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HomeMy WebLinkAboutPermit Plumbing 2011-3-4 ." , SPR, I,NGF,IE~,', . BIT "':~EGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00318 IVR Number: 811182127049 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 03/04/2011 03/01/2011 Issued 03/04/2011 EXPIRES: VALUE: 08/31/2011 $0.00 SITE ADDRESS: 868 BELTUNE RD, Springfield, OR 97477-1091 ASSESOR'S PARCEL NO: 1703153000900 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: LA Nails - Replumb 3 fixtures and add 1 additional fixture Phone Number: OWNER: ADDRESS: SYCAN B CORP 840 BEL TUNE RD STE 202 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor Contractor Name RELIABLE PLUMBING & MECHANICAL INC Lie Type PLUMBING # of Units: BUILDING INFORMATION I # 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: Municipal I Development Code: Plu!'1bing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 20-419PB Lic Exp 07/01/2011 Phone 541-689-4235 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: I Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: ATTENTION: Oregon law requires you to Retaining Wall: follow rules adopted by the Oregon Utility Soils Report Required:Notification 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). NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 3/4/2011 9:21 :59AM Page 1 of4 .. CITY OF SPRINGFIELD 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-00318 IVR Number: 811182127049 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/04/2011 ISSUED: APPLIED: 03/04/2011 03/01/2011 EXPIRES: VALUE: 08/31/2011 $0.00 SITE ADDRESS: 868 BELTLlNE RD, Springfield, OR 97477-1091 ASSESOR'S PARCEL NO: 1703153000900 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: LA Nails. Replumb 3 fixtures and add 1 additional fixture 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: Downspout/Drains: Valuation Description I Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Descriotion SDC: Reimbursement Cost - Local Wastewater SDC: Total Sewer Administration Fee _._."-^,_._,-".",.",..,~._.""._,,."---_._.".~_._~-~_.. State of Oregon Surcharge (12% of appli9ab1e fees) Technology fee (5% of permit total) Fixture SDC: Improvement Cost - Local Wastewater Total Amount Paid Amount Paid $395,16 $29.40 $9,12 $3,80 $76,00 $192.87 $706.35 Date Paid 03/04/2011 03/04/2011 03/04/2011 03/04/2011 03/04/2011 03/04/2011 Reciot # 2011000395 2011000395 2011000395 2011000395 2011000395 2011000395 Springfield Building Pennil 3/4/2011 9:,21 :59AM Page 2 of4 SPRIN..G fiE L~,' " ~' - I!W 0/~ OREGON ,., CITY OF SPRINGFIELD Building r Commercial Permit PERMIT NO: 811-SPR2011-00318 IVR Number: 811182127049 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 155 ued perm itcenler@ci.springfield,or,us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 03/04/2011 03/01/2011 03/04/2011 SITE ADDRESS: 868 BEL TUNE RD, Springfield, OR 97477-1091 ASSESOR'S PARCEL NO: 1703153000900 EXPIRES: VALUE: 08/31/2011 $0.00 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: LA Nails - Replumb 3 fixtures and add 1 additional fixture Plan Review ~ Deoartment Received Plumbing Review 03/01/2011 Comments: Over the counter permit Due Date Comoleted 03/01/2011 03/01/2011 Result Not Required Initial Review 03/01/2011 03/01/2011 03/01/2011 Over the Counter Electrical Review 03/01/2011 03/01/2011 03/01/2011 Comments: Over the counter permit Not Required Initial Review Approved 03/01/2011 03/01/2011 03/01/2011 Fire Review 03/01/2011 03/01/2011 03/01/2011 Not Required Comments: Over the counter permit Energy Code Review 03/01/2011 03/01/2011 03/01/2011 Comments: Over the counter permit Not Required Reviewer David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby Structural Review 03/01/2011 03/01/2011 03/01/2011 Not Required Comments: Over the counter permit !perrrl.i1T~iUan,ce::-"~Y1~~~~:- .,:'~03/01i?"Q1'1/_' .P.~(.01'J2Q~1~io4i205~:r~70lSsL7ed. *,.,/> if.., ~~."" ' r,t,.; ~;~1J; . ~," .~: \~:::Ji:~:.'~~',; _>~:~~- ~-;~-'t~,:(~~{~~1:v~:;;'~'.'~ . ':,:~::+~:~~~~ ~,.( l' ,~' David Bowlsby ~t~~~~~,~;~~~~o,:;"~{.'0~'=c..-~-~7:1 INSPECTIONS REQUIRED ~ Inspections 3150 Undersiab Piumbing 3500 Rough Plumbing 3999 Final Plumbing Underslab Plumbing: Prior to filling the trench and in~luding required testing. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Springfield Building Permit 3/4f2011 9:21 :59AM Page 3 of 4 srR,I",H, .GFIE,L ~,D" i5iZ; :";,'4" ,ti:I ; ...'4..... OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.d.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-00318 IVR Number: 811182127049 permilcenter@ci,springfield.or.u$ PROJECT STATUS: STATUS DATE: Issued 03/04/2011 ISSUED: APPLIED: 03/04/2011 03/01/2011 EXPIRES: VALUE: 08/31/2011 $0.00 SITE ADDRESS: 868 BELTLlNE RD, Springfield, OR 97477-1091 ASSESOR'S PARCEL NO: 17031S3000900 SCOPE: Plumbing Only WORK INVOLVEO: Alleralion TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: LA Nails - Replumb 3 fixtures and add 1 additional fixture 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 V"ork 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. ~A'~ 3/ Lf /1/ Owner or Contractor Signature Date Springfield Building Permit 3/4/2011 9:21 :59AM Page 4 of4 , TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00318 868 BEL TUNE RD perm itcenler@ci.springfield.or.us Fixture 224-00000-425603 SDC: Improvement Cost - Local Wastewater 443-00000-448025 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 ---~-~------- SDC: Total Sewer Administration Fee 719-00000-426604 --"_.,'._------_.,--'-~' State of Oregon Surcharg~J12% of applicable fees) 821-00000-~ 500~. Technolog~ fee (5% of pe~!"it totalt 100-00000-425605 TOTAL DUE: DATE: 03/04/2011 . Y-;~.""~''''',,:'~'AMOliNJ.oliE'''-': :~"" 76.00 192.87 395.16 29.40 9.12 -_._._-~--------~- 3.80 706.35 I RECEIPT NO: 2011000395 RECORD NO: 811-SPR2011-00318 rOES CR InTION ,:--'0' .,----:-.--.,n:"~;/"';0f._ -,'''';r,r'';r-l:-~~_ _4..:'~- ;.-I:'A'C'C'O' "UNT--'-CO'OE' L ,'..r..:'.....~.;;,li"'.n.'-".., ,,"'.*~:~.''<J00~~'''''1;'~', ",', .,d..... ~~VMe':~J~1YP~"~%:~P-AyOR,4~.CA4SfllER:1N~ACH.fDO:;i~!?~,\fi:~~C'QMM~~ltS:;t:,*':;j,~'t';~"":;'1f0,i.k:-~.~ ~'.~"~;;,;;',:J\MO.ijNn~_I.D:; '::'~;:~ to> ~;},:'!'1 Check SYCAN B CORP 706.35 24379 TOTAL PAID: 706.35