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Home My WebLink AboutPermit Plumbing 2011-4-13 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00597 IVR Number: 811113081015 ~N~~ i\.. . . -'V ,_ "t':"';<:i; ~ . '+~,5~ OREGON www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/13/2011 ISSUED: APPLIED: 04/13/2011 04/13/2011 EXPIRES: VALUE: 10/10/2011 $0.00 SITE ADDRESS: 1870 MAIN ST. Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703364200800 PROJECT DESCRIPTION: SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial 210 feet sewer line~ independant of north property Phone Number: OWNER: ADDRESS: SUPER POllO GRill llC 1041 RIVER RD EUGENE OR 97404 Contractor Type Plumbing Contractor Contractor Name RilEY PLUMBING & CONSTRUCTION COMPANY lLC CONTRACTOR INFORMATION ~ Phone 541-998-8092 Lie Type CCB Lie No 169050 Lie Exp 03/14/2012 BUilDING INFORMATION ~ # of Units: o # of Stories: Height of Structure: . Type of Heat: Water Type: Range Type: Hazmat: ATTENTION' Olot Size: f ' . . reonn 18\~' rOo" . :i'DI'; ,ul.os adJq'Fl.1st Floor:lUlres you to ,., t'" . - f-"~U oy the Oregon Ut'I' ..' "ICd!ion CentSq F.t'2nd.FIB~r:' Ilty' ir, OAR 952.001 C~~< ~;I;t" e~ are setforth 0090. You may ~;-.~. ~~~'IJ~,rI!JAR 952-001_ calling th Sq 1'1 Garage. of the rules by e centor J~L....t..... .p~ number for the a~~~~arp~rt:e telephone Center jSS,q[M1_~~t~~~3 Notlfloation Occupancy loaa~). Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: 2011 Residential Specialty Code Editj~~TfCE: Structural Specialty Code Editio~;/S PER"IT J\'1 .C:/-Jtd I cvnlnr-1r"T'........__.. I Site Information ; I tfUI~IZED UNDER T':ilii PE'RM;T'-'S'N~; ''':'''tIiJCED OR IS ABANDONED FOR I RO DAY PERIOD. # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 4/13/2011 3;02;07PM Page 1 of 3 .. SPRI N...Gf.IE~ .t '~.'. ~ .,""~ ji.!':", . OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00597 IVR Number: 811113081015 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 04/13/2011 ISSUED: APPLIED: 04/13/2011 04/13/2011 EXPIRES: VALUE: 10/10/2011 $0,00 SITE ADDRESS: 1870 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703364200800 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 210 feet sewer line- independant of north property 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: DownspoutfDrains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion ~!~t:_~f Or:w:~~~~~~~ge (;...2~~,~f applicable fees) Te~~n.",IcJ~y._ fee (5%."!permit totaL Sanitary sewer ~~ry sewer - each additional 1 00 feet or portion of Total Amount Paid Amount Paid $13.68 ~____."",,^___m $5.70 ."-_._._..._~- $76.00 $38.00 $133,38 Date Paid Reciot # 04/13/2011 2011000712 04/13/2011 2011000712 ~..,-,_.._^,,^~.,,_.,...__._._---" -,~.- 04/13/2011 2011000712 ,- 04/13/2011 2011000712 Springfield Building Permit 4/13/2011 3:02:07PM Page 2 of 3 www.cl.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00597 IVR Number: 811113081015 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 04/13/2011 ISSUED: APPLIED: 04/13/2011 04/13/2011 EXPIRES: VALUE: 10/10/2011 $0.00 SITE ADDRESS: 1870 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703364200800 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: 210 feet sewer line- independant of north property Plan Review ~ Deoartment Permit Issuance Received Due Date 04/13/2011 04/13/2011 Comoleted 04/13/2011 Result Issued Reviewer Chris Carpenter Initial Review 04/13/2011 04/13/2011 04/13/2011 Over the Counter Chris Carpenter Comments: Over the counter permit ~PJi:a,~.9li-~~Cs~,8~,~~;~',~ ~~::f-~~;~Jtt!:1'~201];1+1,'\Q4rJ 3~291:1t>>:94Lj}129;1~i~~\ q~e~lQ~}~;9~5t~t::: IS~t-I~~~. ;,,~ \,,?:;;':~ 'Z~/~-",;:7.:' ,~-ii'i;;,~;IJ:;,~, w '1'> ," ,~.- ,~''"<~~~;'''j:~''''~'l;- ~,1j4:. ;'~Y~/'~~:C.~" ;'\; c'\ ~Ch' C Y .O<._"_.c~~ ~I";,!-~j~il_~_;::::,~;;_ ~i~~,:'r:~,t~- '~~~;'ti.).~t~:.~~---' "': "',,' ;~, I INSPECTIONS REQUIRED I Inspections 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 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 str~cture 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. Owner or Co t/'i ~ ) I Date Springfield Building Permit 4/1312011 3:02:07PM Page 3 of 3 Plumbing Permit Application ,,' . fJ;"t'~~I\,'<tr'r':"~'?~'Wl'i>';" :'\'O:~\"'l.t"~ qi....,q.~y'"-'C;"'~~ W';". DEPA.RTMENT:USE"ONIX~;;i!1" " . " ....., - .; .,' - C','; -, - ;_' , , . -- , ' . "'~:\' 225 Fifth Street + Springfield, OR 97477. PH(541)726-3753 . FAX(541)726-3689 Permit no.: 7 Date: 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. 'Y~f:f:..~f:'.;i;130C~t'/GOV.ERNNlEN1:iJ:API?R0V AJ.!l;lJM0i~;*:~,:! Zoning approval verified? 0 Yes 0 No Sanitation approval verified? 0 Yes 0 No C~TEG.OR'C OF CONSTRUCTION ..~.~~.._" ... ,... . ;~\',-f:i~ ';;~~,;-t'\:"'-'10' ;t"'~ ~:,<;w' -i,~~~-;'".,,4-",,;t1:!,:;;'~'; . " ',h", -.PRORERTY~{-;fOW_NERll~~4;~:i~,f,r\\;~l21#~.!~~~I~\;{~t~~ Name: '''Su "'..: ~o\lo Address: )0'10 City: 'ZIP: '17 Phone: S~- \(30 ;).977 - oglS E-mail: J dlo /::- I1Q'oJS fu..R, Co WI 'Fhis iRstallation-is-ooing-made-Gn-residential-or-fafrn-property . owned by me or a membeLof.m)t.irnmediate,famijy,.and is ex_pffr"!P lirensirtJu:!'quirements und OAR 918-695-0020. (3WN0"- ( f2.tl" ~ -- Signature: > ,. CONTRACllOR .INSTAL:LATiON Business name: ConA1l-~"l E-mail: CCB license no.: 1&'10)0 BCD license no.: 'Plumbing license no.: Print name: -s-'a1n Signature: 440.2500.) (II/OS/COM) 1;~n:~;~:,~~~%j}~j~.st;~~~;~~:m:FgI7E'E)lf5~CH I;.D.tJ ~E~Jft~-'~S;;~X:il~~i~<~i~~:~ ~~:~~€!leJl~QiJl~~~i~IJ~~~t;~~~1tt~~~ ~~*'~~ it;~f~~1~f1ii i~~lli.~~~t~~; New residential I bathroonJ I kitchen (includes: first 1001ee/ of water/sewer lines, hose $238.00 $ bibs. ice maker, under floor tow-point drains and rain-drain packages) 2 bathrooms!! kitchen $374.00 $ 3 bathrooms!l kitchen $439.00 $ Each additional bathroom (over 3) $95.00 $ Each additional kitchen (over 1) $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 .Commercial,. industrial, and dwellings other than one- or two-family Minimum fee I I $58.00 I $ Each fixture $19.00 $ Miscellaneous fees 100' storm, sewer, water line 7f'Ol $76.00 $'/~S Each fixture, appurtenance, and piping $19.00 $ Stonn water retention/detention facility $19.00 $ Irrigation systems $19.00 $ Piping or private storm drainage $19.00 $ systems exceedincr the first lOa feeL 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: (I) $58.00 $ . .oM i'fl~"'"'t:Ti<:i;~;';',jY';';'\';,.~"c~~;'''irl*:'if''4;;'l:!::'\:'';I~'li':':;':;!:":' Minimum fee $ .l ___e. lca:gils.:plpIJJ,gR~~~~:~;tii~:;:.t;:S,~'rt8lf:tcti Enter value of installation and equipment $ Enter fee based on installation and equipment value. $ >'''~~~1f-' .-F.'....~--._..~~~i!lf,,'st-. ~ ~ ' '. APRElCA:Nm USE . . .,,,~ lfi,;,:,-0,~~,' '. t",;C; _- -:7 ..'.:l:.":' .', i ~.. ',.... 'L,,,. \t:L,~~\1b'J;;W:"~'W'_ '"IS (A) Enter subtotal of above fees $ IIV' (Minimum Permit Fee $58.00) (B) lnvestigative fee (equal to [A]) $ I (C) Enter 12% surcharge (.12 x [A+B]) $ I ?(p~ (D) Technology Fee (5% of[A]) $ )~ TOTAL fees and surcharges (A through D): $ I??:J.E; d www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00597 1870 MAIN ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 perm itcenter@ci.springfield.or.us RECEIPT NO: 2011000712 RECORD NO: 811-SPR2011-00597 DATE: 04/13/2011 liYESCRIR.TiON iL":;' 'T';:"~"",4'"," ::~,~it_'Ji',"c'h--', "ACCOUN'iJ:::ODE" ,::"'/,:':":S,f'~:ANlOUN:r:'O:UEC",~" Sanita!" sewer 224--00000-425603 76,00 Sanitary sewer - each additional 1 00 feet or portion of 224-00000--425603 38.00 State of Oregon Surcharge (12% of applicable fees) 821-00000--215004 13.68 Technology fee (5% of permit total) 100-00000-425605 5.70 TOTAL DUE: 133,38 t':~AyjEr\lLLx@~ ..f!.~.Y9Rlt"tASHIER,fCcARPENTER" _:_:-:l)fCQMMENI~'?'''.,'' ~',:;'?I:;FT:,?.J.'AMOUN:PPAID ". ~F-.:u' . :,1 Credit Card Julio Valera 133,38 572707 TOTAL PAID: 133,38