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HomeMy WebLinkAboutPermit Plumbing 2001-11-09-01231-0101ob#J SPFTNGFIELE RESIDENTTAL PERMIT City Of SPringfield Community Services Division Building SafetY Page 1 of2 Job N umbe r: 01 -01237 -01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 04700 Subdivision: 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 462 Springdale Ave Spr AssessorsMap#: 17032242 Lot: Block: Addition: ) Owner: Harold Berry Address: 462 Springdale Ave Scope Of Work: Plumbing Phone Number: City/State/Zip: Addition 541-302-2673 Springfield, OR97477 Value: $500 Addition of tub shower to existing half bath Contractor Type GeneralContr ElectricalContr Plumbing Contr Registration # Expiration Date 66681 61112002 Phone 541-302-2673 541-302-2673 541-746-4224 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording a1726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Required lnspections I Buildins I -Prior to cover. - Prior to taping. -When all required inspections have been approved and the building is complete Electrical Framing Drywall Final Building Rough Electrical Final Electrical - Prior to cover. -When all electricalwork is complete Plumbing Rough Plumbing -Prior to cover crTY OF OREGON Gontractor Harold Berry 462 Springdale Ave, Springfield, OR 97477 Harold Berry 462 Springdale Ave, Springfield, OR 97477 Thompson Septic PO Box 636, Springfield, OR 97477 j'l .*tto' ,.'O0i' 1;,$rto^ ^o$?. ^ ,;l'3{"ic i(\9 Job# 01-01237-01 Required lnspections PIumbi -When all plumbing work is complete. # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Accessory Total: Page2 of 2 FinalPlumbing Area (Sq. Main: Fee Paid On Receipt# Value/Quantity Fee Amount Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 1110912001 11t09t2001 11t09t2001 7219 7219 7219 500 $45.00 $3.15 $3.60 $51.75 Minimum Electrical Permit Fee Branch Circuits WO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Electrical 11t09t2001 11109t2001 1110912001 1110912001 7219 7219 7219 7219 $2.00 $43.00 $3.15 $3.60 $s1.75 Plumbing Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Administrative Fee - Plumbing Tota! Plumbing 1110712001 11t07t2001 1110712001 1110712001 7203 7203 7203 7203 1 $31.00 $14.00 $3.15 $3.60 $s1.7s System Development SDC Administrative Fee Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 1110712001 11t07t2001 11107t2001 7203 7203 7203 2 2 $3.76 $42.74 $32,48 $78.98 Grand Total By signature, I state and agree that I have carefu lly examined the completed application and do hereby certify that all information herein is true a nd correct, and I further certify that any and allwork performed shall be done in accordance with the Ordinances of the City of Springfie ld and the Laws of the State $234.23 oRS 701 of Oregon. 055 will be I further state that only contraclors and employees who are in com pliance with used on this project. I further agree to ensure that all required inspections are ,//-7-t)/ at the nd that the project address is readable from the street. Date Gonstruction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? ! 1 )l : J *-;['JJ:5::?H3H':"":ft i"'l;"t' 1"# " n 1. apF..: LEGAL DESCRTPTION t70 3 ZZLI L oL(7oo JOB DESCRIPTI Ar.Tp-rt-tsrtl/L fr Perniits are non-transferable and expire if work is not started lvithin 180 davs lvork is suspended for INSTALLATION ONLY Electrical Address Date Supe n'ising Electrician -26"3 MuIti-Family per drvelling unit. Senice lncluded: ob sq. ft or portion thereof Each Manufd Horne or Modular Drvelling Service or Feeder Items Cost $ 106.00 $ 19.00 $ 50.00 1000 sq.ft. or less (LCu^, \ 7- Each additional 500 2 B. Serwices or Feeders Installation, Alte Relocation: 200 amps or 201 amps to 401 amps to I amps Over "B" above D. Branch 4.S ,".,6*]ib* on Per t or r,r,ith E - $45 TOTAL S/7f -0123701-01ob#J SPRTN(iFTELED RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 Job Number: 01-01237-01 Office: 726-3759 lnspection Line: 726-3769 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 462 Springdale Ave Spr AssessorsMap#: 17032242 Lot: Block: Addition: Owner: Harold Berry Address: 462 Springdale Ave Scope Of Work: Plumbing Phone Number: City/State/Zip: Addition 541-302-2676 Springfield, OR97477 Value: $O Addition of tub shower to existing half bath Contractor Type Plumbing Contr Contractor Thompson Septic PO Box 636, Springfield, OR 97477 Registration # 66681 Expiration Date 61112002 Phone 541-746-4224 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Required lnspections Plumbing l Rough Plumbing FinalPlumbing Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? - Prior to cover. -When all plumbing work is complete. # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Accessory:Total: Tax Lot#: 04700 Subdivision: CITY OF OREGON I.(*- I ,l ;Area (Sq. I ttttatn: Page 2 ot 2 Paid On ReceiPt*Va\uelQuan[$Fee Amount -01231-0 110ob#J Fee Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 11/07/2001 1110712001 11tO7 t2001 1110712001 7203 7203 7203 7203 1 $31.00 $14.00 $3.15 $3.60 $51.7s System Development SDC Administrative Fee Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 11t07t2001 11107t2001 11t07t2001 7203 7203 7203 2 2 $3.76 $42.74 $32.48 $78.98 Grand Total 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 th I further agree to ensure that all required inspections are project address is readable from the street.requested at the proper Date $130.73 /i- --b/