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Home My WebLink AboutPermit Plumbing 2000-10-18 .~ - " . . I Job# 00-01554-01 I . Page 1 of2 TRANS:~: 01-0003508 DATE: OCT 18 2000 AMT RECD:1 $ 100.00 CHANGE:$ 22,44 CASHIER: 061 , , ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01554-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1215 Main St Spr Assessors Map#: 17033541 Lot: Block: Addition: Tax Lot #: 08200 Subdivision: Owner: Ed Mariscal Phone Number: 541-686-8005 City/State/Zip: Eugene, OR 97402 Remodel Value: $5,000 Address: 2960 Ferry Scope Of Work: Single Family Residence remodel with plumbing, no review per TM and SG 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, NOTICE: WORK Construction Types: THIS PERMIT SHAL~~~~I~;~~~ IS NOT Occupancy Groups: AUTHORIZED UND 'ONED FOR # Of Buildings: # Of Stories: H~!!,\t~l(fget)ED OR IS ABAND # Of Bedrooms: Current Units: Proposed Units:ERIOD. 1'\H' "...~~. Handicap Access? 0 Census Code: Does not apply ,Area (Sq. Feet) I Main: Accessory: Total: Fee Paid On Receipt# Value/Quantity.__~,f.fil.fill~mount Building "~"'n~~TI()N:oregon la~ ;O;~gon Utility , 10/18/2000 3iW w ruleS adopted bY5WO~as are set fO~50,50 10/18/2000 3~,6~? ionCel1ter, ThOS lU OAR952-00'$3,54 1 0/18/2000 J508t~c~152.001.001 0 thrO~g~ of the rules ~~ ,52 inO" obtainCOple h n~ 0090. You rnaY...~'M /Note: thetelep,. _~:~~5.56 Plumbing c:a\l~"~.j'~~th~~6rego(l Utility l'lU""U .. 10/18/2000 35011un,uv'r,,,,,,,,';c; _P"f'_q~?-~3A4). $,00 10/18/2000 3508 2 $20,00 10/18/2000 3508 $1.40 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit l\ ,.:..... -- "~ . Job# 00-01554-01 Paid On Receipt# Plumbing 10/18/2000 3508 . Page 2 of2 , . Fee Value/Quantity Fee Amount Plumbing Administrative Fee Total Plumbing 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 this project. I further agree to ensure that all required inspections are requested at the proper time, that the project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times d~;;onstruY.JP)7",7' . d'/ 7' /t/ --f I/~ /0 -I '8 -DC) Signature ~ Date $,60 $22.00 $77.56 .i . .-- .... ,. SPRttFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (54 1) 726-3689 Residential Plan Review/ Permit Application Job Number: CY0 - 0 / '5"'5'1 -0 t Please fill out the following information to the best of your ability, Complete information will assist in efficient plan review, Location of Proposed Work: Map and Tax-lot Number: Lot: Block: I"'ZlS <<IAII\) J 705'35'--( / Subdivision: D'iJza-o Owner:'PD VY\A<<\SLA~ Phone: C-.,P,(""-9-.naS- Address: '2PrC-.O ~(Lfl."; ~ City:3::>-ubF~'Fo- s'tate: ~4_ Zip Code: 9' Describe Work: Check One: DNew New 1.,\,.0/1./017",",.3 I11lJcI~ vv""/-s J7:a.- C>y~ ~del DAddition DDemolish DOther ....... Contractor's Name CCB# Expiration Date Phone # General: IV7 <:It (::;> (1d~ Plumbing: !1r-rro,J p / un. ?,( /L.- t', Mechanical: rYIA-tLsaA:!/." Electrical: K:.evtJ'vc/':; I 'i3I86D 6G -(-,5J9&'-I Structure Information Main Garage Carport SQUARE FOOTAGE 1(" CX'l x $/SQUARE FOOT = V AWE s:;:o 0 "' Total Value Plan Check Fee Received By: .::>,--,,<-C:> Heat Source: ~",)E ~l? 0 Power Source: - Water Heater t.--- Energy Path Range I--- , Does this property require any of the following? Land Drainage Alteration Permit Over-width or second driveway Do you need temporary power? DYes eJNo DYes G3No DYes [BNO Plan Review and Remit Applicalion, Shared Drive(f:),Building Forms,word,06128/00 :D 3: , -l '0::0 ::u :D :D ("') m -cz: :I:omc!'J :Do.. =** C")z..o.. J:>Ci1........("")O CD n1 -O-J. ::c.. ~ I ....-.c~ ........10 m 1-1.(:0 0 ;:Qr-..Jo 0 .. r-..Jot..JGJ o. . Ot...n o--~oC)o ........-P-Ooco Notes/Comments: Validation: 02111/98 10: 22 '8'503 726 3689 '-'. ,~ . SPFD DEV. SER. . ~OOl zoning. and does nO : ",./\ . approval; """"'" ' - :Zoning .\1' -. r'.: ~ Date -r-- ~ - 225 rJ,.t U2 STREET AuthOriz'ed Signature - ELECTRICAL PERHIT APPLICATION SPRINGFIELD, OREGON 91477 INSPECTION REQUEST: 126-3169 Ci ty Job NumberOO - C:> IS' 5' '-( - 0 I OFfiCE: 726-3759 3. COKPLETg FEE SCHEDULE llELOV 1. LOCATION OF INSTALLATION /2/ <) j/J/J A-ot/ s..T LEGAL DESOUPl'ION 170<. ,,51..{ I C> KZO-C;:> JOB DESCRIPTION .x40fJ c..,eC.l..^-rlS I Permits are non-transferable an~ expire if work is not started within 180 days of'lssuance or if work is suspepded for 180 days. , OWER INSTALLATION The installation is being made tin property I own whiCh is not intended for sale, lease or rent. Owners Signature: DATE: ' 10 2.3 :.....".....t'L 'If: RECEIVED 'BY: C>C> 35'Sb c/)i!5. . A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or Modular. 'Dwelling Service or'peeder Items Cost Sum i . . 2. CONTRACTOR INSTALLATION ONLY , .D. Serv.ices or Feeders Electrical Contract~\tf4~w_ ~~.s~:i~~~~~~~: Alterations AddresO\~ ':3 \ J..~. :4 ~~ . 200 amps or less n./' D -?, : 201' amps to 400 amps Ci ty ~~ Phone:'Jq'~ (~ 401 amps to 600 amps . U ~ ~ C"'> 601 amps to' 1000 amps Supervisor License Number d",> <4 \..::) , Over 1000 amps/vol ts I . J' \ Reconnect Only Expiration Date tDOI <:3J , " Constr Contr. Number 1'1d-.'3&--' Expiration Date ~ lD'R'"lA ) Signatur~of Sup~ing Electr+cian ~~- 'r~ 0'f7/s Name erl - /YliHlf.Sc...4-L Address 2960 F~ , , City b--u.(;6ffe- Phone 056>- ~ $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300,00 $ 40.00 C. Temporary Services or Feeders Installation', Alteration or Relocat:Lon 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 VOlts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above " New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or vith Service or Feeder Permi t 'S I $ 2.00 Hiscellaneous (Service/feeder not included) -Each installation Pump or 'irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF AllOVE ~ State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.0Qi :Xl $ 20.00"~~ $ 36. Om ;:;:L'i;; C").. ** ~ 00.. uc-JO "-it-' :I: I -:-:":'-.;'..,)0 rrJ:::X: t..NO ~~ - 0 4~~t;l 0-. rrll-.r. 0 U'1 .........1000--.