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Home My WebLink AboutPermit Miscellaneous 2005-6-30 (5) . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 07/20/2006 VALUE: . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 3333 Game Farm Rd ASSESSOR'S PARCEL NO.: 1703220001000 Springfield TYPE OF Commercial Miscellaneous PROJECT DESCRIPTION: Construction Trailer Site TYPE OF USE: New Commercial Owner: PEACEHEAL TO Address: PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMATION' Contractor Type Electrical Plumbing Contractor License ECCOMPANY 49737 TWIN RIVERS Pr.p-:-~r:ll1"~:~N~:~:- ,_... _Mn~2? :'~,,'~ follhBIJ}LD}NGINFORMA'IlIONI,n Utility Notification Center. Those rules arE) set f0rth in OAR 9&.i.(}~~to!fi~tJ through OAR 95~-001- 0090. YoJli~!!!~tdlJtain copies of the P: -,:; by calling ~<!,\';g'IMf.a~CJote: the le:er, - ~ ~e number ro'!fl~e1(~I'~gon Utility ~J'J~_:.at,on ~r\'!\l'r TJ'~~JOO-332-23'J.4J_ Energy Pat1i: Sprinkled nla #ofUnits: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: I DEVELOPMENT INFORMATION' Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTS' Street Storm Sewer Available: Special Instruction: Expiration Date 01115/2008 03/1112007 Phone 503-224-3511 541-688-1444 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains NOTICE: THIS PERMIT SHAll EXPIRl'THE WORK AUTHORIZED UNDER THIS PERMS'IS NOT ~OMMENCED OR IS ABANDONED fOR ANY 180 DAV PiIlIOO. Notes: 1 of 3 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 1000 ampslvolts Perm ServlFdr 601 to 999 amps Plan Review Electrical (25%) Temp Power 200 amps or less Temp Power 201 - 400 amps Temp Power 401 - 600 amps + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus + 10% Administrative Fee + 7% State Surcharge Backllow Device Not Covered Plumbing Plan Review Plumbing (30%) Water Line - 1st 50 Feet Total Amount Initial Review . . CITY OF SPRINGFIELD: Building/Combination Permi( PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 07/20/2006 VALUE: I Valuation DescriDtion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project FI'I'~ Paill" Amount Paid Date Paid Receipt Number 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 1200500000000000554 3200500000000000406 3200500000000000406 3200500000000000406 1200600000000000061 1200600000000000061 1200600000000000061 1200600000000000061 1200600000000000061 1200600000000000061 . $803.10 $562.17 $750.00 $1,141.00 52,007.75 $1,400.00 $4,140.00 $600.00 $4.50 $3.15 $45.00 $15.70 $10.99 $14.00 $98.00 $55.11 $45.00 5/2/05 5/2/05 5/2/05 5/2/05 5/2/05 512105 512/05 5/2/05 6/30/05 6/30/05 6/30/05 1I20/06 1I20/06 1I20/06 1I20/06 1I20/06 1I20/06 $1l,695.47 04/28/2005 , Plan Reviews , 04/28/2005 APP LLH Temporary Electrical Plan Review approved by Clair. See attached documents for information. To Request an inspection call the 24 hour recording at 726-3769. AHinspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rl'ouirl'd I n~nl'"tion~ I . Temporary Electric: Approval required prior to Utility Company energizing pole. Low Voltage: Prior to cover. 2 of 3 . . CITYOFSPRlNGFIELD Building/Combination Permit PERMIT NO: COM2005-00498 ISSUED: 06/30/2005 APPLIED: 04/28/2005 EXPIRES: 07/20/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Final Plumhing: When all plumhing work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. By signature, 1 slllte and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certity 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 of Oregon pertaining to the work described herein, and that NO OCCUPANCY wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certity 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 wiD remain on the site at all times during construc~on. ~ . Jl, ::h.. _ _ f / 2..0 lOb / " , Owner or Contractors Signature Date/ 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 Payments: Type of Payment , Check ,." ;J , ;( 1,1, 'i ,.' I". '- I '.' .. i 1/20/2006 RECEIPT #: Description + 7% State Surcharge + 10% Administrative Fee Water Line - 1st 50 Feet Backflow Device Not Covered Plumbing Plan Review Plumbing (30%) Paid By TWIN RIVERS PLUMBING INC ~~~'A!!'.!Il"~ ',..""'.1 Itk..~ ; . OW; i u""""--""'._ _ ~ of Springfield Official Receipt .velopment Services Department , Public Works Department 1200600000000000061 Date: 01120/2006 Item Total: LuecK Numoer AuttlOnzatlOD Received By Batch Number Number How Received djb 25575 In Person Payment Total: I of I 9:00:53AM Amoont Due 10.99 15.70 45.00 14.00 98.00 55.11 $238.80 Amount Paid $238.80 $238.80 N lL '" r- '" 1Il ~. r- I - ". 1Il J: on :) III en - L 01 " lL '" ". .. 1Il 0 to 0 CXl - C. III .., .'.. CITY OF SPRINGFIELD PLUMBING PERMIT FEES TABLE 5 Temporary HW porta-pots 1/5/2006 IT ABLE No. 3-G REFERENCE NO. DESCRIPTION I a One & Two Fal11l1y Dwellings - Not Applicable 1_ ,..~ Single Plumbing Flxtura , c Sanitary Sewer I _i!.l Flrs150Ft. ., (2) Each addillonal100 Ft..or portion d Willer Service ' , .._ l!.) First 50 Ft. , (2) Each addilional1 00 Ft. or portion I e Slorm & Rain Drain -I (1) Flrsl50 Ft. I (2) Each additional i DO Ft. or oartlon I , ---.! Sewage Eiector Pum~, --I g ~clal Waste Connection ,/ hlManufactured Homes - Not Aoollcabla ---nBackflow Prevention Deviee- -I HRelocated Structure - Not AppliCable I klSanltarv or Storm Sewer Cap I 11Aii';; Trap or Waste not connected to Fixture I "riilAn~..ptumblng installation not listed In this schedule with, sanitary waste 'or potable water suppl~l- nlMlnlmum Insoecllon Fee - Nol Applicable .. ' , ' . -.. .'.. olPertial In,pecUon Fee I1J.' , , " P Rein,pecilon Fee (2) glinSDectlons Not Covered By Schedula rl'~spectlons Outside Normai Business Hours , Investigation Fee - Not ApPlicable ~IBUlldlng Without Permit Penalty. Not Apellcable '.. u Accessible Minor Plumbing Labels NO LONGER AVAILABLE - Not Applicable vlNot Accessible Minor Plumbing Labels NO LONGER AVAILABLE - NOT APPLICABLE wiHourlv Inspection Fee for Reguests Not In Permit Teble .. .. I -I 1--- I I 1-- l- I f- 1 j 1-- I I L I I I SUBTOTALI State SurCharQ81 Admlnlstrallve Fee I SUBTOTALI Plan Review Feesl TOTAL I ~ UMC AMOUNT I I I FEE $14.00 $45.00 $14.00 $45.00 $14.00 $45.00' $14.00 ~ $14.00 $14.00 ..' I $14.00 I I $45.00 I $14.00 I $14.00 I ~g~ $45.00 I $45.00 I $67.50 I $45.00 I -- ..----'- j I $45.001 I I I d- I I 71 - I I I I ,I I : I I I- I I $45.00 , $14.00' . $96.00 qb -'" t;/ (" .~v ~~ if $157.00 , ~ 7% $10.911 lip 10% $15.70 $183.69 Ln'~ ~ 30% $;~~~il NOTE 1: Assessment of partial Inspection fees TBO NOTE 2: Two (2) inspections allowed, additional inspections required to correct deficiencies at $45.00 aach at the Inspecto~s discreUon For questions please call CLAIR at (600) 383-8855 Page: 1 of 1 CLAIR No.: 1141-002