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Home My WebLink AboutPermit Plumbing 2010-11-9 ; CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00690 IVR Number: 811111625737 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued ISSUED: APPLIED: . 11/09/2010 11/09/2010 11/09/2010 SITE ADDRESS: 1147 MAIN ST, Springfield, OR 97477-4884 ASSESOR'S PARCEL NO: 1703354107300 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us EXPIRES: VALUE: 05/08/2011 $0.00 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial P.ROJECT DESCRIPTION: Relocate floor drain Phone Number: OWNER: ADDRESS: BERNARD D HIATT LIVING TRUST 836 R ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Plumbing Contractor Contractor Name KEVIN COHEN PLUMBING INC Lie Type PLUMBING BUILDING INFORMATION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal' Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No PB363 Lic Exp 07101/2011 Phone 541-607-9208 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Infonnation ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard AreaATTENTION 0 . _ . " : regon law reqUires you to Retammg Wall: follow rules adopt d b th 0 Ut.l.t S .1 R rt R - ...t, eye reg on II y 01 S epo eflltl[mcation 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). . :.:. :i~\;'I" '. NOTICE: HE WORK THIS PERMIT SHAll EXPIRE IF T OT AUTHORIZED UNDER THIS PERMIT IS N ..... COMMENCED OR IS ABANDONED FOR . .:: ANY 180 DAY PERIOD. . Springfield Building Permit 11/9/2010 9:11:13AM Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00690 IVR Number: 811111625737 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcen1er@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/09/2010 ISSUED: APPLIED: 11/09/2010 11/09/2010 EXPIRES: VALUE: 05108/2011 $0.00 SITE ADDRESS: 1147 MAIN ST, Springfield, OR 97477-4884 ASSES OR'S PARCEL NO: 1703354107300 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Relocate floor drain DEVELOPMENT INFORMA TION ~ 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I DescriDtion Floor drain/floor sink/hub ~~~--_.- Ba~anc~,"of Minimum Plumbing Permit F~es Sta~ of Oregon Surcharge (1.2''10 of applicable fees) Technology fee (5% o!permit total) Total Amount Paid Amount Paid $19.00 $39.00 $6.96 $2.90 $67.86 Date Pa id 11/09/2010 11/09/2010 11/09/2010 11/09/2010 ReceiDt # 374843 374843 374843 -..--.--.--.-- 374843 Springfield Building Permit 11/9/2010 9:11:13AM Page 2 of3 SPRINGFIEL~ .~~ ~,- .!:f; .",'\ OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00690 IVR Number: 811111625737 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@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/09/2010 ISSUED: APPLIED: 11/09/2010 11/09/2010 EXPIRES: VALUE: 05/08/2011 $0.00 SITE ADDRESS: 1147 MAIN ST, Springfield, OR 97477-4884 ASSESOR'S PARCEL NO: 1703354107300 SCOPE: Plumbin9 Only WORK INVOLVED: Alleralion TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Relocate floor drain Plan Review I Department Application Acceptance Received Due Date Completed Result 11/09/2010 11/09/2010 11/09/2010 Over the Counter ~~rolJ1~.lssuance . . ,1J199/2010.;,'t1f09/2010', 4W~/2010, ,- Issued '..1. ..: Plumbing Review 11/09/2010 11/09/2010 11/09/2010 Comments: Over the counter permit Not Required David Bowlsby Initial'Review . Reviewer David Bowlsby . " ,David.Bowisby. ,- . , 11/09/2010 i 1/09/2010 ., .11/09/2010' "Over the gounter' "! ; David Bowlsby ." Comments: . Ov~r :he count~r permit " '. INSPECTIONS REQUIRED ~ Inspections 3500 Rough Plumbing 3999 Final Plumbing Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete, By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 furt~er 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 property, and the approved set of plans will remain on the site at all times during construction. ,---~ /I-r-/?) Owner or Contractor Signature Date Springfield Building Permit 11/9/2010 9:11:13AM Page 3 of 3 SP~~~ ~. ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00690 1147 MAIN ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permitcenler@ci.springfield.or.us RECORD NO: 81 I-SPR20 I 0-00690 DATE: 11/09/2010 'w ',- .J.:," i,":t"-,"s_-.-~i::Q.oj.rrtij::;'9[)1:{:::i '.--~,:.~M,(tU}HiDUe ;" p .'1 224.00000-425603 $19.00 224-00000-425603 $39.00 821-00000-215004 $6.96 100-00000-425605 $2.90 TOTAL DUE: $67.86 LPAXMI:~I'TYp'E.,,;rp~YQR.;,~<<~SHiER~DBOiVLs~t_;:':-C0MM~NIS:4:':>j ':,:';.'~"c_~Mc::iqtl.L!'.ffi!:>: /"_ ,;. - I nECEIPT NO: 20 I 0000795 IDESCRipJIOfF~'2:"JG,;.". :(;i~r;;," , Floor drain/floor sink/hub Balance of Minimum Plumbing Permit Fees State of Oregon Surcharge (12% of applicable fees) Jechnology fee (5% of permit tot~) Check 1897 BERNARD D HIATT LIVING TRUST $67.86 $67,86