HomeMy WebLinkAboutPermit Plumbing 2000-02-15\-'j"
Job# 00-00274-01 Paoe 1 of 2- THANSS: u1L*0000603
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SPRINGFIELD
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 230 00017th St .5 Spr
AssessorsMap#: 17033631
Lot: BIock: Addition:
Job Number: 00-0027 4-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 02500
Subdivision:
ctTY oF SPRINGF1ELD, OREGON
Owner: Gordan Walters
Address: 230.5 17th
Scope Of Work: Plumbing
Phone Number:
City/State/Zip:
Repair
541-746-6501
Springfield, OR97477
Value: $0
Gontractor Type
Plumbing Contr
Contractor
Vos Plumbing lnc
Po Box 2189, Eugene, OR 97402-0061
Registration #
41 805
Expiration Date
4t4t00
Phone
541485-0551
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.
Required lnspections
Plumbing
Sanitary Sewer Line -Prior to filling trench
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(sq
Main:Accessory
# Of Stories: Height (feet):
Current Units: Proposed Units
Census Code: Does not apply
Total
Fee Paid On Receipt# Value/Quantity Fee Amount
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
02115t2000
02t15t2000
603 $.00
$1.75603
'i Job# 00-00274-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Sanitary Sewer Footage
Plumbing Administrative Fee
Total
G
02t15t2000
02t15t2000
50603 $25.00
$.75
$27.s0
$27.50
603
Date
Plumbrn
-Y:
rlII\.GFIELDRESIDENTIAL
PERIWIT APPLICATION
lnspections: 726-3769
Office:726-3759
LOCATION OF PROPOSED WORK:tu M
o 7l*Oa
JOB NUMBER
225 Fifth Street
Spri ng fleld, Oregon 97 477
TAX LOI
SUBDIVISION:
a4
afr,sr
ASSESSORS MAP:
LOX
-
BLOCK:
&poorY4/ALrrutOWNER:PHONE:
CITY:STATE:ZlPi
_V+b-G9t f bt
eR. _
ADDRESS:q
' Zb'A tUt
frce
OTHERNEW
-
REMODEL ADDITION
DESCRIBE WORK:
MECHANICAL:
-
ELECTRICAL: _
ADDRESS
coco EXPIRES .$ PHONE
t(-oo
CONTBACTOR'S NAME
PLUMBING:
GENERAL:
NST.
NTRACTOR #
- OFFICE USE -
LAND USE:
WATER HEATEB:
FLOOD I)LAIN:
RANGF-:
QUAD AREA:
I OF BLDGS:
SECONDARY HEAT:
SOUARE. FOOTAGE:
# OF BDRMS:
-
OCCY GBOUP:
* OF STORIES:
ZONING CODE:
CONSTR. TYPEr
HEAT SOURCE:
To request an !nspectlcn, ycu !'nust call 726-3769. Thls is a2.1 ilour recordirrg. Aii inspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested af ter 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc l=l Rough Mechanical - Prior tol--J cover.
Final Plumblng - When allplumblng worl( is complete.
SIte lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Rough Electrlcal - Prior to Final Electrlcal - When all
electrical work is complete.cover.
tl Underslab Plumblng/ Electrical /
Mechanlcat - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Final Bulldlng - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.Wall/Celling lnsulatlon - Prlor to
cover,
Underground Plumblng - Prior
to fllllng trench.[-l Drywall - Prlor to taping.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or clecking.
MOBILE HOME INSPECTIONS
Wood Stove - After lnstallatlon.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approvgl
and installatlon of unlt.
Blocking and Set-Up - When alt
blocklng ls complete.
Floor lnsulalion - Prlor to
decklng.Curbcr,rt & AJrproach - After
forms are erected but prior to
placemcnt of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllllng
trench.Electrical Conneclion - When
blocking, set.up, and plumblng
lnspections have been approved
and the home is connected to
the servlce panel.
Storrn Sewer - Prior to fllllng
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material ln place.
Waler Llne - Prlor to filling
trench.l--l fence - When cci'ripleted
$treet Trees - When all requlred
trees are planted.
a
[--l Final - After alt required.J lnspectlons are approved andporches, sklrting, decks, and
ventlng have been lnstalled.
Rough Plumblng - Prlor to
cover.
# OF UNITS:
----
E
tl
tl
E
tl
E
I---l othertt
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
--
Corner
.- Panhandle i
-
Cul-de-sac
i lS THE PROPOSED WORK IN THE -
HlsToRtcAL DtsTRlcT, oR oN '
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
arrd approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
VALUE
(A)
/*
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUTLDING PERMIT
ITEM
Main
Garage
Carport
SQ. FT. X S/SQ. FT.
,l
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit 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
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Receipt Numbe
Date Paid:
Received By:
Plan Check Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N'
f:T.
FT.
50'
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby cerilfy that all
lnformation hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY wlll be made of any
structure without perrnission of the Buildlrrg Safety Divislon.
I further certily that only contractors and employees who
are in compliance with ORS 701.055 wlll be used on thls
proiect.
I (urther agree to ensure that all required lnspections are
requested at the proper time, that each address ls readable
from tlre street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Signature
Date
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home ..
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TO-IAL AMOUNT DUE (excluding electrical) ._
(A, B, C, D, and E Comblned)
I
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust l-lood
oo
RECEIVED BY cDs
VAI-IDATION:
AMOUNT RECEIVED
RECEIPT NUMBER
DATE PAID
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