on inspection.
Above the main exit door, provide
sign stating "THIS DOOR MUST
REMAIN UNLOCKED DURING
BUSINESS HOURS" if key locking
hardware is employed (2007 OSSC
1008.1.8.3, exception 2.2).
APP KLK
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Structural Review
09115/2009
09/15/2009
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.
, Rrnllirprllnli',npptio~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Post and Beam: Prior to floor insulation or decking.
Pa!!e 3 of 4'
CITY OF SPRINGFIELD'
Status Issued
.' ",
,. '". ,......-,....
225 Fifth Street"Springfield, OR ':': ,,:r
541-726-3753 Phone;' ,:' ' ,
541-726-3676 Fax
, 541-726-3769 In~pection'Line
Building/Combination Permit
PERMIT NO: COM2009-01267
ISSUED: 09/15/2009
APPLIED: 08/27/2009
EXPIRES: 03/15/2010
VALUE: $ 140,000.00
'"
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to c~ver.
., . .7
."' , .
Ceiling I?sulation: Prior to cover.
Drywall:,,:Prior to taping.
['~' '. ',', ' . .
Final Building: After all required inspections have been requested and approved and the building is complete.
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 1 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 req'uired 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.
Owner or Contractors Signature
Date
, i
.1- I.
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"
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1'1 "
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Page 4 of4
"
225 Fifth Street'",., " ,_
Sp~ingfield, Oreg'ori197.47T-
541-726-3759 plioi.~ "
Job/Journal Number
COM2009-0 1267
COM2009-0 1267
COM2009'01267
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEn~T#:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001078
Date: 09/22/2009
.'. . Description
Fixture
, ,"
,\ ': ,+5% Technology Fee' '
..... '.' ., .~~- :f;" ." ..:-. ;'''.~ ':-'"'' ' .
';"{','i ,e;+;.12% State'Surcharge
,....:... .; ,;.;.-.:.,' ,-.... ~..' .
".(, ::..; "
...'....' "
iPaidjly: '. ' 1
ONLINE PERMl"f. CHGS
,
.,
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1.
Received By
njm
\.
Page 1 of 1
1Iem Total:
Check Number Authorization
Batch Number Number How Received
ONLINE EMK Online
Mechanical
Payment Total:
1:49:01PM
Amount Due
76,00
3,80
9,12
$88.92
Amount Paid
$88,92
$88.92
9/22/2009