HomeMy WebLinkAboutPermit Plumbing 2010-5-27
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541.726-3753
EmaiJ: permitcenter@ci.springfield.or,us
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Commercial Plumbing Authorization To Begin Work
69600-BPB-10-00006
Approval Code: 854101 5/27/2010 11:55am
E.mailed To: info@kevincohenplumbing,com
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o New Construction
[R] Addition/alteration/replacement
Ple~se check all that apply:
o Med gas/vacuum system or
health care facility
o Vacuum drainage waste and
vent system
o Commercial booster pump
o Addition of a new motor load
Installation of multi-purpose
fire sprinkler systems
o Wastewater pretreatment
system
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o 1 or 2 family dwelling
o M-ulli-family [Z] Commercial ;'Cr ~~cessory
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Job Address: 1920 OLYMPIC ST
CitylStatelZIP: SPRINGFIELD, OR 97477
Suitelbldg.lapt.no.:
Project Name: winco 34
Cross Street/directions to job site:
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Description
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Tax map/parcel no.:
1703254201601
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replace 50' of ext, sewer pipe
Sanitary sewer - first 100 feet
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Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
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,TOTAL PERMIT FEE
541-607-9208
Fax: 541-607-7033
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-":CONTRACTORC'
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Plumb Iic. no.: PB363
176311
CCB lic. no.:
Business Name: KEVIN COHEN PLUMBING INC
Contact:
Address: 4736 ROYAL AVE #15
City/StatelZIP: EUGENE, OR 97402
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Phone: 5416079208
Fax: 5416077033
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Email: info@kevincohenplumbing.com
Metro Iic. 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 ~o schedule your in.spection.
NOTE: This Authorization To Begin Work expires within 180 days if B permit is not obtained.
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.
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o Reclaimed wastewater
o Chemical drainage waste
and vent systems
o Multi.purpose Fire sprinkler
system
o Water service with inside
diameter or nominal pipe size
of 2" or more except 2"
systems designed/stamped
by licensed Oregon engineer
$76.00
$9,12
$380
$88.92
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00686
ISSUED: OS/27/2010
APPLIED: OS/27/2010
EXPIRES: 11/27/2010
VALUE:
SITE ADDRESS: 1920 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703253107701
Springfield TYPE OF WORK: Plumhing Only
PROJECT DESCRIPTION: Replace 50' of ext. sewer pipe.
Owner: MCKA Y COMMERCIAL PROPERTIES LLC
Address: 76 CENTENNIAL LOOP STE D
EUGENE OR 97401
TYPE OF USE: New
Commercial
I'CONTRACTOR'INFORMATION ~
Contractor Type
Plumbing
Contractor
KEVIN MARK COHEN
License
176311
Expiration Date
05/30/2011
Phone
541-607-9208
BUILDING INFORMATION ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Iieat:
Water Type:
"'R1iilg'e TYpe:
Ei{ergy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: ,
Occupant Load:
I DEVELOPMENT INFORMATION ~
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
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~COMMENCED OR IS ABANDONED FOR
MY 180 DAY PERIOD.
Square Footage
or Bid Amount,
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I ' es.yOU\~,
..TTEN'T\ON: Ole~~d b~ \rjEP~~c!~~VEMENTS ~
.. leS adOI' e \U
Street Improvem4ol1O'" ru\ ncen\el. "[\10S ugh 0/1.1'\ 95 - b"
:leato .Q010\\110. l\\1e1u\es,
Stor~' Sewer A ~ rriAR 9SZ.()01 obtain eOPI~s ~ \e\ep\1o~e
SpeCIal InstructlO' 'tOU mav 0'''" ~No\e. \~ .\o\i\iCaUon
. the OIl ".. U\illt'I ..
caI"no 101' the Olego~z_Z344).
Notes: 1\IIrnb8f '01 \8 1-80
Cen. .'j'
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
I V alu~:t~o~ :D~~cription
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Description
Type of Construction
$ Per sqFt
or multiplier
Page I of 2
REQUIRED PARKING
Total:
Handicapped:
Compact: .
Sidewalk Type:
Downspouts/Draius:
Value
Date Calculated
Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00686
ISSUED: OS/27/2010
APPLIED: OS/27/2010
EXPIRES: 11/27/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 100 Feet
Amount Paid
Date Paid
Receipt Number
$9.12
$3.80
$76.00
5/27/10
5/27/10
5/27/10
2201000000000000588
2201000000000000588
2201000000000000588
Total Amount Paid
$88.92
I Plan Revi~ws I
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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 Reouired InsDec~
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Sanitary Sewer Line: Prior to filling trench:an-":incluiHng required testing.
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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 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 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 remain on the site at all
times during construction. ",'
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Owner or Contractors Signature
Date
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"'':1-'. . Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000588
Date: OS/27/2010
12:38:54PM
Job/Journal Number
COM20 1 0-00686
COM20 1 0-00686
COM20 1 0-00686
Description
Sanitary Sewer - 1 st 100 Feet
+ 12% State Surcharge
+ 5% Technology Fee
~~~eived By
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,C~eck Number
'Biitch Number
Item Total:
Authorization
Number How Received
Amount Due
76,00
9,12
3,80
$88.92
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Amount Paid
ONLINE kev!n cohen Online
Payment Total:
$88.92
$88.92
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Page 1 of 1
5/27/2010