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Home My WebLink AboutPermit Plumbing 2010-9-20 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00338 IVR Number: 811106603516 permitcenter@ci,springfield,or.us PROJECT STATUS: Issued ISSUED: 9/20/10 APPLIED: 9/20/10 EXPIRES: 3/19/2011 VALUE: $0.00 SITE ADDRESS: 1460 G ASSESOR'S PARCEL NO: Springfield 1703362204601 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Two fixtures OWNER: ADDRESS: MCKENZIE WILLAMETTE REGIONAL MEDICAL CTR PO BOX 190700 SAN FRANCISCO CA 94119 Phone Number: CONTRACTOR INFORMATION I Contractor Type Contractor Name OREGON CASCADE PLUMBING & HEATING INC Lie Type CCB Lie No 127 Lie Exp 11/25/2010 Phone 503*588-0355 BUILDING INFORMATION I # of Units: o # of Stories: I Height of Structure: Type of Heat: WaterTyP'e: Range Type: Hazmat: .;',,; Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alarms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Energy Path: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: on law requires you to ATTENTION: Oreg the Oregon Utility follow rules adopted b~e lules are set forth Notification cen~~1~~~IOU9h OAR 952-001- In OAR 952-001- ies of the rules by 0090. you may obtain ~fe. the telephone calling the cen~r. (~n Utility Notification number for thelS 11e8g 00-3:32-2:344). Center - NOTICE: E IF THE WORK THIS PERMIT SHALELR~~~ PERMIT IS NOT AUTHORIZED UNO FOR spnn'e~~me'ED OR IS ABANDONED ANY 180 DAY PERIOD. 9/20/2010 8:41:07AM Page 1 of3 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00338 IVR Number: 811106603516 permitcenler@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/20/10 APPLIED: 9/20/10 EXPIRES: 3/19/2011 VALUE: $0.00 SITE ADDRESS: 1460 G ASSESOR'S PARCEL NO: Springfield 1703362204601 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Two fixtures DEVELOPMENT INFORMATION ~ REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value .~ <,:Y,'-;f~- _ ,,"",. '~'-FEESj~ID ,,,i2C Amount Paid $19.00 $19.00 $20.00 $6.96 $2.90 $67.86 j ~ f' :,~~.-'>" ~~; " ~..'",~.. "/,':.;0' !'< !",,~,r ,':::J"~ - :;',- ;,~~-:-.;:-:--:- ~I -- -~=;::;j~.r""'.tL~1 DescriDtion Backflow preventer Fixture Balance of Minimum Plumbing Permit F:,es State of Oregon Surch~rge (1~% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Date Pa id 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 Receiot # 374346 374346 374346 374346 374346 Springfield Building Permit 9/20/2010 8:41:07AM Page 2 of3 SPRINGFIELD ~A~_ . .:'< .;it.... j(;\."~-' . . .. '.,... OREGON www.ci.springfield.or.us PROJECT STATUS: Issued 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00338 IVR Number: 811106603516 ISSUED: 9/20/10 APPLIED: 9/20/10 EXPIRES: 3/19/2011 VALUE: $0.00 permilcenter@cLspringfield.or.us SITE ADDRESS: 1460 G ASSESOR'S PARCEL NO: PROJECT DESCRIPTION: [' Springfield , 1703362204601 Two fixtures ~ ',: .. ,. """'7'1:""-,-; -+':".d'..'~;<'.;;:" ..^'i'. Deoartment Permit Issuance Application Acceptance Initial Review Electrical Review Mechanical Review Plumbing Review Planning Review Fire Review Public Works Review Energy Code Review Traffic Review Structural Review Received 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 Due Date 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 ComDlete 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial -PI~ri_Ji~~[~Y;'~;~~ ~ . . ."-",, ~ . .~:; -'-~-._~::.' . '1/--- Result Issued Over the 'Counter Over the Counter Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Reviewer Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado ..."".....-...".., t......[ , -I ... " k Comments Over the counter permit Over the counter permit . Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Inspections 3620 Backflow Device INSPECTIONS REQUIRED ~ 3999 Final Plumbing 3500 Rough Plumbing By signature, I state and agree, that I have carefully examined the completed applicati.on 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 or 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. '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 caction =er::Jtjr:~ors~atr"1a Dat~ j-;I 0 -,A 0/0 Springfield Building Permit 9/20/2010 8:41:07AM Page 3 of 3 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00338 1460 G ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541*726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2010000353 RECORD NO: 811-SPR2010-00JJ8 DATE: 09/20/2010 "--'q"ii..i-_- ,: ~'?ACC:QQN:f'c:OI:lE- --~MQi.fNTJl.U.!":...~ 224-00000-425603 $19.00 224-00000-425603 $19.00 224-00000-425603 $20.00 821-00000-215004 $6.96 1 00-00000-425605 $2.90 TOTAL DUE: $67.86 r PAYMENttYPESsi::5F'AtOR~:7;'CASHI€<<Jl:i!1ACHADO,:'~'cbMME'NTs;",:"3~:'c.'":,..: . - "AMOONTPAID' [Q.!"$CRIPTIQN' ~I ",1" -.,)~,-..l~ -.0.' .-.. Backflow preventer Fixture Balance of Minimum Plumbing Permit Fees State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Credit Card 192512 Wayne Jearls $67.86 $67.86