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
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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/