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Home My WebLink AboutPermit Plumbing 2011-1-13 01/11/11 Tlm 12:24 FAX 5417263689 Plumbing Permit Application m Fiflll St=t. Spnngfidd, OR 97477 . Pll(541)726-3753. FAX(541)726-3689 v CITY OF SPRINGFIELD I4J 001 SPRINGFlEU;;) ~.~""+~",;o!'"~ "' &,' d -'C2 ~ '''~~,-''''<:''~'~ ~:7f~~~< .~~ ~~~t:. ~ ~ ," _'_ :,;, .:' " ',." :_ '.:.. ,.'. ',,"' '" _.. : I, ~ ., . . ; "DEPARTMENT USE ONLY.' . 8 J..l- -SY'ILUHl -61- Pennrt no.: 7 Date: 1 - 3 - 11. This permit is issued under OAR 918-780-0060. Permits are issned only to the person or contractor doing the work. Permits e~pire if work is not started within 180 days of issuance or if work is suspended for 180 days. ','.'[;bCAL.~.'.G'OVERNI'iIlENT"';&;PPRO\1AJj;\?"'. Zoning .pproval verified? Yes DNa Sanitation approval verified? Yes D No CATEGORY' OF.' CONSTRUCTION o Residential 0 Government Commeroial ....,;,;fOEl..$i'tE.....INF.ORMATIPN,ANP.:tQCJ\T.IQNl;,i-....,. Job site address: 3 ~ ~ 1-. City:S ~iel~ State: ZIP:17 77 Reference:SllE. I : f.,-oo~o./ Taxlot.: . <.oc,.....pESCRIPJIQ(il. 'OF.,WORK,:;cAi;::;r,,'" ,:"';'::::',.:'.t ,,",,,~",-,, . City: . Phone: B-maiI: 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: CONTRACTOR, INSTALL/'. TlON. . '.. (; {: ~ \ \rfh I\OD 44()-2500-) (I1108/COf.1) ::?',:> "",':",',-,.".:nEEE!'SCI-lElltJLE}:." .....';'.'.,.. '." :cle~Fb~l~riE,i1~;'llK;::b':i'..;'. 9~; ....,~"!t,,{ <~~~!". New residential I bathroomll kitchen (includes.' fU'st JOOf~IU ofwalt!rls~er lines. hose $238.00 $ bibs, ice maker, under/foor low-point drains and rain.drain packages) 2 bathrooms!! kitchen $374.00 $ 3 batllrooms/l kitchen $439.00 S Each additional bathroom (ovcr 3) $95.00 $ Each additional kitchen (over]) $95.00 S Residential fire sprinkJers (includes plan review) o to 2,000 square feet $58.00 $ 2.00! to 3,600 square feet $116.00 $ 3.601 to 7.200 square feet $174.00 $ 7,201 square feet and greater $Z3Z.00 $ Manufactured dwellil1g Or p.-e-fab (eirc:Jeone) Connections to building sewer and $58.00 $ water supply Commercial, industrial, D-nd dwellings other than one- or two-family Minimum fee I I $58.00 I $ Each fixture q I $19.00 I $ II , Miscellaneous fees 100' stonn~ sewer.. waler line: $76.00 $ Each fixture, appurteruiJ'lce, and piping $19.00 $ Stonn water retention/detention facility $19.00 $ Irrigation systems $19.00 $ Piping Or private stann drainage $19.00 $ svstcms exccedinlJ" the first 100 feet Specialty fixture, $19.00 $ Rcinspection (no. ofhrs. x fee per hr.) $5800 $ Special requested inspections (no. of $58.00 $ hrs. x fee per hr.) Each additiolJal iospcction; (I) $58.00 $ frMtltJi~:.i'i'jr!~~,~'i~i'iili'.~~;~::~~': ',\:Z\),/:;:_;iS(~~L Minimum fee S Enter value of installation and equipment $ Enter fee based on installation and equipment value. S ~:~~!0d;{t~;:t'~~;:~::~~~"Hg~~~,QS~~,:;~':~i;~~1t~{:0';~~~~~ (A) EDter subtotal of above fees (Minimum Permit Fee $58.00) " $ nl (B) Investigative fee (equal to [A]) $ (e) Enter 12% ,urcharge (.12 x [A+B]) $ 1-0.'52 (D) Technology Fee (5% of[AJ) $ l?Ss TOTAL fees and surcharges (A through D): $ ~,e7- ..- - '" www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/13/2011 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00067 IVR Number: 811181675554 ISSUED: APPLIED: 01/13/2011 01/13/2011 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: 07/12/2011 $0.00 SITE ADDRESS: 3405 GATEWAY ST, Springfield, OR 97477.1057 ASSES OR'S PARCEL NO: 1703222000904 SCOPE: Plumbing Only WORK INVOLVED: Alleralion TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: 9 fixtures Phone Number: OWNER: ADDRESS: MCDONALDS CORP PO BOX 51060 EUGENE OR 97405 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name OREGON CASCADE PLUMBING & HEATING # of Units: o Occupancy Type Construction Type A-2 Type VB # of Bedrooms: Sprinkled Building: Fire Alanns: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Lie Type PLUMBING I~U I....... BUILDING INFORMATION THlu ;:".. IML An t r nt yORK AUTf-i#":'1!~&EiNDER THIS PERMIT IS NOT COMr!1l:.i,!!'ll~bSeJ!l'\~eABANDONED FOR ANY 1W8e[j>A~epERIOD. . Waler Type: Range Type: Haimat: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal' Development Code: Plumbing Specialty Code Edition: 2008 Residenlial speci~l~rS~'1l1tdltil!fi1!J to A TTE1'stfG'll\.i rQ r5'~e~\1I~ G99<LEailiO\l: Utl\\ItVth _l...~ ~rlnnteu u} .." "..n C:::A or \I OI\OW - t . I """ . - 52 0 - Notilic ,lion Cen €Site Inr9mli'>\io/!lAR 9 - , ino~~R ~;~~~~-obt~~ ~~i~~~h~ t~\eph'~~e o liing the center. ( Utility Notilicatlon ca th . oregon ) number lor e. 1_800-332-2344, center IS Lic No 24.33PB Lie Exp 07/0112011 Phone 503-588-0355 Lot Size: Sq Ft 1 sl Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq FI Carport: Sq Ft Olher: Occupancy Load: o 1f13f2011 9:39:55AM Page 1 of 3 .- www.cLspringfield,OLUS CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00067 IVR Number: 811181675554 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 01/13/2011 ISSUED: APPLIED: 01/13/2011 01/13/2011 EXPIRES: VALUE: 07/12/2011 $0.00 SITE ADDRESS: 3405 GATEWAY ST, Springfield, OR 97477-1057 ASSES OR'S PARCEL NO: 1703222000904 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: 9 fixtures Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ 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: Sidewalk Type: DownspoutJDrains: Valuation Description ~ Descriotion Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Description Amount Paid Date Paid -,,!~te..of Ore~()n_Surcha!g~.l1_~:'o of_a.ep.I~c:a!:.I~ fee,o;)_.. . _"__~~5~_ __ 01/1~.2~___ Tec.~nol~g.x!e~(5% of p-,,!~i~total)___. __.___ _.__ _____~~~________~!l:.3.~.c:.12____ Fixture $171.00 01/13/2011 State of Oregon Surcharge (12% of applicable fees) $11_97 01/13/2011 Total Amount Paid $200.07 ReciDt# 2011000095 - _.- . - -- 2011000095 2011000095 w_"____ ~_..___ 2011000095 Springfield Building Permit 1113/2011 9:39:SSAM Page 2 of 3 .... - ," SP~liN~EL~ ~""Yf."~ G574i.~ . J&;;S"". OReGON CITY OF SPRINGFIELD Building I Commercial Perniit PERMIT NO: 811-SPR2011-00067 IVR Number: 811181675554 www.ci.springfie!d.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued fie rmitcenter@ci,springfield,or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 01/13/2011 01/13/2011 01/13/2011 EXPIRES: VALUE: 07/12/2011 $0.00 SITE ADDRESS: 3405 GATEWAY ST, Springfield, OR 97477-1057 ASSESOR'S PARCEL NO: 1703222000904 SCOPE: Plumbing Only WORK INVOLVED: Alleralion TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: 9 fixtu res Plan Review ~ Deoartment Application Acceptance Result Over the Counter Received Due Date 01/13/2011 01/13/2011 Comoleted 01/13/2011 Plumbing Review 01/13/2011 Comments: Over the counter permit I 't' 'IR .~. '~,,1GPl... ~:r;'fiFr;7Y"f"0-1/'13/20' Iln,!1Clt' eV.I~~f.'~Y~~~~1~.j0J3:l1~ j".i,. ~:;~;",,, .,;;."t:J,.~',~ ~ :'-(:~"'~-;i{'" $giComments::':Over thecounter-perml ~'="!';JiJ)tAl,zk:-"-'-'~-'~_), ., "J 01/13/2011 Not Required 01/13/2011 Reviewer Kip Kaufman Kip Kaufman tI1EfCounfer'"l'T:','- "Kip KaufniElrl ' {.t~~~-~~~'~:'f~15 ~.t~j.:$:::- , .'" .' , -l ~--' --,.-,- ,-.., " , -, . ;'i~:.:-'~..,~~}.~ i~_, ~.:':-:_:~~ ~.~'"I ~~" 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. 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 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 iSuction Owner or Date /- / ]-d--.O/I Springfield Building Permit 1/1312011 9:39:55AM Page 3of3 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,QR 97477 541-726-3753 www.cLspringfield.or.us 811-SPR2011-00067 3405 GATEWAY ST permitcenter@ci.springfield.or.us RECEIPT NO: 2011000095 RECORD NO: 811-SPR2011-00067 l(jESCRIP.TI6N~ ;;~,1:0~4Wt;~;-~"::ij+0';~1J:::iry~,$~''d';':--;0,':'tAc:CQONtiCQDEl:;;''-..;::y",;: .~ Fixture 224-00000-425603 - .----. State of Oregon' Surcharge (12% of applicable fees)__.____~1-00~00-215~__ Technology fee (5% of permit total) _._..._.~9-00000-4~5605 TOTAL DUE: DATE: 01/13/2011 ~-P.:MbONtDUE' ''''' ; 171.00 20.52 8.55 200.D7 :~-'-rI t2~Ay~~ttfillgJ:~C;~:~;{P-AY.b'R: ,;'1:;.;,,:^CASHI~R:;Kf?ulMfN:~~GQNfM'.~~Isj~J~-:,t~{~,~;;',~>";~~~MQtJ..~JLAID' '., I :::~~~:':':i.~~J Credit Card Wayne 0 Jearls $8.55 734616 Check Oregon Cascade ck #045570 $191,52 TOTAL PAID: $200.07