The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2001-06-18SPRIIVGFIELD Job# 01-00568-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 h, 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 514 00008th St Spr Assessors Map#: 17033513 Lot: Block: Addition: Job Number: 01-00568-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 06200 Subdivision: ,{ clTY oF SPRINGFIELD, OREGON Owner: Jerry Mounts Address: 514 8th St Scope Of Work: Plumbing lnstall dishwasher Phone Number: City/State/Zip: New 541-741-2463 Springfield, OR97477 Value: $O Gontractor Type GeneralContr MechanicalContr Plumbing Contr Contractor Al Coddington 2720 Riverview Street, Eugene, OR 97403 Comfort Flow Heating 1951 Don Street, Springfield, OR97477 Tucker Plumbing Co 28607 Summerville Rd, Eugene, OR 97405 Registration # 41499 Expiration Date 2t16t2002 Phone 541-484-1886 541-726-0100 541-683-7231 460 61112003 11t7t2002 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 Plumbin -Prior to cover. -When all plumbing work is complete. r Rough Plumbing FinalPlumbing 1 09801 Job# 01-00568-01 # Of Stories: Height (feet): Gurrent Units: Proposed Units: Census Code: Does not apply Page 2 of 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main:Accessory:Total: Fee Paid On Receipt# Value/Quantity Fee Amount Plum Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 06/05/2001 06/05/2001 06/05/2001 06/05/2001 5666 5666 5666 5666 $5.00 $10.00 $1.05 $.45 $16.s0 Minimum Mechanical Permit Administrative Fee - Mechanical ApplianceVent (Not Covered in Schedult Mechanical lssuance State Surcharge - Mechanical Total Mechanical Mechanical 06t18t2001 0611812001 0611812001 06/18/2001 0611812001 1 $10.50 $.4s $4.50 $10.00 $1.05 $26.s0 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 1.055 will be used on this project. I further agree to ensure that all required inspections are at the time and that the project address is readable from the street. sig re Date $43.00 I ,lo 1 SPRINGFIELD Job# 01-00568-01 RES]DENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 514 00008th St Spr AssessorsMap#: 17033513 Lot: Block: Addition: Job Number: 01-00568-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 06200 Subdivision: ctTY oF SPRfiNGFfiEL4 OREGON Owner: Jerry Mounts Address: 514 8th St Scope Of Work: Plumbing lnstall dishwasher Phone Number: City/State/Zip: New 541-741-2463 Springfield, OR97477 Vatue: $0 Contractor Type GeneralContr Plumbing Contr Registration # 41499 Expiration Date 2116t02 Phone 541 -484-1 886 541-683-72311 09801 1117102 Quad Area: # Of Units: Constr. Type: Water Heater: # 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. Office Use - Land Use: Zoning Gode: Bedrooms: Range: Required lnspections Rough Plumbing Final Plumbing -Prior to cover. -When all plumbing work is complete I{OTICE: THIS PEBMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Contractor AlCoddington 2720 Riverview Street, Eugene, OR 97403 Tucker Plumbing Co 28607 Summerville Rd, Eugene, OR 97405 iules inn ( Plumbing I Job# 01-00568.01 # Of Stories: Height (feet): Current Units: Proposed Units: Census Code:Does not apply Total Page 2 of 2 Construction Typesr Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq Main:Accessory Fee Paid On Receipt#Value/Quantity Fee Amount Plumbi Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 06/05/2001 06/05/2001 06/05/2001 06t05t2001 5666 5666 5666 5666 1 $s.00 $10.00 $1.0s $.ns $16.50 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 SpringfielO ahd tne Laws of tlrg ^SE!" gf 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. Signature Date $16.50 6 s D/ CITY OF OFEGO'U SPRINGFIELO _1" The following project as submitted has the following zoning. and does not require specific land use 225 FIFTB STREET SPRINGFIELD, OREGON INSPECTION REQTIEST: OFFICE: 726-3759 approval Zoning Date ffifi,zeo Signature 726-3769 o 0l 1 0 DESCRIPTION 06zoo city Job lluru"r c/ ^co566 -o / 3. COHPI,ETE FEE SCMDULE BELOII Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home' or Modular Dvelling Service or Feeder s 8s.00 s 1s.00 s 40.00 Services or Feeders Ins tallation, Alterations or Relocation: PERUIT APPLICATION 200 amps or less 201 amps to 400 amPs - 40L amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amPs/vo1ts - Reconnect OnlY $300. $ 40. A I^EGALltn Sum33SI? k' DESCRIPTION re),71 J Permits are non-transferable and expire if vork is not started vithin 180 days oi i"=u.tce or if vork is suspended for 1.80 days. 2. CONTRACf,OR INSTALLATION ONLY Christenson Electric Inc. D.B.A.Electrical Contractor Philips Electric B Address 1?9 Rolhol 174 00 00 00 00 00 00 s s0. s 60. s100. s130. $ $ $ s Ci ty Phone(s41 ) 588-61 21 Supervisor License Number )11Qs Expira t ion Date 10/01 /oL Constr Contr. Number 26-34C Expiration Date 10-01-01 Signature of SuPe ing Electrician TemporarY Serviees or Feeders Insiallaiion, Alteration or Relocation 200 amps''or less 201 amps to 400 amPs - Over 401 to 600 amPS - Over 600 amPs or 1000 volts Branch Circuits Nev, Alteration or Extension Per Panel one circuit t g 3s.oo g Each Additional ::';:::":'rllll,'"rvi3 s z.oo 4 Mi.scellaneous (Service/feeder not included) C . .,iOvners Name .\ero,,z ps D. Address S lL(Lrl Ci ty €F/D Phone ( - z,/c) OVNER INSTALI.,ATION The instal-lation is being made on property I ovn vhich is not intended for sale, Iease or rent' 0vners Signature: E DATE: -Each instaLlation Pump or irrigation Sign/Out1ine Light Limited EnergY/Res Limi ted EnergY/Comm 5. SUBTOTAL OP ABOVE 7% State Surcharge 32 Administrative $ 40.00 1ng $ 40.00 40.00 55.00 80.00 ee ilBtr aE66 s 20.00 s 36. oor: RBCETVED B O6 ZOO/ TOTA]. oo m ,5H mcl'. FJ.