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Home My WebLink AboutPermit Plumbing 2000-1-31 , !""",'i"'" . . 1 Job# 00-00151-01 1 Page 1 of2 TRANS#:01-0000414 DATE:JAN 31 2000 AMT RECD:2 $ 107.50 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00151-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 931 kelly Blvd Spr Assessors Map#: 17033411 Lot: Block: Addition: Tax Lot #: 04800 Subdivision: ~~:- ~~ Owner: Robben Lyons Phone Number: 726-732-7 City/StatelZip: Springfield. OR 97477 Repair Value: $0 Address: 931 Kelly Blvd Scope Of Work: Plumbing Contractor Type Plumbing Contr Contractor Roto Rooter Service 457 River Ave, Eugene, OR 97404 Registration # Expiration Date Phone 541-689-1711 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 1 Plumbing - Prior to filling trench. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) I Main: Accessory: , .' # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# r-- .,Iumblng 01/31/2000 414 01/31/2000 414 Value/Quantity Fee Amount Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit $.00 $1.75 '. ,;~. /' " Fee . Sanitary Sewer Footage Plumbing Administrative Fee Total Plumbing Encroachment Permit - Residential Total Public Works ~~~. Job# 00-00151-01 I Paid On Receipt# PlumDing 01/31/2000 414 01/31/2000 414 Public Works 01/31/2000 414 ---- . Page 2 of 2 Value/Quantity Fee Amount I 45 1 /'-- 3/- date $25.00 $.75 $27.50 $80.00 $80.00 $107.50 D'7) ~/ ~ ~.- - . ~ .. INSPECTION LINE .. 726-3769 Job Add,ess 931 Kelly Boulevard legal Description 17 03 34 11 TL 4800 -". / Owner Kathleen D. Tanaka CITY OF SPRINGFIELD ....... COMBINATION APPliCATION/PERMIT .. I ENERGY SOURCES, H.a" Baseboard I Water Heater N; RanAe NA Value of Work: 1,100 INFORMATION LINE 726-3753 HI Sq. Ftg. Main Sq. Fig. Access. Sq: Ftg. Other _New_AddllAlter_Rep, _Fence_Demo_Change! Use _Other 240 <Xl o .... IV 111 "" Add.... 931 kelly Boulevard Springfield, OR 97477 Phon. 746-7541 Building Permit Info: Describe Work (Le.. Build Single Family Residence With AHoch.d Garaa.) Address DESIGN TEAM Phone Rennovate storaae area into f?--ID..; 1" """'nlJL I I Construction lender (nome) (address) (lies. no.) (expires) (phone no.) Primary Owner - If any questions call Darrell.Justus at 747-8145 Structural Electrical Mechanical CONTRACTORS (name) (address) (!jes. no.) (expires) (phone no'\ G..n",nl Owner Plumbina Electrical Mechanical PLUMBING ELECTRICAL MECHANICAL NO. FEE CHARGE NO. I FEE CHARGE NO. FEE ~ CHARGE Each sin~le fixture Relocated building (new fix. additional) S.F. Residence fI bath) ~.,. ft. New circuits, alterations ?+ or extensions l5.00 furnace! burner to J\TU's Applicmce vent separate Stationary evap. caaler Vent fan with single duct Vent system apart from heating or A.C. Mechanical exhaust hood and duct Residence of SERVICES Duplex (1 bath) each Temporary Construction Additional both Amps. Water service Sewer Wood stove I heater Storm Sewer FEEDERS Heat Pumo Air handler to 10.000 CfM Air handler over 10.000 CFM Amps. ISSUANCE OF PERMIT TOTAL CHARGES TOTAL CHARGES 15 _ no TOTAL CHARGES WHERE STATE LAW REQUIRES that the Electrical work be done by the Electrical Contractor, the electrical portion of this permit shall not be valid until a label has bMn signed by an Electrical Contractor and attached to the electrical panel. I HAVE CAREfUllY EXAMINED the completed application for permit, and do hereby certify that all information hereon is true ond correct, ond 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 pertaining to the work described herin, and that NO OCCUPANCY will be made of any structure without tho permission of the Building Division. I further cernfy that my registration with ,tho Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the bosis for exemption is noted heron, and that only subcontroctors and employees who are In compliance with ORS 701.055 will be used on this project. Basis for Builder's Board exemptio~: \ I NAME (pl.aM pdnll Ar/..l ".; ;= /I)7'A-/V ~.K:/.LSIGNATURE- ~ d./.Af.....R!A. - ~TE / -::') -8/ ! fOR OFFICE USE ONLY R-l Typel Canst: V-N Units 1 Sq. Ftg. Main x '.'alue Bedrooms n.(y load Sq. Ftg. Access x Value C,tori~'- 1 l"'lccy Group R-3 Sq. Ftg. Other x Value TOTAL VALUATION 1.10" " Zone Fir. Zone Flood Plain -N-:- BUilDING PERMIT Charges and Surcharges 11. 00 .44 Plan Ck. Comm! Ind 65%/Blda Per fee Plan Ck. Res 30%/Bldg Per Fee Systems Development Chorae n.5%\ 3.30 PD 12-22-10 PLUMBING PERMIT Charges and Surcharges Fence Demo Totol Comb. Permit ?"T f"lA ELECTRICAL PERMIT Charges and Surcharges 15.00 .60 Sidewalk <(.Lo\\O \'2 a. 20 AI C Pavina MECHANICAL PERMIT Charges and Surcharges Curb Cut TOTAL 27 dt4 f.....~::. r- ~l. ,. : ..... . ....,.".- . COMBINA liON AP;L1CA TION/PfljeAP) . . .. I. Applicant ta furnish A. Job-Address B. legal Description 1. example-tax lot 100, lane County Map Reference 17 03 43 2. example-lot 1. Block 3, 2nd Addition t'! Springfield Estates. C. Name, etc. of owner and construction lender D. Energy Sources 1. example-heat/electrical ceiling/or:forced air gas ~.- example:'water heater/electrical/or solar:"'.:! ~.~- E. Square footage or valuation, etc. 1. example-1250 sq. foot house, 500 sq. foot garage 2. example-if new project, check new-if addition, check add, etc. F. Building permit information: .. ._ _. , .._ ._.. .__._' 1: 'example-construct single family house with' an attached garage 2. example-remodel existing garage into family room 3. example.convert single family residence into' restaurant (change of use) G. Value of work as defined in Section 303 (a) of the Structural Specialty Code H. DESIGN TEAM AND'CONTRACTORS To avoid design or construction delays, Bui.lding Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc. .:-.,. II. Abbreviated Plumbing, Mechanical & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adiacent to the appropriate item(s) to be installed ~ B. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Division 1. To conserve space on the permit fo~ni- the schedules have been abbreviated 2. If the item(s) to be installed are not covered on the abbrevi- ated schedules you should consult the full schedules C. BUILDING DIVISION STAFF Will Fill OUT ALL FEES AND CHARGES ON THE SCHEDULES III. Applicant to sign and date Whenever possible, the initial application will be used as a worksheet anly. Where possible, Building Division Staff will prepare a typewritten capy and return it to the applicant at the time the actual permit is issued for his signature. IV. Fees and Charges Plan check fees are due and payable at the time of the application, and no plans will be processed until these fees are paid. All other fees and charges are due and payable when the permit is issued. V. FOR OFFICE USE ONLY PROJECT. CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: , , Additional Project Information: .,... "', .... ,- 1"'\" o 01 "f/" I -? " ~"t: c,...... ...,.., ':'~~-{-:'''' ' :' .- .,::r~ -\0'- _ERIv'II! ,,~L1~A~IO~~. -.. -'.. ~.. .' ~ P.,'''.~'' . j' . . -, .'. . ..~. r ,. '".,-'. ~-'-~.~;~,~~~- \ - ~'- SO'-' ........., ~.... -~bi)5\ir , ~ Permit Clery Hi lr:t0 \- '. ~ . \ .... ..I.,. I ! .ignature A :. 1h.J J }., l~fI>lt\ . - J{U:; date ~v -- - _f-X/J --,-u , .. PLANS REVIEWED BY, I~ TOM SHBIBBON na%"'-- 1-3-81