The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2006-6-20 . -~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3333 RiverBend Dr ASSESSOR'S PARCEL NO.: 1703220000902 . CITY OF SPRIN\.>I'lJ'.,LD Building/Combination Permit PERMIT NO: COM2006-00714 ISSUED: 06/20/2006 APPLIED: 0611212006 EXPIRES: 12/20/2006 VALUE: Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Addition PROJECT DESCRIPTION: Temporary Bathrooms in hospital during construction project, Owner: PEACEHEALTH Address: PO BOX 1479 EUGENE OR 97440 Contractor Type Plumbing Contractor JH KELLY LLC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction Commercial jJ.TTC.............. I CONTRACTORJNFORMM'ION'law requir . .-.. ~J~fJlea 0 th es you to Notificatio C Y e Orf'Qon IIf'Iric in OAR 9 n e.lJicenslbse r!Jjxpirarlon1u'ilte 52-001.. - - e~ i!l~ ~e"',1")rlh nnoo \t_ 'r\l75lQthrouoh (),I!1'J~~.I~II!1~' BUILDlNG(Il~F,e~ijij'N ~'~~oPi.es of the ~~~;b~- lIumOer lor the Or' ote..the telephone # of Stories: Center i egoo UtIlIty JlJetilil'<fii Height of Structure s l-BOO-332-23.$4jft 1st 'Ffoor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 360-423-5510 I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive 'W61/cle. Compact: % of Lot covfHf~r r;;. . 61ITU~~~MIT ~~ALL ~XP!RE IF THE WORl( . "~T I::liCE:1 "'''' rCMMII I~ NOT I PUBLIC IMPROVEM;l'l9ED OR IS ABANDONED FOR AN y Hw DAY 006lffiill< Type: DownspoutsfDrains: I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 -ilii~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00714 ISSUED: 06/20/2006 APPLIED: 06/12/2006 EXPIRES: 12120/2006 VALUE: Total Value of Project Fees tlWU Fee Description + 100/0 Administrative Fee + 8% State Surcharge Fixture Not Covered Plumbing Plan Review Plumbing (30%) Amount Paid Date Paid $137.20 $109.76 $1,344.00 $28.00 $411,60 6/20/06 6/20/06 6/20/06 6/20/06 6/20/06 Receipt Number 1200600000000000919 1200600000000000919 1200600000000000919 1200600000000000919 1200600000000000919 Total Amount Paid $2,030.56 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Renu~ 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 Cily of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Communily Services Division, Building Safely. 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 tITi:ng coou~on~ -z.o :r\JN~ 'Z.Q:J (,.. Owner or Contractors ~ignature Date Paee 2 of2 ~ \1\ i3 ~ .a ':) & 00- CITY OF. SPRINGFIELD PLUMBING PERMIT FEES TABLE 5 SHMC Hospital/OHVI Temporary Restrooms and Washroom Facility TABLE No. 3-(; REFERENCE NO. I UMC AMOUNT I I $1,344.00 FEE QTY _I_- I r i I I i I I I I I i DESCRIPTION a One & Two Family Dwellings - Not Applicable b Single Plumbing Fixture c Sanitary Sewer (1) First50Fl. (2) Each additional 100 Fl. or portion d Water Service (1) First 50 Ft. (2) Each additional 100 Ft. or portion e Storm & Rain Drain (1) First 50 Ft. (2) Each additional 1 00 Fl. or portion f Sewage Ejector Pump 9 Special Waste Connection h Manufactured Homes - Not Applicable I Backflow Prevention Device j Relocated Structure - Not Applicable k Sanitary or Storm Sewer Cap I Any Trap or Waste not connected to Fixture m Any plumbing installation not listed in this schedule with sanitary waste or potable water supply n Minimum Inspection Fee - Not Applicable o Pattiallnspection Fee 11) p Reinspection Fee (2) q Inspections Not Covered By Schedule r Inspections Outside Normal Business Hours s Investigation Fee - Not Applicable t Building Without Permit Penalty - Not Applicable u Accessible Minor Plumbing Labels NO LONGER AVAILABLE. Not Applicable v Not Accessible Minor Plumbing Labels NO LONGER AVAILABLE - NOT APPLICABLE w Hourly Inspection Fee for Requests Not In Permit Table $45.00 . $14.00 96 $45.00 $14.00 I::: ~ ~ $45.00 $14.00 $45.00 $14.00 $14.00 $14.00 . 1-' I. I I I I $14.00 $45.00 $14.00 $14.00 $45.00 $45.00 $45.00 $45.00 $67.50 $45.00 2 $28.00 SUBTOTAL $1,372.00 State Surcharge @ 8% $109.76 I Administrative Fee @ 10% $137.20 SUBTOTAL $1,618.96 Plan Review Fees @ 30% $411.60 I TOTAL $2,030.56 NOTE 1: Assessment of partial inspection fees TBD NOTE 2: Two (2) inspections allowed, additional inspections required to correct deficiencies at $45.00 each at the inspector's discretion For questions please call CLAIR at (800) 383-8855 Page: 1 of 1 CLAIR No.: 1141-016 225 Fifth Street , Springfield1 Oregon 97477 541-726-3759 Phone . "~''''I!IIILA , ~."","",","",.""..". ' . """" . ...." " .... ... ,',. "'L..' '0' a of Springfield Official Receipt -'elopment Services Department Public Works Department Job/Journal Number COM2006-007 I 4 COM2006-007I4 COM2006-007I4 COM2006-007 I 4 COM2006-007 I 4 Payments: Type of Payment Check cReceint I RECEIPT #: 1200600000000000919 Date: 06/20/2006 Description Fixture Not Covered Plumbing Plan Review Plumbing (30%) + 8% State Surcharge + 10% Administrative Fee Paid By JH KELLEY LLC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 96986 In Person Payment Total: Page I of I 2:32:59PM Amount Due 1,344.00 28.00 411 .60 109.76 137.20 $2,030.56 Amount Paid $2,030.56 $2,030.56 6/20/2006