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Home My WebLink AboutPermit Plumbing 2010-6-9 . ~lumbing Permit Application H;!.;t"l><t,'VM."""" "'kF."r'A~' ~J.P.d '''''':-::':J- ',.s'::fw..~l:;..""~~~5".,/;.'1-",~.t"~.4 ~:11'i:~H:'~ /';'~CiTyrdF 'Sii.RlNGEIBH6":OREG' N' _'_- ~;.! ~::. - . -t : ,;:~1,-1~>[~.~:" :.ffl~~. ~..z; ::~., . '.,~~._"'::~~~.' 225 Fifth Street. Spdngfield, OR 97477 . PH(541)726-3753 . FAX(54l)726-3689 SPRINGFIELD ~ . - , ~ - ,,"~ "~~~~- ~~~'('" .:-UJ:~;";~~ . ....,. '.Jr~' -, - '.''i.;,'~'~','''''r',;, .. ( ,','",';' .', ":,?v:_'.....;~~_ --: DEPARTMENT USE ONlY-:"'" , >.' . . .,........1 Date: This permit is issued under OAR 918-780-0060, Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days: '1;'t~,"W' ,;'IiOCAl~GO'\fERNMENT:; APPROVA~,":r,;?~2:;P Zoning approval verified? DYes D No Sanitation approval verified? DYes D No CATEGORY:OF CONSTRUCTION o Residential 0 Government 0 Commercial ,Xi;t:'j'JOS.SI'rEINFORMAtION:!.AND;"tiOGATION!i>{ :'1/'1 Job site address: qq &. S-(" City: 51"" {, ~ (J) ZIP: Reference: :iY;::'~~~0' ~'-,~3:,~\~~',~D ESCRIP.JJON ~~-OF;.,~yv,O RK~~_,r~]):Kj;;~;;i~:~T;Z:.;~~~~):.~ {, r~S .PROPERTY. .-OWNER":'f";~~;-+ (,'fi'-r~~l\,-'i\\ - Name: Address: City: Phone: E-mail: This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements under OAR 918-695-0020, ZIP: Signature: CONTRACTOR. INSTAllATION --..' ,'n' Business name: ;) I b ' ~ Y\,~ ::r-", I-- (IL/O Plumbing license no,: Print name: Signature: ~ ..(h v-Y (\~ CV V ~:-:. \" ~t.; O~ ~ r\~ \g eo--- ~~ 440-2500-J (II/OS/COM) 1''':':': ",'-'f "'"''!i;''-''l;;''"'l:FEE'''SCHEDUI1E''' .,.,.... ~-',. J;!"-""'B."J" .~.-._-,;.~..,""'''' "~<;l" '';" .. -' ':'f:"<"" ,"''''.,,",~ ...-...",l;tJ5' '".,' '..;:.~..,'"]~.....;.,' I..... .'..~.,;-,:}i''''.;--n.-:...-~'.. t...'....: ;-l~;~~.~ri<~i2.~~:i:~~~;~i~;;~~'~;;:~i~~~ 9~~~ r;j~~~:~i.j,:, ~},~~~~r.' New residential I bathroom! ] kitchen (includes: first lOO/eet afwater/sewer lines, hose $238,00 $ bibs, ice maker, underjloor low-point drains and rain-drain packages) 2 bathrooms/ I kitchen $374,00 $ 3 balhroomsll kitchen $439,00 $ Each additional bathroom (over 3) $95,00 $ Each additional kitchen (over I) $95,00 $ Residential fire sorinklers (includes DIaD review) o to 2,000 square feet $58,00 $ 2,001 to 3,600 square feet $116,00 $ 3,601 to 7,200 square feet $174,00 $ 7,201 square feet and greater $232,00 $ Manufactured dwelling or pre-fab (circle one) Connections to building sewer and $58,00 $ water supply Commercial, industrial, and dwellings other than one- or two-family Minimum fee I I $58,00 I $ Each fixture 17 I $19,00 I $/ '2 '? Miscellaneous fees J 00' storm, sewer, water line $76,00 $ Each fix~ure, appurtenance, and piping $19,00 $ Storm water retention/detention facility $19,00 $ Irrigation systems $19,00 $ Piping or private storm drainage $19,00 $ systems exceedinl! the first 100 feet Specialty fixtures $19,00 $ Reinspection (no. ofhrs. x fee per hr.) $58,00 $ Special requested inspections (no. of $58,00 $ hrs. x fee per hr.) Each additional inspection: (1) $58,00 $ It.; ..." ":,y:,;"\'~';';"l'" ;,.":,;.,;J":~'<l-:t:r,:i;;; ~'t':" ~;i\'lJP'-l" Mjnimum fee $ :) j\1edlcal ~ gas; pi pin g '1:;.,r4f....~i.~.,~?1,'!1 .~ ?{!f?cJ; "f;:; Enter value of installation and equipment $ Enter fee based on installation and equipment value. $ 1i\i"ii;j;'@II\ir~"""'><""~-- ',-'., - . -=''''''''''"''rm-,!i(- ~~.~.,. ~':Jt.u '~~,t1~~:i\1f:~~~~PtlCANr~t1SE~~1:~~~:~~..~~~tEib_ '~\~z (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ /53 (8) Investigative fee (equal 10 [A]) $ (C) Enter 12% surcharge (,12 x [A+8]) $ / r; !!:t- (D) Technology Fee (5% of [A]) $ (p1i>,S.. TOTAL fees and surcharges (A through D): $-.-.;)-". I s-<J. lor 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ."" ., ~~j..,,\1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00654 ISSUED: 06/0912010 APPLIED: OS/20/2010 EXPIRES: 12/0912010 VALUE: $ 24,000.00 Status Issued SITE ADDRESS: 199 Q ST Springfield TYPE OF WORK: Retail ASSESSOR'S PARCEL NO.: 1703263102100 \0 o,lli(liiVlI'i:~K.pSE: Alteration PROJECT DESCRIPTION: Existing Retail and Sto~a~~~h1\it~,,~~~~&\Wldel, St Vincent DePaul ~"T'fENiIO~~r\oPted 'ci,n rilles a~ ~,,?.oO\' \\O'IN t\.\\\40 tet \ \ \ g'n u,...., ~ \eS \)1 Owner: Q STREET PROPERTIES I.le-i\\~catiOnce~ Oci\ot\1101l'eso\t\1el~one Address: 2069 CEDAR CRT tlO \ \ 95'2.-00' tail' c09\ \\e tele9" . n NORTH BEND OR 97459 In OpJ'.o '(OU ll\&''/ O~el. \tlO\?:~'\i'" tlo\i\iCa\\O QQ9:. .~e r.et'\ lilY" ~\., I") ,,~~ , qe.~~~~.~e U\,,~ o-S'J'j.-tJ" . ~ifGR~FORMATION ~ Commercial Contractor Type General Electrical Mechanical Plumbing Contractor Llcense JEFFERY WALLACE 190184 WEILAND ELECTRIC DIVISION, LLC. 175373 JEFFERY WALLACE 190184 RS PLUMBING CONTRACTOR INC 103,816'''''' '\ I BuiLDING INFORMAT_\\'C.\N~\ \CI" '\.. t.'I-\,\\\~ ?-~\1 \S l\Oi . ~Ji,lM1-\.: 1\,\\S?t: D f()~'Lot Size: M 1\'\\S? . ~~m.~~~~D()~t.. ,. . Sq Ft 1st Flour: SI 1\\)1\'\. ~1i'f:t~~}S Forced Air Gas Sq Fl 2nd Floor: VB C()\IJ\\-<Wll'ti!r ~t:",,\()D. Sq Ft Basement: 1\\'\'1 ~~ ype: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: Yes Occupant Load: Expiration Date 04/0212012 04/06/2011 04/0212012 01104/2012 Phone 541-607-8616 541-747-7701 541-607-8616 541-461-4714 # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION ~ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: ii, Street Tre~s Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS , Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: ,.',.': Notes: rujv~ \lJ ~ pJ"-"( Paee I of 4 ... t. ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00654 ISSUED: 06/09/2010 APPLIED: OS/20/2010 EXPIRES: 12/09/2010 VALUE: $ 24,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction I Valuation Descriution , ... ,,,,t~ .:, :.;:' . r< '" $ PerS'q'Ft' . or multiplier $1.00 Bid Amount Use Bid Amount Square Footage or Bid Amount 24.000.00 Total Value of Project ~ Fee Description Plan Review CommllndlPublic . Plan Review Fire & Life Safety + 12% State Surcharge + 5% Technology Fee Fixture Amount Paid Date Paid $177.13. $109.00 " $15.96 " c, $6.65 $133.00 5120110 5/20110 .., .",,< 619110 619110 619110 Total Amount Paid $441.74 Plan Reviews I Planning Review 0512412010 WE :!,,;f " ." . ..~: ~.~~) 'lH\..j " Structu rat Review 0512412010 SUB Review 0512412010 Initial Review 0512112010 0512412010 APP LLH Initial Review 0610112010 06101120 I 0 APP LLH ',.., PlanniD!! Review 0610212010 :,' 0610212010 APP EMM "*", 'f'" ..,~... ,i6 Page 2 of 4 Value Date Calculated $24.000.00 $24,000.00 OS/2412010 Receipt Number 3201000000000000215 3201000000000000215 1201000000000000633 1201000000000000633 1201000000000000633 Waiting for information on the parcel to the east. Need hulding square footage and uses and physical parking count in order to approve LUCSIMDS checkoff sheet. Called and left a message for contractor on 5126/10. Revised Iloor plan. Forwarded all copies to Kip Kaufman for distribution. Subject to attached MDS/LUCS and required improvements and conditions. Parking, bike parking, 2 filters, one tree. Enclosed form to bE signed by applicant. Needs Final Site Inspection when items are complete. Call Liz Miller (541) 726-2301. Please give 48 hours notice. ",t. ,j CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00654 ISSUED: 06/09/2010 APPLIED: OS/20/2010 EXPIRES: 12/09/2010 VALUE: $ 24,000.00' 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review OS/24/2010 (}6/03/2010 WE GRG See attached document for Fire Department Plans Review comments. Puhlic Works Review OS/24/2010 06/04/2010 APP EW SDC Worksheet Attached Structural Review 06/07/2010 06/07/2010 WE KLK Completed 1st plan review. Emailed correction letter to contractor. Mailed correction letter to customer for response. ,,'m..-:' ';1 ~.~. ~, ", 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. Uenllire~nsnections ~ Concrete Tilt Up Panels: Prior to placement of concrete with all steel reinforcement in place. Post and Beam: Prior to noor insulation or decking. Framing Inspection: Prior to cover and afte,~;all rough in'inspections have been approved. Drywall: Prior to taping. Bolts Installed in Concrete: To be done by a State Certified Speciallnspectur. Provide inspection test reports to City Building Inspector. Special Inspection: Weld Inspection: To .be done during construction by a State Certilied Special Inspector with approval from the City of Springfield. Copies of inspection results shall oe provided to the City of Springfield. Structural Welds: To be done during construction oy State Certified Special Inspector. Provide inspection test results to City Building Inspector. ,.,;1".,.. Fire Department Sprinkler System: Prior to'cover. Hydro pressure test, fire line flow test. Fire Department Alarm System: Fire Departm'ont Alarm System Acceptance Inspection. This inspection must oe requested and approved prior to requesting any occupancy approval. Final Fire Department. After all requirements of the Fire Department have oeen met. Final Building: After all required inspections have been requested and approved and the building is complete. SUB Final: After all required energy inspections have been requested and approved. Underslab Plumbing: Prior to filling the trench and including required testing. . I Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including reqnired tcsting. I .. ,~ . Final Plumbing: When all plumbing work'is"compleie. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Page 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued ',.f~. " ,... 225 Fifth Street, Springfield, OR 541- 726-3 753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .J", .,' PERMIT NO: COM2010-00654 ISSUED: 06/09/2010 APPLIED: OS/20/2010 EXPIRES: 12/09/2010 VALUE: $ 24,000.00 Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Slah: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. By signature, I state and agree, tbat I have carefully:examined the completed application and do hereby certify that all information hereon is true and correct, and I furiher certify that any and all work performed shall be done in accordance witb . the Ordinances of tbe 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 tbe 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. ~() fl- '1,"' b~ 9-10 r, '" Owner or Contractors Signature Date , . or ,,';, .- T" :1', Page 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone GP'~Q~;~: Ialit. City of Springfield Official Receipt Development Services Department Publie Works Department RECEIPT #: 1201000000000000633 Date: 06/09/2010 11:03:13AM Job/Journal Number Description " Amount Due '. ;","'1'-.' Fixture .,. COM20 1 0-00654 , 133.00 ~, l' COM20 I 0-00654 + 12% State Surcharge 15.96 COM20 I 0-00654 + 5% Technology Fee 6.65 Item Total: $155.61 Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard RICHARD SLOCUM cjc 190126 In Person $155.61 Payment Total: $155.61 ",) :",f,' ''''.', cReceintl Page I of I 6/9/20 I 0