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Home My WebLink AboutPermit Plumbing 2001-03-19Job# 00-01417-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 SPRINGFIELD TF:ft l-i$$ : iii -ilil04?*ti ilftTfi: l'lf;ft iS ?tiOi AHT ftEII;I $ 16.50 T|JAi.rl:r 'trl lFll ILJL r rAEUTfE!. nnTunJt tl'Li\, UULi 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 40'10 E 00016th Ave Eug AssessorsMap#: 17033443 Lot: Block: Addition: Job Number: 00-01417-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 06600 Subdivision: ctTY oF SPRINGFIELD, OREGON Owner: David Carvo Address: 1430 Willamette Scope Of Work: Plumbing Quad Area: # Of Units: Constr. Type: Water Heater: This is a copy with a new Application Number Addino nermit for residential fire sorinklers 3/1 9/01 Office Use - Land Use: Zoning Code: (VN) Wood Frame Bedrooms: Range: # Of Buildings: OccupancyGroup: Dwelling Heat Source: Sq. Footage: Phone Number: Gity/State/Zip: New 503-267-1878 Eugene, OR 97401 Value: $O 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 Inspections Plu Rough Plumbing Water Line FinalPlumbing Rough Gas FinalGas Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? (sq -Prior to cover. -Prior to filling trench. -When all plumbing work is complete. Mechanical -When allgas work is complete. # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Main:Accessory:Total Job# 00-01417-01 Page 2 of 2 Paid On Receipt# Value/Quantity Fee Amount Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing State Surcharge - Plumbing Water Service Footage Miscellaneous Plumbing Administrative Fee - Plumbing Administrative Fee - Plumbing Total Plumbing 09t20t2000 0912012000 0912012000 09t2012000 0912012000 3264 3264 3264 3264 3264 2 $.00 $.00 $20.00 $3.15 $1.05 $25.00 $15.00 $1.35 $.45 $66.00 40 15 Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical lssuance State Surcharge - Mechanical Total Mechanical Mechanical 0st20t2000 0912012000 0912012000 09t2012000 0912012000 3264 3264 3264 3264 3264 $9.00 $.45 $6.00 $10.00 $1.05 $26.50 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 Springfield and the Laws of the State of Oregon. I further state that only contractors and employees who are in compliance with ORS will be used on this project. I further agree to ensure that all required inspections are req roper that the project address is readable from the street Date $92.50 Fee 1 Job# 00-01417-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 Job Number: 00-0141 7-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 06600 Subdivision: & DATE:t000 flHT REIil: flj-iOLiTtrfr.LfiUI I.I.Lt\. alUISPIIINGFIELD €n, 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 4010 E 00016th Ave Spr AssessorsMap#: 17033443 Lot: Block: Addition oITY OF SPRTNGFIELD, OREGON Owner: David Carvo Address: 1430 Willamette Scope Of Work: Plumbing Phone Number: City/State/Zip: New 503-267-1 878 Eugene, OR 97401 Value: $O This is a copy with a new Application Number Quad Area: # Of Units: Constr. Type: (VN) Wood Frame Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Dwelling Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at726-3769. All in a.m. will be made the same working day, inspections requested after 7 working day. Required lnspections Plumbing spections requested before 7:00 :00 a.m. will be made the following Rough Plumbing Water Line FinalPlumbing Rough Gas FinalGas COI\4MENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD.-Prior to cover. -Prior to filling trench. -When allplumbing work is complete. Mechanical -When allgas work is complete # Of Stories: Current Units Census Gode: Does not apply Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. ATTEI,:TiC';:Crl{_..: 6' ;*; ri. , _, _,,.,\ . .fo!l9w rules adopteO ty tne Oregon Utitrr Notificatior: Cenrer. Those rules ire set for; in oAR 952-001-0010 through oAH 952_001 0090. You may obtain copios of the rules by caltiirg lhq ppltqf. (Note: the tetephone n rr,'ifiUdsmff(gf]go, r Uti I i iy Notiiication mryrcA U6[d;?1e-2344). *i :drT,C: :E>{m :E}3 -l C!f,..m(f,-D }J I r.J C)(3 (f, C3r.J L.I(}FJc] cr.()F' t:i {r} -lcI. (:}(} 13 :E}co -IHff,m-il:|D (:) c'lchmH.. Main:Accessory:Total: Job# 00-01417-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbi Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Water Service Footage Plumbing Administrative Fee Total Plumbing 0912012000 09t2012000 09t2012000 0912012000 0912012000 3264 3264 3264 3264 3264 2 40 $.00 $20.00 $3.15 $25.00 $1.35 $49.50 Mechanical Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical lssuance State Surcharge For Mechanical Permit Tota! Mechanical 09t20t2000 09t20t2000 09t20t2000 0912012000 0912012000 3264 3264 3264 3264 3264 $9.00 $.45 $6.00 $10.00 $1.05 $26.50 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 Springfield and the Laws of the n. I further state that only contractors and employees who are in compliance with be on this $76.00 at time I further agree to ensure that all required inspections are project address is readable from the street.)r Date 1