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Home My WebLink AboutPermit Plumbing 2000-2-11 I Job# 00-00255-01 I Page 1 of 2 TRANS#:01-0000575 DATE:FEB 11 2000 AMT RECD:1 $ 130.00 CHANGE:$ 6.00 CASHIER: 059 " CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00255-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 820 Centennial Blvd Spr Assessors Map#: ,17032643 Lot: Block: Addition: Tax lot #: 00800 Subdivision: Owner: Address: Jack Louie 3989 Josh Street Phone Number: 541-741-1521 City/State/Zip: Eugene, OR 97402 I Aiteration Value: $0 Scope Of Work: Plumbing Contractor Type Plumbing Contr Contractor Jack Louie 3989 Josh Street, Eugene, OR 97402 Registration # Expiration Date Phone 541-741-1521 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections 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 working day, Sanitary Sewer line Required Inspections I Plumbing ,I - Prior to filling trench. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Plumbing 02/11/2000 575 02/11/2000 575. Value/Quantity Fee Amount Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit $,00 $2.80 .,~ Fee Job# 00-00255-01 Paid On Receipt# Plumbing 02/11/2000 575 02/11/2000 575 Page 2 of 2 Value/Ql!antity Fee Amount Sanitary Sewer Footage Plumbing Administrative Fee Total Plumbing 110 $40.00 $1.20 $44.00 Encroachment Permit - Residential Total Public Works Grand Total Public Works 02/11/2000 575 1 $80.00 $80.00 $124.00 By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein 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 of Oregon. I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time and that the project address is readable from the street. ~r~ . / Z/tf,hD Dale I Signature RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 ASSESSORS MAP: g LOT: SPRINGFIELD _." BLOCK: I OWNER: ADDRESS: :::J/JC!.J< LOUie >?d.6 Ce-0fu~ gjJ/z /:lUGT/EL.l) ,y,cf PHONE: S1>.R I'()(; ty E,- .>> 0/2. CITY: STATE: DESCRIBE WORK' :R...e Joe~ce,~ f- #ff , I ADDITION DEMOLISH Sa.-uvpta~" 3.e,N~ u OTHER NEW REMODEL CONTRACTOR'S NAME GENERAl' PLUMBING: MECHANICAl' ELECTRICAL: JOB NUMBER 00.... ()(5J.$5-0j 225 Fi fth Street Springfield, Oregon 97477 ZSPvd. :;:/Jf"~~(7/.:dd j TAX LOT: I g1;o I SUBDIVISION: EEl k efJ/JA..e~ I o~, AdU '.f. ( . 579- !f5;5, 7 ZIP: q? '177 ADDRESS CONST. CONTRACTOR # EXPIRES,~ PHONE - OFFICE USE - QUAD AREA: LAN D USE: FLOOD PLAIN: # OF BLOGS' # OF UNITS: ZONING CODE: OCCY GROUP: CONSTR, TYPE: # OF BDRMS: # OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE: SQUARE FOOTAGE: To request an Inspection, you must call 726.3769, This Is a 24 hour recording, All Inspections 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, REQUIRED INSPECTIONS D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. ' o Storm Sewer - Prior to filling trench. ':' D Water Line - Prior to filling trench. o Rough, Plumbing - Prior to tC)'J~f. I;, D Rough Mechanical - Prior to cover, D Rough Ele~trical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. , o Drywall - Prior to taping. o Wood Stovo - After Installation. D Insert - After fireplace approvl!ll and Installation of unit, D Curbcllt & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After , excavation Is complete, forms" and sub.base material In place. D Fence - \iVtlen COi'llpleted, o Street Trees - Wh~n all required \Tees aTe plan\ed. D Final Plumbing - When all plumbing wort< Is complete. D Final Electrical - Wilen all electrical worl< is complete. o Final Mechanical - When all mechanical work is complete. D Final Building - When all required Inspections have been approved and building is completed. D Other MOBILE HOME INSPECTIONS o Blocking and Set-Up - When alt blocking Is complete. o Plumbing Connections - When twme 11as been connected to water and sewer; o Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home is connected to the service paneL D Final - After all required inspections are approved and porches, skirting, decks, and ven\\ng have been installed, "1 )L ----..-,. j I Lat(face~_ :f ,. " ,', .'~---;'\o\a. )':' , ", '" '" \ . t ',~-\. ,..\.. '-....."t.-; "\)~'-J ':. w "Lot sq. ftg. Lot Type Interior Lot coverage Corner Topography Total height Panhandle . Cul-de-sac BUILDING PERMIT t ITEM SO, FT. X $/SO, FT. Main Garaee Carport Tolal Value Building Permit Fee Slale Surcharge Total Fee (A) ~.,f. ..::: ;;')" ; ! ',' " . , . IS THE PROPOSED WORK tN THE_ 'HIST081CAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Setbacks ' I P.L. HSE I GAR ACC I I N S I W + -L__ , VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary S~wer Water FT, 110 FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent FCjn NO Wood Stovellnsert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut It Demolition State Surcharge Total Miscellaneous Permi ts (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combine,d) FEE -:....-.- APPROVED: 'CO"' "':, n BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Dovelopment Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provlolona of said ordinances. Plan Check Fee: Dato Paid: Receipt Number: Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS "".,.j ! 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 donG 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 will be made of any structure without permission of the Building Safety Division, I further certify that only contractors and employees who are in compliance with ORS 701.055 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. Signature ~___Ce->~ ...2 -1/ -U C/C' Date VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY