HomeMy WebLinkAboutBuilding Miscellaneous 2007-6-4
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CITY OF SPRINGFIELD, OREGON
ZZ5 f1ITH STREET. SPRINGfIELD, OR 97477 . PH:(541)726-3753'. FAX: (541)726-3689
City Job Number (I.1hn- /J..fJ7f7 - <?1 4-
LOCATION OF PROPOSED WORK: 3. ') ~
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SCANNED
ASSESORS MAP:
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Ffil!/2Y IZD
TAX LOT: Z Z.t:O
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OWNER: Th /lCI::; Nfl /1/..-1/1
ADDRESS: 1'23 LAI-r:[/? /IA-r) OJL//} t-.
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PHONE:
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CITY: :5P [;:' 11(.<5'" f? J-;... (/l'
STATE:
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DESCRWfIONOFWORJ(: ;:;'/?~c.::/ -Pr/67';ni, hPU~C -/i!J E:>llSlJn?
NEW:
RE.\tODEL:
ADDITON:
DEMOLISH:
OTHER:
CONTRACTOR'S NAME
CONST.
CONTRACTOR #
EXPIRES
ADDRESS
GENERAL:
E 11 )/.;Yl/J) _.D .;: --l' r:j/V/i T'J tV/,
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PLUMBING:
MECHANICAL:
ELECTRICAL:
MECHANICAL PERMIT
PLUMBING PERMIT
ITEM PEE
ITEM
Furnace
Fixtures
Exhaust Hood
Vent Fan No.
Wood Stove/Insert/Fireplace Unit
(' r-' "~""
A;i i"f,\U\.ji::l; i
Residential Bath(s) No.
Sanitary Sewer
Water
r'll 0 ' Stonn Sewer
IT. ,~
IT.
IT.
Mechanical Permit ~~btlla4 .; I 0 2 ;
"Minimum of $45.00 _ .
State Surch~fEIVED \#1~11t--
Administralfmee 10% .. 2007 +Q f\ I)
Issuance Fee J U N 4 '. py~_
Technology ~irr ~o~P~~y, mc, -,"-. ..
TOTAL MECHANICAL
Plumbing Permit Subtotal
"Minimum of $45.00
State Surcharge 8%
Administrative Fee 10%
Technology Fee %~ c' yO"
Dl"-n\U.v-i'.v-l r"-'- I~ .
TOTAL PLUMBING
Mechanical
.
Plumbing
ZIP: Q'7 'l'J '7
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54!JI;J/.111./!\} L-.-?~I.f.:'-:-I'l--
VALUE: "/ /; /JOt)
PHONE
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PEE
,3. ;:0
/3.00
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Miscellaneous
Shared Orivc(T:}'Building fonnslPmnil WodtshectQS-06.doc
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J DEADMOND FERRY ROAD
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EXI~TING SANITARY SEWER LATERAL ~ .,
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NEW 4" SANITARY SERVICE ~
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/ APROXIMATELY
CLEAN OUT, TYPICAL ~ 180'
353 DEADMOND
FERRY ROAD
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"-- ABANDON EXISTING
SEPTIC TANK
u
SANITARY SEWER CONNECTION
NOT TO SCALE
5/30/2007
OWNER: PEACEHEAL TH
ADDRESS: 353 DEADMOND FERRY ROAD
17-03-22 TL 2200
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525 NW Second Street, Cmvullis. Omgon 97330
d BOO.3B3.8B55 ph 541.758.1382 Ix 541.7532264
www.claircompany.com
June 7, 2007
City of Springfield
Development Services Department
225 Fifth Street
Springfield, OR 97477
Attention:
Dave Puent, Building Official
Subject:
Plumbing Permit- SHMC - 353 Deadmond Ferry Rd (Tax Lot 2200) - Connect existing
house to existing sanitary lateral- IS! Plan Review - Approved
Project:
CLAIR Project No.:
Building Permit No's.:
PeaceHealth al RiverBend - Sacred Heart Medical Center Pr~ject
1141-026
Pending
Clair Company, Inc. (CLAIR) has reviewed the submitted documents for the above referenced penn it for the PeaceHealth at
RiverBend - Sacred Heart Medical Cenler Project on behalf of the City of Springfield (City). CLAIR recommends issuance
of the above referenced permit.
If you have any questions or need clarifications regarding the information we have provided or requested, please do not
hesitate to contact our office at (541) 758-1302 or by email ataclairt.@.c1aircomoanv.com
Sincerely,
~ft-
Allan Clair, C.B.O.
Project Manager
Cc:
Chip Moulds, PeaceHealth
CLAIR Project File #1141-027
Attached: #1 - Codes and Standards
#2 - Submittal Log
ATfACHMENT #1- CODES AND STANDARDS
State of Oregon 2005 edition Oregon Plumbing Specialty Code (OPSC)
ATfACHMENT #2 - SUBMITfAL LOG
Our plan review comments are based on the following submitted construction documents:
.
. _ ' CLAIR ,".S!!! . . ,..... " :
D.ted il From 'N I ,g.1 Release Date DeSCriptIOn
1 urn Jer , U '
_ _.._ ~ t I :
6/4/07
PeaceHealth
1000
6/7/07
Plumbing penn it for 353 Oeadmond Ferry Rd to
connect existing house to existing sanitary
lateral. (This is a PeaceHealth property, tax lot
2200, oar! of their citv conditions.)
, \ . . \
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( DEADMOND FERRY ROAD
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EXISTING SANITARY SEWER LATERAL ~ p
NEW 4" SANITARY SERVICE ~
CLEANOUT, TYPICAL - ~
()
SEE ATTACHMENT FOR
DRAINAGE FIXTURE UNITS
180' +/-
353 DEADMOND
FERRY ROAD
1.07 AC, M/L
EXISTING -<r 1
HOME '- ABANDON EXISTING
1,841 sa. FT. SEPTIC TANK
35' +/-
'L..--
N
SANITARY SEWER CONNECTION
NOT TO SCALE
REVISED 6/18/2007
OWNER: PEACEHEAL TH
ADDRESS: 353 DEADMOND FERRY ROAD
17-03-22 TL 2200
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DRAINAGE FIXTURE UNITS, 353 DEADMOND FERRY ROAD
I Area Fixture type -quantity Drainage Total units
units/fixture
I Kitchen
I Sink -1 2 2
I Dishwasher -1 2 2
I Bath/Utility
I Water closet -1 4 4
I Lavatory -1 1 1
I Shower -1 2 2
I WashinQ Machine-1 3 3
I Bathroom
I Water Closet-1 4 4
I Lavatory -1 1 1
I Bathtub/Shower -1 2 2
TOTAL 21
House area: 1,841 sf
CITY OF SPRINGFIELD PLUMBING PERMIT FEES TABLE 5
Bid Pkg 1 - Site - North campus
1141-002-4
I At'Lt:. NO. J-L"
REFERENCE NO. DESCRIPTION
a One & Two Family Dwellings" Not Applicable
b Single Plumbing Fixture
c Sanitary Sewer
(1) Firsi 50 Ft
(2) Each additional 100 Ft or portion
d Water Service
(1) First 50 Ft
(2) Each additional 100 Ft or portion
e Storm & Rain Drain
(1) First50Ft
(2i Each additional 100 Ft or portion
I Sewage Ejector Pump
9 Special Waste Connection
h Manulactured Homes - Not Applicable
I Backflow Prevention Device
i Relocated Structure - Not Applicable
k Sanitary or Storm Sewer Cap
I Any Trap or Waste not connected to Fixture
m Any plumbing installation not listed in this schedule with sanitary waste or potable water
n Minimum Inspection Fee - Not Applicable
o Partial Inspection Fee (1)
P Reinspection Fee (2)
q Inspections Not Covered By Schedule
r Inspections Outside Normal Business Hours
s Investigation Fee - Not Applicable
t Building Without Permit Penalty - Not Applicable
u Accessible Minor Plumbing Labels NO LONGER AVAILABLE - Not Applicable
v Not Accessible Minor Plumbing Labels NO LONGER AVAILABLE - NOT APPLICABLE
w Hourly Inspection Fee lor Requests Not In Permit Table
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SUBTOTAL
Slate Surcharge i
Technology Feel
Administrative Fee I
SUBTOTALI
Plan Review Fees I
TOTALI
FEE
$14.00
$45.00
$14.00
$45.00
$14.00
$45.00
$14.00
$14.00
$14.00
$14.00
$45.00
$14.00
$14.00
$45.00
$45.00
$45.00
$45.00
$67.50
$45.00 I
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$45.00 I
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@
QTY
8%
5%
10%
30%
1
2
AMOUNT I
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I
$45.00 I
$28.00 I
I
I
I
1
24
$45.00
$336.00
16
$224.00
I
I
I
I
I
$678.00 I
$54.24
$33.90
$67,,80
$833.94
$203.40
$1.037.34
NOTE 1: Assessment ot partial inspection lees TBD
NOTE 2: Two (Z) inspections allowed, additional inspections required to correct deficiencies at $45.00 each at the inspecto(s discretion
For questions please call CLAIR at (800) 383-8855
Page: 1 of 1
CLAIR No.: 1141-002-4