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Home My WebLink AboutPermit Plumbing 2011-1-4 .. SP~ING.fIE.L?iiD. ...~ .' ,,~.~ .+ ~ 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-SPR2011-00009 IVR Number: 811152188696 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 01/04/2011 01/04/2011 EXPIRES: VALUE: 07/03/2011 $0.00 01/04/2011 SITE ADDRESS: 498 HARLOW RD, Springfield, OR 97477-1336 ASSESOR'S PARCEL NO: 1703220002800 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Amalgam Separator OWNER: ADDRESS: SKYHAWK PROPERTIES LLC 32671 SKY HAWK WAY EUGENE OR 97405 Phone Number: CONTRACTOR INFORMATION ~ Contractor Type Plumbing Contractor Contractor Name TWIN RIVERS PLUMBING INC Lie Type CCB lie No 17695 Lie Exp 03/11/2011 Phone 541-688-1444 BUILDING INFORMATION I # of Units: o Lot Size: Sq Ft1 st Floor: Sq Fl2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Fl Carport: .(....,,~-~""-"nQ- i SI JajU8Q "'Sq'Ft Othe" . 0 UOljBOllllON ^liIlln UOoaJO allj WI Jaqwnu . .' . Occupancy Load' 6 aUOlldalaj by! .quN, 'O\..:ao allj UIIIBO Electrical Specially Code Edition,(q SalnJ alljlO sa!doo U!BjqO ABW no" '0600 Springfield Fire Code Edition: - iOO-C:S6 l:I\fO IlBnOJllj 0 iOO- iOO-C:S6 l:I\fO U! , , . ,II1101jas aJB SalnJ aSOlll 'JajU8Q UO!jBO!I!ION Mechanical Specially Code Edition: 6 {dopn SalnJ MOIIOI . , Ajlmn UO aJO allj "q paj 0 . MUniCipal f Development Code: OJ noA saJ!nbaJ MBI u06aJO :NOI1N311\f Plumbing Specialty Code Edition: 2008 Residential Specialty Code Edition: Structural Specialty Code Edition: Height of Structure: Type of Heat: # of Stories: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: ;WTlCE: . E IF THE WORK THIS PERMIT SHAL~ ~~~ PERMIT IS NOT \UTHORIZED UNOE 0 FOR ~0MMENCED OR IS ABANOONE PSrY i 80 DAY PERIOD, Springfield Building Permit 1/4/2011 12:11:26PM Page1of3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00009 IVR Number: 811152188696 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield,or,us PROJECT STATUS: STATUS DATE: . Issued 01/04/2011 ISSUED: APPLIED: 01/04/2011 01/04/2011 EXPIRES: VALUE: 07/03/2011 $0,00 SITE ADDRESS: 498 HARLOW RD, Springfield, OR 97477-1336 ASSES OR'S PARCEL NO: 1703220002800 SCOPE: Plumbin9 Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Amalgam Separator 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: I Valuation Description I Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I Descriotion State of Oregon Surcharge (12% of applicable fees) ~~5:,~nol?_~~xfee (5~..?!,f?~.r~~~ total) . Fixture Balance o! M~im~~-,=lum~J!~Permit Fees Total Amount Paid Amount Paid $6.96 $2.90 -"-'--,------ $19.00 $39.00 $67.86 Date Pa id 01/04/2011 01/04/2011 .-.,.--...",-...-..-- 01/04/2011 01/04/2011 Reciot # 2011000017 2011000017 2011000017 2011000017 Springfield Building Permit 1/4/2011 12:11:26PM Page 2 of 3 SPRIN.GfIEl~ .~- ',,-. '-- " ~ ..., 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.U5 Building I Commercial Permit PERMIT NO: 811-SPR2011-00009 IVR Number: 811152188696 perm itcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/04/2011 ISSUED: APPLIED: 01/04/2011 01/04/2011 EXPIRES: VALUE: 07/03/2011 $0.00 SITE ADDRESS: 498 HARLOW RD, Springfield, OR 97477-1336 ASSESOR'S PARCEL NO: 1703220002800 SCOPE: Plumbing Only WORK INVOLVED: Alleralion TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Amalgam Separator Plan Review I DeDartment Application Acceptance Received Due Date 01/04/2011 01/04/2011 Comoleted 01/04/2011 Result Over the Counter Reviewer Chris Carpenter , 'l>) Plumbing Review 01/04/2011 Comments: Over the counter permit Ilnitial Review :"" .. _';'-_ , '''01/04/2011 f '~~~~;.ri-~riI~~i :~a~~~'7th,'~~~6~~te,',fb'~?,ri1it~,{_;~;" ~~;m:a;;;;.::z..iet. , 01/04/2011 01/04/2011 Not Required Chris Carpenter 01/04/2011~? 01/04/20,11 "' ,Ove'ithe CouiMr - y. o _~,\;~<:.,:;;~~~,+;:~_:~_:~, ~~?~};:,pl,~S:;~ ~t:j:"' ~;i~~,~' ~ <Ch~ris'Carpenter:;-- " ';. "',' . .. ~ .. .. '-,1 " ~ -~' ,", INSPECTIONS REQUIRED I 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 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 i?ite at all times during construction. fltM-ev 111Jp?!lg-- 1-1J.-j)-eJjf Owner or Contractor Signature Date Springfield Building Permit 1/4/2011 12:11:26PM Page 3 of3 ~... Plumbing Permit Application 225 Fifth Street. Spdngtield, OR 97477. PH(541)726-3753 . FAX(54J)726-3689 ~';~'~~XDEPARTM'E-NT'.'usE1)NlY$~!tt~ , . ~ -.;' -. '.. '. ,<.'.~~.. I c/J - ()o; 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. }7E!,i~~;;"21'1!!OCA(j;'GOVERNMENt""AP.P.ROVAIl:'!))t;!1iti';f~\i;:2:!;,;1 Zoning approval verified? D Yes D No Sanitation approval verified? D Yes D No CATEGORY OF. CONSTRUC1;lON 0 Residential 10 Government I jaCommercial %1i&i:f~l'i.l()Bi'SIT;E . 'INF.ORMMI()N~AND1;l.focATiION~~ff.l'''''''(~ Job site address: (j11S' J.i It/UOvJ IG[) 5/J1.7& / City: 5PIZIN/,-HaD I State: aL. I ZIP: Cj 7f/77 Reference: I Taxlot.: ;~i~tt~~~t:t,:l~~w;i~~,:DES-_CRJf?}[JON;.~-OF;};..,^"ORK::~~;~~*~~it!;j~i~~Wjj~i1WJ~;ft ':/loh?1li....-- oL > M_ ,/ . <;'p,OzYC3fw v f v . " , PRO p'ERTYi!OWN ER"~\f!\"\,\!~,'?ig~1&iN~;'i)ifi\ \- '" Name, rf..t'tJ IT wit T"S DDS Address: C/-9'r IJfrfZ.LO/.JJ RO ;f I City: 5P/Z./N& rll-2-0 I State, a2... I ZIP, 'J7Y 7 7 Phone:5V I -q6~ - q<r?-I I FaxSCj(- nr: . 1'0-"> 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, . CONTRACT:OR,.INSTALLATION "c L.,.: .:":~ ~ Business name: 'TWIN 12/ t/t)2S PWlvIl3/VG- Address: /S')'5 //2 V //V6- /2j). City: !;:VI ...i"'/V ~ I State: f'p I ZIP: c; 7 r;Cf-/ Phone:5TI/-6gf>' NYC! I Fax: - - E-mail, CCB license no.: /769~ I BCD license no.: Plumbing license no,: Print name: Signature, 440-2500-J (11/08/COM) :~:i;;'CP~~:';i&i~i~~;~ri~*~{tl7'EE~t,S.CJ~ E;.[).U_L1E_~;t~~".,:"]if~:t~~t\~~fi~ ;:,IR~~~~g!li~~,~~~i~~t~i~M~~~~~ni~f?~~ ~t~:i~ ~~t?,~~~~ij~f~ ~~~~~~:t~~ New residential I bathroomll kitchen (includes,' first J 00 feet of water/sewer lines, hose $238.00 $ bibs. ice maker. under floor low-point drains and rain-drain packages) 2 bathrooms!1 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 Commerciall industrial, and dwellings other than one- or two-family Minimum fee Ii' I $58.00 I $ S'S~ Each fixture , I $19.00 I $ Miscellaneous fees lOO' storm, sewer, water line $76.00 $ Each fixture, appurtenance, and piping $19.00 $ Storm water retention!detention facility $19.00 $ Irrigation systems $19.00 $ Piping or private storm drainage $19.00 $ s"stems exceedinp 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: (l) $58,00 $ . ~~M' ~~r.:;'j;,;i1~1.,g;""':':~"~W~fii:Vi';?~?~:lli%~:1:t.~T: Mjnimum fee $ ,; . e _Ica:gas~plpmg,//~~,i'tyi~,"~'~~~:?'??; Enter value of installation and equipment $ Enter fee based on installation and equipment value. I $ ...."''''_,,~'i!''<~'- ...........-'..ffFC...~'"""~~'~_~." .".~. . . . . &~ ~PF!L:ICAN;r;.'USE . "'iii!- " -., ~ """~. ."",;;;...."',.".;.... i';~, ,.':;,:;,.~~"""~,,,,;: _.iIt-..~,,< (A) Enter subtotal of above fees yO (Minimum Permit Fee SS8.00) $ (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ /" c,~ (D) Tecbnology Fee (5% of [A]) $ .7_"'.... TOTAL fees and surcharges (A through 0): $/;7 "c, www.ci.springfie)d.or.us TRANSACTION RECEIPT 811-SPR2011-00009 498 HARLOW RD CITY OF SPRINGF[ElD 225 FiFth 5t Springfield,OR 97477 541-726-3753 permitcenler@ci.springfield.or.us ~~~~\:'-,~~:l">;:tt~2'5:;~-:~.l:~~~,{~C_cpJ~'Nt~c~O~QE 2);i:;;~>i2':? ~MOJl~.Jij~J~E::-""".' T'~-:~:.~~.:~ 224-00000-425603 $19.00 ------._- - ._- 224-00000-425603 $39.00 --- -- . - ---- 821-00000-215004 $6.96 -~-,.--, --- 100-00000-425605 $2.90 TOTAL DUE: $67.86 [.;,~F!AYMEN;f.J;YPE':- ,~;PAY0R':;':C~SHIER:CCf\~~E~~R;'&QNIMI;.Nf~2;::;"..:;:;':~ ". "f" , ':. 'AM9U~:tI'~iDv:'.,:, :,,' " RECEI PT NO: 20 II 0000 17 'DESC'TION' ."."",:."~.,, ;.~, ~,~~__R!I2...-':_.._~f,~_~;:~i[):~::J::~t' - ~-, Fixture ~ala~ of Mini~~!~~~ing_Permlt Fees State of Ore~'?'D~Surchar~..:J12% of a'ppli~~~,:fees) Technology fee (5% of permit total) RECORD NO: 811-SPR201 [-00009 DATE: 01/04/2011 Check 4391 Renee Watts $67.86 $67.86