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Home My WebLink AboutPermit Plumbing 2010-8-3 s~rltl G~EL~,. '. , lIa"t"" , , ~, ~ ':lw, ~EGON City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us Commercial Plumbing Authorization To Begin Work 69600-BPB-10-00009 Approval Code: 062001 8/312010 8:35 am E~mailed To: dispatch@cps-services.biz D 1 or 2 family dwelling 0 Multj..family 00 Commercial Job Address: 1891 PIONEER PARKWAY City/StateJZlP: SPRINGFIELD, OR 97477 SuitelbldgJaptno.: Project Name: Safeway #1 094 Cross Street/directions to Job site: Tax map/parcel no.: 1703262302302 Name: Commercial PlumbinQ Phone: 503-439-9999 Fax: 503-439-1999 Email: Plumb lie. no.: 37-421 PB 126015 eee lie. no.: Business Name: COMMERCIAL PLUMBING SERVICES Contact: Address: 21185 NW EVERGREEN PKVI/Y STE 106 City/StateJZlP: HILLSBORQ, OR 97124 Phone: 503-439-9999 Fax: 503-439-1999 Email: twoollett@msi-services.biz Metro lie. no.: 6656 City lie. no.: 37421pb Upon rl!view and approval by your local jurisdiction, your permit will be e-millled or faxed within one business day, with instrur;;tions 0fI howto schedule your Inspection. Of'''''''''', ' NOTE: This A~lo:~o~~~~~n~: ~~p:res ~X;!R80EdiF Tl~ErmWd~1rlned. The local building depilrtmerit may l~irfe tha a~ ~oMll'S Tl\'l ~'fln Work Is null and yold If II.... "01 m'" ..pI"'ib'" ',,""'.1'" r,R 'F!1Qa' ~.1 "U , 1 IV, ,ILLLJ \.T1~"1: j"ENCED OR IS ABANDONED FOR ," -. ^Y PERIOD, Please l?heek all that apply: D Med gas/vacuum system or health care facility D Vacuum drainage waste and vent system D Commercial booster pump D Addition of a new motor load Installation of multi-purpose fire sprinkler systems D Wastewater pretreatment system Balance of permit fees Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE C.lD- \D3~ '?Q.... d/O./039 D Reclaimed wastewater D Chemical drainage waste and vent systems D Multi-purpose Fire sprinkler system D Water service with inside diameter or nominal pipe size of 'Z' or more except 2~ systems designed/stamped by licensed Oregon engineer Tota' $57.00 $1.00 $56.00 $6.96 $2.90 $67.86 <6 \3\\0 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090, You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). ~~,o ~ Q:rJ ~~ fb~'Xrr $' Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Pennit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01039 ISSUED: 08/03/2010 APPLIED: 08/03/2010 EXPIRES: 02/03/2011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone, 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1891 PIONEER PARKWAY EAST ASSESSOR'S PARCEL NO.: 1703262302302 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New PROJECT DESCRIPTION: Replacement of3 grease traps in deli, bakery, and meat department Commercial Owner: KRC PIONEER PLAZA LLC Address: 3333 NEW HYDE PARK RD NEW HYDE PARK NY 11042 I CONTRACTOR INFORMATION ~ Contractor Type Plumbing Contractor License COMMERCIAL PLUMBING SERVICES 126015 BUILDING INFORMATION ~ Expiration Date 10/30/2010 Phone 503-439-9999 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ , /'\1 Il:" I t~N: Oregon laWJffiij)tlm&il~Ij>.tAuaNG follow rules adopted by the Oregon Utility Frontyard Setback: Overlay Dist: Notification Center, Those T9!et!:are set forth ' Side I Setback: # Street Trees Rqd: in OAR 952-001-001 0 throL~1l!Jp;1iP'I61I;()01- Side 2 Setback: Paved Drive Rqd: 0090, You may obtain cop(Wmp~tl rules by Rearyarll;~~tbaok: % of Lot Coverage: calling the center. (Note: the telephone Solar S~I~~c~'RMIT SHALL EXPIRE IF THE WORK number for ,th.e, Oregon Utility Notification ,UIHORIZED UNDER THIS PERMITI~/~rc IMPROVEMENTS ~ COMMENCED OR IS ABANDONED F~ I Street#~prpb(J"'J~\"'pERIOD. Sidewalk Type: Storm Sewer 'Available: Downspouts/Drains: Special Instruction: Notes: I Valuation Description i Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~e I of2 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01039 ISSUED: 08/03/2010 APPLIED: 08/03/2010 EXPIRES: 02/0312011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Fixture Minimum/Adjustment Plumbing Amount Paid Date Paid $6.96 $2.90 $57.00 $1.00 8/3/10 8/3/10 8/3/1 0 8/3/10 Receipt Number 1201000000000000860 1201000000000000860 1201000000000000860 1201000000000000860 Total Amount Paid $67.86 I Plan Reviews I 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. l Reauired InsDections I Grease Trap: Prior to Cover. By signature, I state and agree, that 1 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 he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will he made of any structnre 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 he used on this project. 1 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. Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: . 1201000000000000860 Date: 08/03/2010 I :04:06PM Job/Journal Number COM2010-01039 COM2010-01039 COM2010-01039 COM2010-01039 Description Fixture Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 57.00 1.00 6.96 2.90 $67.86 Amount Paid ONLINE CHGS .KR , ' ,..-, ! j; , ONLlNECOMMERC Online IAL PLUMBING SERVICES Payment Total: $67.86 .; ~i':'" $67.86 d'" , " .;i.H';:' 'i~ i. ,. ."I'T' ,\ J cReceintl Page 1 of I 8/3/20 I 0