HomeMy WebLinkAboutPermit Plumbing 2010-9-9
S.~.~I.NG..FIE~ .~.:. ..
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, "OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00261
IVR Number: 811130978853
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
09/09/2010
09/09/2010
.Issued
09/09/2010
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
EXPIRES:
VALUE:
03/07/2011
$5,000.00
SITE ADDRESS: 1715 CENTENNIAL BLVD, Springfield, OR 97477-3365
ASSES OR'S PARCEL NO: 1703253404501
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Plumbing Only
New
Commercial
PROJECT DESCRIPTION:
Siding
Phone Number:
OWNER:
ADDRESS:
sCHWENDIMAN SHANE E & J 5
7275 GREENVALLEY RD
OAKLAND OR 97462
CONTRACTOR INFORMATION ~
Contractor Type
General Contractor
Contractor Name
EHLERS CONSTRUCTION INC
Lic Type
CCB
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal! Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition: , 5 "aU to
'eC\Ulte , 'I.t"
Structural Specialty Code Edition: 0 gol'1 laW I 0 eg.OI'1 \.l\l I,
_ ....,.'r;t\.\' re .. _, \r.P r _ ~ ~......{'h
I ' , ,~ ' ~),-,teU ~, I 5 alt> o~. ,
Site Information.,., ,,,\sS ac \ 1\105e tU e p..R 952-00 ,-
~\o\llioat'OI'1 v01':~0\ 0 \\1tOu~\1 ~I t\1e ruleS bY
Op..R 952-0 btail'100(llvs telep\10l'1e
'1'1090 You may O'el \Note,t\1e Not,\lOa\lOI'1
o ' t\1e oel'1. \.ltlllty
oa\\'l'1g lot tne Ote901'1 332.2344),
l'1umbet ( \5 1-BOO-
cel'1te
BUILDING INFORMATION ~
# of Units:
o
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
Fire Alanns:
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazar~lJ}rea:1 E'
Retaining ~~!!~ i~c~ L EXPIRE IF THE WORK
Soils Report Requireo!\lllT SHAl. THIS PERMIT IS NOT
~,UTHORIZED UNDER FOR
r,OMMENCED OR IS ABANDONED
'IV 180 DAV PERIOD,
Springfield Building Permit
10/21/201 10:24:25AM
Lie No
4231
Lie Exp
11/19/2010
Phone
541-689-6177
Lot Size:
sq Fl1st Floor:
sq Fl2nd Floor:
sq Ft Basement:
sq Ft Garage:
sq Ft Carport:
sq Ft Other: 0
Occupancy Load:
Page 1 of 4
S..... RING.F IEL:i)
.--
'ei;
;;\ OREGON
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-SPR2010-00261
IVR Number: 811130978853
permitcenler@cLspringfieJd.or.us
PROJECT STATUS:
STATUS DATE:
Issued
09/09/2010
ISSUED:
APPLIED:
09/09/2010
09/09/2010
EXPIRES:
VALUE:
03/07/2011
$5,000.00
SITE ADDRESS: 1715 CENTENNIAL BLVD, Springfield, OR 97477-3365
ASSESOR'S PARCEL NO: 1703253404501
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Plumbing Only
New
Commercial
PROJECT DESCRIPTION:
Siding
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
19
Sidewalk Type:
Downspout/Drains:
Valuation Description I
Descriotion
Bid
Tvoe of Construction
NA
Unit Amount Unit Tvoe
5,000.00 Bid
Unit Cost
1.00
Value
5,000.00
5,000.00
FEES PAID
~
Descriotion
Encroachment
Technology fee (5% of permit total)
Storm Sewer
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Building Permit Fee
Technology fee (5% of permit total)
State of Oregon Surc~~~ge (12% of applicable fees)
Total Amount Paid
Amount Paid
$139.50
$6.98
$76.00
$9.12
$3.80
$87.25
$4.36
$10.47
$337.48
Date Paid
10/21/2010
10/21/2010
10/21/2010
10/21/2010
10/21/2010
09/09/2010
09/09/2010
09/09/2010
Receipt #
374670
374670
374670
374670
374670
374268
374268
374268
Springfield Building Permit
10/21/201 10:24:25AM
Page 2 of 4
SPRINGFIE~
-
:rt:n
00~:bREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00261
IVR Number: 811130978853
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
09/09/2010
09/09/2010
Issued
09/09/2010
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/07/2011
$5,000.00
SITE ADDRESS: 1715 CENTENNIAL BLVD, Springfield, OR 97477-3365
ASSESOR'S PARCEL NO: 1703253404501
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Plumbing Only
New
Commercial
PROJECT DESCRIPTION:
Siding
Plan Review
~
Deoartment
Application Acceptance
Received Due Date ComDleted Result
09/09/2010 09/09/2010 09/09/2010 Over the Counter
Reviewer
Chris Carpenter
Electrical Review
09/09/2010 09/09/2010 09/09/2010 Not Required
Comments: Over the counter permit
-'
:oiCom mei1~5~m7;9veT th~~8~~~!.~I,perD1i~
Plumbing Review 09/09/2010 09/09/2010
Comments: Over the counter permit
Not Required
09/09/2010
.., ~
'-09/69-,_~qfo],;:'g9JO~~201.0:)~.:~..: ls~u~df' .~_ ,,:, ~ '1
~_" -- - - .:....'.:( ,..,m., ,:,:...'t~;e:.-",:"
Not Required
Fire Review
09/09/2010 09/09/2010 09/09/2010
Comments: Over the counter permit
Energy Code Review 09/09/2010 09/09/2010 09/09/2010
Comments: Over the counter permit
Not Required
Chris Carpenter
Chris Carpenter
Chris Carpenter
Chris Carpenter
Structural Review
09/09/2010 09/09/2010 09/09/2010
Not Required
Chris Carpenter
Comments: Over the counter permit
PI~:;~e:;;e,w~1;ffh;~~;,6te~~~~;~~~ ,,;-1~Y~~~i}9~:~?6~~?~i~e~Uir~;_~;;~t'~~N~~:~~e~t~,;;:.;;~ '
INSPECTIONS REQUIRED ~
Inspections
1999 Final Building
,-,,- J
,::,jr
Final Building: After all required inspections have been requested and approved and
the building is complete.
Storm Sewer Line: Prior to filling trench.
3400 Storm Sewer
9512 Encroachments
Encroachment: After item(s) have been removed to inspect condition of public right
of way.
Springfield Building Permit
10/21/201 10:24:2SAM
Page 3 of 4
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
09/09/2010
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00261
IVR Number: 811130978853
permitcenter@ci,springfield.or,us
ISSUED:
APPLIED:
09/09/2010
09/09/2010
03/07/2011
$5,000.00
EXPIRES:
VALUE:
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Plumbing Only
New
Commercial
SITE ADDRESS: 1715 CENTENNIAL BLVD, Springfield, OR 97477-3365
ASSESOR'S PARCEL NO: 1703253404501
PROJECT DESCRIPTION:
Siding
By signature, I state and agree, that \ 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 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. 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 i ections are requested at the proper time, that each address is readable from the street, that the
permit car sated at t e fr nt of the property, and the approved set of plans will remain on the site at all times during
constru on.
Springfield Building Permit
/d hi ;;~
Date/ I
10/21{201 10:24:25AM
Page 4 of 4
Plumbing Permit Application
~ , ~. ... ,_ 1 l- ; -' ~ < .. .. - , ,- ,b l--,r
" CITY OF SPRINGFuttD, (!)~GO~'.,
~. .' ,,'. .().... . '. .J'+r"",~''';,~'~~ ...~'-';~~')?,~~'\::i;"I";.P.l'
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(541)726-3689
Date: /0 ;;);//0
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.
';'r:W#?:.':'itocA(;GOVERNME:N:I'i'ApPROVAlDj;'(~;::i:l:~~i;\;ii'
Zoning approval verified? 0 Yes 0 No
Sanitation approval verified? 0 Yes. 0 No
. CATEG.ORY: OF CONSTRUCTION'
o Residential 0 Government 0 Commercial
;;!':\;,'JOEjiSI;rE......INFORMA;rIONy.ANO;.:COCATION!!:;;, ).\'
I Co ,.JeAl-
Citb ZI.
Reference: \
.//i;:.~~/-~t,'> :~~;:~;ii:~i
':; \;N.;~f:W~$~;;\:~;.\;: Ji~'\;
'Nam.
ZI~ 1%2-
Phone:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family, and is
exempt from licensing requirements under OAR 918-695-0020.
Signature:
;,' ~.:. . c.'
Address:
City:
Phone:
E-mail:
CCB license no.:
e
Signature.
440-2500-) (11/08/COM)
"'C :,;;;j;,i{.:.p:%1~?;.'~;FEEfiSCH EOO (E:;;',".'mF:1iN'i%;:'{j5;;:;i
1".- '. ~:;;IQtj': ,.~'Cos~S .,TotaI';"
:i2<~':;!:'j ~ ,..;,,: ,,,:~; :;;;i~.): e~~:'/\.':;: ;~:~,.:,c.o"s~:";;:'
New residential
I bathroomll kitchen (includes: first
100 feet of water/sewer lines, hose $238.00 $
bibs. ice maker, under floor low-point
drains and rain-drain packages)
2 bathrooms/l kitchen $374.00 $
3 bathrooms/l kitchen $439.00 $
Each additional bathroom (over 3) $95.00 $
Each additional kitchen (over I) '$95.00 $
Residential fire sprinklers (includes plan 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 I I $19.00 I $
Miscellaneous fees /
100' storm, sewer, water line / $76.00 $
Each fixture, appurtenance, and piping $19.00 $
Stann water retention/detention facility $19.00 $
Irrigation systems' $19.00 $
Piping or private storm drainage $19.00 $
svstems exceeding 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: (I) $58.00 $
,~'M,e(ii~~i:':g~:s:'~ipi~'g':~:Zj.~:::ti'i}ejYf::tB.~~::A~ Minimum fee $
Enter value of installation and equipment $
Enter fee based on installation and equipment value. $
8:K~\~:M~}~i~~f{~~~~t.~Wf[ilf~AR~~~]C~'Nt~~U"s:~lit~:~~~~~l~~~l@j~~tt~t~t!~~4,:
(A) Enter subtotal of above fees L-; 1/1 . C 7)
(Minimum Permit Fee $58.00)
(B) Investigative fee (equal to [AD $ I '
(C) Enter 12% surcharge (.12 x [A+BD $
(D) Technology Fee (5% of [AD $ 9
TOTAL fees and surcharges (A through D): $ X tI'.
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SP.~~:~~
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,,,,".7"-"" OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00261
1715 CENTENNIAL BLVD
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
permitcenter@ci.springfield.or.us
RECEIPT NO, 2010000634 RECORD NO, 81 I-SPR201O-00261 DATE,10/21/2010
IDESCRIPTIClN""" ,'''::;;;f,,,;,c;:;2;,';f#r;';;';''~;';;r"J'':''tr;I;;Yf\C~CQQt.lI&~QE'; {>. ,'~f..lj:t@TQ.UJ . .1
Encroachment 201-00000-428060 $139.50
Technology fee (5% of permit total) 100-00000-425605 $6.98
Storm Sewer 224-00000-425603' $76.00
.State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $9.12
Technology fee (5% of permit total) 100-00000-425605 $3.80
TOTAL DUE: $235.40
L-;'P.A.YMENTTYF?E' .:';:P.A.YOR:~ .C6SHTElf'RwitSON" :',COMMENTS"'':'''';; -.....';.r ..,; ',. " .AMOUNTPAID ...1
l~-'-_ _ _ _~~_~""",~""",,~.-.....~._.~___.,"....~_..___._._____---,--.,_",,_._"___.. -
Check
7334
EHLERS CONSTRUCTION INC
$235.40
$235.40