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HomeMy WebLinkAboutPermit Plumbing 2010-5-27 ~Sr.~I~~FI~LO ~?~< ,~ "'",' OREGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541.726-3753 EmaiJ: permitcenter@ci.springfield.or,us C!tJ'i/8tp Commercial Plumbing Authorization To Begin Work 69600-BPB-10-00006 Approval Code: 854101 5/27/2010 11:55am E.mailed To: info@kevincohenplumbing,com '~:;"7:>-:;<:;' ,~0'/f';z,;;r'f't!;",'PLAN1REVI;EW, ',k' '1&. 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 t. ,. " _;'1 o 1 or 2 family dwelling o M-ulli-family [Z] Commercial ;'Cr ~~cessory rt0"~~:<'::ff,i', 0i/'2'~:JdB,SliE:fNF"6RNIATlON'2k1'N~rCO-CA'Ti6f'~ft~-::",' ~' 'I 1 Job Address: 1920 OLYMPIC ST CitylStatelZIP: SPRINGFIELD, OR 97477 Suitelbldg.lapt.no.: Project Name: winco 34 Cross Street/directions to job site: "',\-,1, ~ ,','!.." Description SeY~"9r.' '" '" :... Tax map/parcel no.: 1703254201601 "\~ -"', replace 50' of ext, sewer pipe Sanitary sewer - first 100 feet el~rhbi~ti P,_~'f1i1iJ.~,~~_~~'1:"'~:tt; Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) _ .~~~..,..'t'V:'.-"'=.Y>'__"__r_'_" ....... .',...... .- , /" >', ". "~;;SITE~GON:r.;CT~.5,> " " ,TOTAL PERMIT FEE 541-607-9208 Fax: 541-607-7033 .,:~.~ ~. , -":CONTRACTORC' ...."..,.. -...., .-,",'.- -_.,;"'-, 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 -~~~ .v-; 0' ~~ <Q '!J ~~, - , Phone: 5416079208 Fax: 5416077033 , , . 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. i I, QoYi\. w\ () 5-02/- JO -- ra~ nr-0 \~ ':; ~ -~,:!~" . .~,!;, 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 ~v ~^CO.'O ~:v~ V-~ v:-- Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~L;{; '1:\:'. ;. " .~" ; Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ;i ,~, \ 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 , , .'....1 l ~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 ."..d' , , 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 ,,0, ,~ '''-.' 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 ~ ';'. . ~ .,..J..ota]rV~'!le:of Project . +.+._-;;-;' _,.......' ........, I _. ~ ,1~E~e~P:iid ~ ;)~ . 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 .. ",;u . . ~". , > '~"-' -> ..~; . ",~ ,~ 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~ :':i~~t 1"~~~1:~'\fi~\' ".1. .' :' , Sanitary Sewer Line: Prior to filling trench:an-":incluiHng required testing. .~'~t ;', -;~~'t},(, 'tl 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. ",' .,~ .. '" '.j,,' .",',/;',-1'.':",1 . ~ ,. , '1 '. ". .: ~.~ Owner or Contractors Signature Date :;.1; "...;;.. ";,.,:,/,-,',.,,,. '. __:r:t/ .}:~~..'ijU~!\"" " "'~'."':""'f"--. '~~1~~+ ",: l~~," "'':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 ", njm ,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 ;:U.\\lc ~'; :.:,~,'.;.~;, '-' ;if~L~~ -- .' 1"1~~~\i\ ,l 'I 'J;~'J !t ,':;"'u,_ ;i;''5~ ~Jl~t ,',"~ ,~l'} J..~.~.." ':1: t;, I,', r (,,'< . .. )/"..&', - . ';. ~"",,-.' , . ~~ ': --. - :i:'~~-.- .i4(;;r ,':. +~ ~.~ ~ . lw'~it.. ~, ::'~"! ';r~t, ':: I!-<. ~ " . .-.~" !,;." " , ~.. - . cReceintl Page 1 of 1 5/27/2010