The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2011-2-17 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00227 IVR Number: 811164440086 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 02/17/2011 02/11/2011 Issued 02/17/2011 225 Fifth Sf Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us EXPIRES: VALUE: 08/16/2011 $0.00 SITE ADDRESS: 1460 G ST, Springfield, OR 97477-4112 ASSES OR'S PARCEL NO: 1703362204601 SCOPE: Plumbing Only WORK INVOLVED: Alleration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Medical Air outlets in operating room 5 Phone Number: OWNER: ADDRESS: MCKENZIE WILLAMETTE REGIONAL MEDICAL CTR PO BOX 190700 SAN FRANCISCO CA 94119 CONTRACTOR INFORMATION I Contractor Type Medical Gas Contractor Name TWIN RIVERS PLUMBING INC Lie Type CCB BUILDING INFORMATION I # of Units: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipall Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No 17695 Lie Exp 03/11/2013 Phone 541-688-1444 Lot Size: Sq Ft1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Fl Other: 0 Occupancy Load: 2008 Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: lAV-- Soils Report Required: Ir\l-\e \NO 0\ . '/..\illAe \ IS \-\ "01\Ct.. ~I\ SI-\~\..\.. \I-\IS \ielA~\ rOIA .. \-lIS \ieIA eD U\-\DeIA \)~\-\Do\-\eD ~U\I-\OlAll D alA IS ~ . COi\~~e\-\Ct ({ \ielAIOD. ~~'{~'OGDI'\ . laW requires yout,o ATTENTION: orego~ b the Oregon Utility follow rules adopt\ho"se rules are set to~~ ~~~~~~~~_~~~:~~1 0 th;~~i~: ~~~e9;~~~ b; $.G90. You may obtain Note: the telephone Galling the cente;~ (on Utility NotificatIOn number for the. 0, _~00_332-2344). center IS I Springfield BUilding Permit 2/17/2011 1 :29:23PM Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00227 IVR Number: 811164440086 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: Issued 02/17/2011 ISSUED: APPLIED: 02/17/2011 02/11/2011 EXPIRES: VALUE: 08/16/2011 $0.00 SITE ADDRESS: 1460 G ST, Springfield, OR 97477-4112 ASSESOR'S PARCEL NO: 1703362204601 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Medical Air outlets in operating room 5 DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING PROJECT DESCRIPTION: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvee of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ Descriotion Amount Paid Technology fee (5% of permit total) Medical Gas Permit fee (based o~_yal,:e of work) _,,-__M__ State of Oregon Surcharge (12% of applicable fees) Total Amount Paid $4.85 $97.00 $11.64 $113.49 Date Paid 02/17/2011 02/17/2011 02/17/2011 Reciot# 2011000307 '~"_.~._"~- 2011000307 .-_."--,".~._,._"-_.,--- 2011000307 Springfield Building Permit 2/17/2011 1:29:23PM Page 2 of3 St.f. IN" G,,' FI EL~D, ~,'h'~~ "u ., ~ =dt;,' OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00227 IVR Number: 811164440086 www.cLspringfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753. Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/17/2011 ISSUED: APPLIED: 02/17/2011 02/11/2011 EXPIRES: VALUE: 08/16/2011 $0.00 SITE ADDRESS: 1460 G ST, Springfield, OR 97477-4112 ASSES OR'S PARCEL NO: 1703362204601 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Medical Air outlets in operating room 5 Plan Review ~ Deoartment Initial Review Received Due Date Comoleted Result 02/11/2011 02/11/2011 02/11/2011 Over the Counter Comments: Over the counter permit Reviewer Steve Graham Application Acceptance 02/11/2011 02/11/2011 02/1112011 Application Accepted Steve Graham felumb\ngReview:'c.' . c:02/1'1/2011~;q2/1:1/~0,1,J..,,;02f.1)!20.11,' f:. c_6frri~F~~':,:'~?,~e~ !rl~ ~~.~,~~~.r;_pef_~jf::;>:~~~':::- /.~ "'~;-"i;':,.~);,E:_:,- i;~lt~:.'., NqfReq~ire~::~~~'""~\- .:;"',St~ve';Gran~m;P" > ~"r.'\,~.;,.;, .. '~ ,t. .',~::~,:", ":;,~:~+?;:.~ ~~~:~~y;;::: ~,';,~,:' .~;1;,~'.:";~ . -.. ";~~",,~ :,'~" ';~:i ~" ' Issued Nancy Machado ., -'~-' j < ~- '-: ..'";,,'," Permit Issuance 02/11/2011 02/11/2011 0211712011 INSPECTIONS REQUIRED ~ Inspections 3600 Medical Gas Piping 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 construction. .~ J: Owner or C~Sign~ r2 -/7-/1 Date Springfield Building Permit 2/17/2011 1:29:23PM Page 3 of3 www.ci.springfieJd.or.us TRANSACTION RECEIPT 811-5PR2011-00227 1460 G 5T CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 pe rmitce nter@ci,springfield,or,us RECEIPT NO: 2011000307 RECORD NO: 811-SPR2011-00227 DATE: 02/17/2011 'O'E' 5C'RIDTIO N'. '~';;"~';4 ,. '-e' ;;+.,+;.,''''''';4 .;.'..d",' ,,":!i.., '".;.';HV"A'''C' 'c' 'o'u" NI'C"'O' 'O"E'" ',," eo; , '0;-,:,. -A',M O'U'NT-,.,"O.U'E' ,.-:'-.1 t . '." r...... - ..~"'!-0.;;;."'.~...%0..~.,,~,.-;.-;...".._.."''O)! ...,t".,,,,,,,. ,.<> ....."..,...~.. ..'. .... ..'.. " ;~'...." .'/0 . "..-. .. ...J.' . """W"._.~..,~_ Medical Gas Permit fee (based on value of work) 224-00000-425603 97.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 11.64 Technology fee (5% of permit total) 100-00000-425605 4.85 TOTAL DUE: 113.49 112J:~.~iNfE'rtfj!Y@~;~'-''''::PAY.QFf ~~;cAsHiEfdNMACHADo~",:..~':t?~\} t\'''CQ~-Mg.NJS~h~:~':Y''~;1- }'''':~; +~~.;::?~~~~;' AMOUNT, PAID,'; .. ,..... <~'~~,:,',.~ Check MCKENZIE WILLAMETTE 113.49 227906 REGIONAL MEDICAL CTR TOTAL PAID: 113.49