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Home My WebLink AboutPermit Plumbing 2011-7-15 . . SP~~~~~EL~ . I/!t1 . OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01754 IVR Number: 811100333698 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 07/15/2011 07/15/2011 07/15/2011 SITE ADDRESS: 547 D ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703352408900 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 01/10/2012 $0.00 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: backflow device for irrigation system Phone Number: OWNER: ADDRESS: EBBERT MEMORIAL 532 C ST SPRINGFIELD OR 97477 METHODIST CHURCH 532 C ST SPRINGFIELD OR 97477 OWNER: ADDRESS: Phone Number: CONTRACTOR INFORMATION ~ Contractor Type Plumbing Contractor Contractor Name KEVIN COHEN PLUMBING INC Lie Type CCB # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o Electrical Specialty Code Edition: ATTENTION: Oregon law reqt3\P~i&o/ffildtoire Code Edition: follow rules adopted by the OMeJ'b~rlj.t;;Ji~pecialty Code Edition: # of Bedrpom,Notification Center. Those rule~h1c1iY.llf1=Melopment Code: Sprinkled Buii.\\.Q{\R 952-001-001? through Q,-n.~%\\'ii~~~cialty Code Edition: . '0690. You may obtain caples aT tn~ rUI~s'oy . . . Fire Alarms: calling the center. (Note: theRi',~Ldl'n!J~'e>peelalty Code EdItIon: Energy Path: number for the Oregon UtililyS!r_U!*lr~!i!!P!'eialty Code Edition: (,t::i Hel i::s j -00u-.;,..;2 -':1': : : ~. "- Site Information Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: lie No 176311 Lie Exp 05/30/2013 Phone 541-607-9208 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: 2011 ~ ~ ; .....'...'~,~-r' ".:. ~ . . 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 7/15/2011 3:26:32PM Page 1 of 3 S.PRIN. G.. FIEL~D .~ ,~" *" 0;,. ~JI - ,~~~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01754 IVR Number: 811100333698 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 07/15/2011 07/15/2011 EXPIRES: VALUE: 01/10/2012 $0,00 07/15/2011 SITE ADDRESS: 5470 sT, Springfield, OR 97477 AssEsOR's PARCEL NO: 1703352408900 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: sideyard Setback: Rearyard Setback: Solar Setback: backflow device for irrigation system DEVELOPMENT INFORMATION I 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion TVDe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I Description Amount Paid Date Paid ReciDt # Sta!.e -"!2~egon Surchar!l.':JI.?~(, of applicable fees) $6.96 07115/2011 2011002043 Technologyfee!-5o/~ofp~rmitt?.t"D____ _. $2.90. u.__ .__07/~5/~~~1____ . ____:20110~~1J.4: Hose bibb $57.00 07/15/2011 2011002043 WaterLi~e-" "----. --- --- -- "$7(J:iio--- - - 07/15/2011-.----- -2'01-10-02643 S;;;i;;;TO;g;;;" Surcharge (12% ot;;ppiT~;;bl;; fees) $-468 ---07115/2011- -----201 1002043 State of Oregon Surcharge (12% of applicable fees) $15.96 07!15/2iJ.12-__.._. 2011002043 Technology fee (5% of permit total) $6.65 07/15/2011 2011002043 Backflow preventer __ $19.00 07/15/2011 2011002043 Technology fee (5% of permit total) $-1.95 07/15/2011 2011002043 Total Amount Paid $177.84 Springfield Building Permit 7/15/2011 3:26:32PM Page 2 of3 SP~INGFIE~ .~_. .;2: .~,.. ''''*~ ~ .; 0~ OREGON www.d.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01754 IVR Number: 811100333698 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/15/2011 ISSUED: APPLIED: 07/15/2011 07/15/2011 EXPIRES: VALUE: 01/10/2012 $0.00 SITE ADDRESS: 547 D ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703352408900 SCOPE: Plumbing Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: backflow device for irrigation system Plan Review I Department Permit Issuance Received Due Date 07/15/2011 07/15/2011 Comoleted 07/15/2011 Result Issued Reviewer David Bowlsby Initial Review 07/15/2011 07/15/2011 07115/2011 Over the Counter Kip Kaufman ;";,,,7',7,'0#-0>;';>:( '''i """+4'/;0#' :::""~'::~ii?s;}~\ .J . ." . "";'1 :X, _._ "'''''''''~'/'i INSPECTIONS REQUIRED , Inspections 3620 Backflow Device Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 3315 Water Line 3500 Rough Plumbing 3999 Final Plumbing 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 1 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 wHl remain on the site at all times during construction f~~ 7-/'0-1/ Owner or Contractor Signatu~e Date Springfield Building Permit 7/15/2011 3:26:32PM Page 3 of 3 ....,/. . Plumbing\Permit Application 225 Fifth Street + Springfield. OR 97477 + PH(541)726.3753 + FAX(541 )726-3689 Date: '. ,I , , 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. ZIP: C( 7C{77 ~@esc . tjo ~ ss:~;;~; New residential I bathroom!l kitchen (includes: first 100 feet of water/sewer lines, hose bibs, ice maker, under floor low.point drains and rail I-drain packages) 2 bathrooms/I kitchen $374.00 3 bathrooms/ I kitchen $439.00 Each addition"J bathroom (over 3) $95.00 Each additional kitchen (over I) $95.00 Residential fire sprinklers (includes plan review) o to 2.000. square feet $58.00 2.00 I to 3.600 squa,'e feet $116.00 3.601 to 7.2.00 square feet $174.00 7,20 ~sqUat:::.!..~~t and greater $232.00 Manuf:lcturcd dwelling or pre-fab (circle one) Connections to' building sewer and water supply Commercial, :ndustrial, and dwellings other than one~ or two-family Minimum fee Each fixture Miscellanec:Js fees' J 00' storm, sewer, water line ..., / Each fixture, appurtenance, and piping . 3 Storm water retention/detention facility Irrigation systems Piping or priv<ltc storm drainage s 'stems exceedillQ the first 100 feet Specialty fixtures Rcinspcction (no. of Ius. x fee per hr.) Special requested inspections (no, of brs. x lee per Ilr.) . $238.00 E-mail: $58.00 $19.00 \'" $58.00 $76.00 $'('.00 $19.00 $19.00 $19-00 $19-00 $58.00 Busil~ess m;me: !k~l.J"'" Address: Cf7Jt ro City: ~ -<'--1<: ZIP: 9 ?Vt7 Z Phone:<;tf- {0112 0 g- E-mail: CCB license no.: r 76 :> l( BCD license no.: Plumbing license 110.: Print name: $58.00 Minimum fee $ Signature: A F'P It' C'lo/l f r: ) (C) EI ,.. rge (. J2 x lA+B]) (0) Teclll1olo2Y Fee (5% of [A]) TOTAL rees and surcharges (A through D): \. If'v/ -652 -o/Z3 '. $ $ $ $ $ $ $ $ $ $ $ $ $7 i57~ $ :7 -1 $-0 I . $ I $ 1'\1 --I .1 I ')1 ,.. I --: ~ / l177~ \~500.J (II/OS/COM) S.P~IN G.FIEL;ij. .'- "Vi- ,"~ "1fi'b,"~ - ,/"'A ,OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541~726.3753 www.ci.springfield.or.us 811-5PR2011-01754 547 D5T permitcenter@ci,springfield.or.us RECEIPT NO: 2011002043 RECORD NO: 811-SPR2011-01754 DATE: 07/15/2011 rbE5bRIPTION.~1':c1'!':r:i!.'-' ':::":';!,:',;':':,J.i.~,~f:' E.;."'"-., . ::.',ACCOU Nf;-bobE ':':::.',,:.;.~;',rAMou Nf:D.U E;:',~~:c.::L.i.j n .Ba::kf~ow 'p:e.."!,~er:. _. _____ __ _ __ __ __ _., ___}~4-0~~0-~~il..... ____ __ __ _, 190~ _____..__ Hose bibb 224-00000-425603 57.00 -~.,~_._-_._..~, ---,._.,-~,.,-~ ----_..~"-~-----_.~.__..,.,..'-'._- --------...- State of Oregon Surcharge (12% of applicable fees) 821'OO~215004 18.24 ___ Technology fee (5% of permit total) 100-00000-425605 7.60 Water Line 224-00000-425603 76.00 ,."----_. TOTAL DUE: 177.84 [[":liAYMeN'r'lfYf1e;%:'ii"IpAYOR'i':'l't"':CA'sH"'''cOBOWUSBv;t;t'-COMMENTS~"J:';;:;i'iv."{;;1 .~.(:;,;C.s~'AMOUNf PAID;, ", -'.' 'I Credit Card claude robert ewing jr $177.84 052458 TOTAL PAID: $177.84