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Home My WebLink AboutPermit Plumbing 2000-6-12 .. , . I Job# 00-00928-01 I . Page 1 of2 _ TRANS#:01-000212J DATE:JUN 12 2000 AMT RECD:2 $ 124.00 CHANGE: CASHIER: 061 BI-RINQFIBLD ~~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00928-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1145 Delrose Dr Spr Assessors Map#: 17032344 Lot: Block: Addition: Tax Lot #: 08300 Subdivision: Owne,r: Addross: Character Homes Inc 835 Sand Ave Phone Number: 541-345-9395 City/State/Zip: Eugene, OR 97401 New Value: $0 Scope) Of Work: Plumbing extend water line Contractor Type Plumbing Contr Contractor Contractors Plumbing Service Inc Po Box 7636, Eugene, OR 97401 Registration # 101624 Expiration Date 8/15/2001 Phone 541-607-8879 Quacl 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. ., 1_. -',,, "_:UII"" yv,-, I. lollow n ,'e~ "womer> ;1\1 tile Oreoon Utility Required Inspections "()l~!T" " .f_'. I--~ ~;i ..~~; 'l..I':-1"" ~~: ~~' :uru I-~- Plumbing I' Ui".~ ",.- " .:' '". vi', of ;J~-C01. Water Line -Prior to filling trench. J08l' '''''' 1'.' ,J",[2", CO;J1Cf oii':r ,Tl:Js b~ ca!!tr'~ ,~;.~~t._.... (",~...",. ~h"-'i''':_;..:10:1e number fOr Lhe Q:2f)On Ut;!il~' I\!o:iiication ,.....-:...~.':l~: ~ 'j"'r'~,,:'1.~ .')1.14). NOTICE: THIS PERMIT SHALL EXPIRE IFTHE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. " . . 1 Job# 00-00928-01 1 . Page 2 of2 Street Improvement: Curb Cut?D Improvement Agr.?D San ~iewer Depth (Ft): Stoml Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: 00/00/000000:00 AM Special Instructions: Other Utilities: Project Supervisor: Sidewalk Type: Additional ROW? D Size Of Line (in): Downspouts/Drains: To Storm Sewer Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: 00/00/000000:00 AM Types Of Warning Devices Reqd. Construction Types: Occupancy Groups: # Of Eluildings: # Of Eledrooms: Handicap Access? D rAre:! (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Plumbing 06/12/2000 2123 06/12/2000 2123 06/12/2000 2123 06/12/2000 2123 Value/Quantity [ Fee Amount Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Water Service Footage Plumbing Administrative Fee Total Plumbing 150 $.00 $2.80 $40.00 $1.20 $44.00 Encroachment Permit - Residential Total Public Works Grand Total By si~lnature, I state and agree thatl 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 ORS701.055 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. Public Works 06/12/2000 2123 1 $80.00 $80.00 $124.00 Signature Date RESID-ENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORK: J_LYY ASSESSORS MAP: 1703> l 3. '-f L( / / OWNER' ~/'4.-<A;" _--b..___ ~~ ADORE"''''' )jJS Ja.-v-.R II-u I --- -PrJ ,_, (}fZ , ,/ LOT' I CITY: BLOCK: 1')VlA. STAT~' DESCRIBE WORt<. /~S k 1/ 0111- u-rv -L- NEW -4- REMODEL ADDITION DEMOLISH OTHER . JOB NUMBEROO --00 '=1 Zg- C) ( '. 225 Fifth Street Springfield, Oregon 97477 -if /J/J n7Z I TAX LOT: 'l JPO /) SUBDIViSION: IJr(!.i,&""oy' 7hv- PHONE:j'y~- 7395'" ZIP: '7 '7 V tJ I CONST. CONTRACTOR' CONTRACTOR'S IjA~ME 1/ ADDRESS= GENERAl' f1:.!, " Hr~ ~ w ... PLUMBING: e. erJ ,L/ I/<--.. r MECHANICAl' ELECTRICA' . _ QUAD AREA" . OF BLDGS: OCCY GROUP: . OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: _ EXPIRES '.Co PHONE FLOOD PLAIN' ZONING CODE:_ . OF BDRMS' SECONDARY HEAT: SOUARE FOOTAGE: To request an Inspection, you must call 726.3769. ThIs Is a 24 hour recording. 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 work day. D Temporary ElectrIc D SUo Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electrlca" Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking. D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. 1101 M Water Line - Prior to filling ~renGh. D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Rough Electricnl - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stove - After InstallaUon. D Insert - After fireplace approv~1 and Installation of unit. D Curbcllt & Approach - After forms are erected but prior to placement of concrete. D Sidewall{ & Driveway - After excavation Is complete, fOlms and sub.base ma!erlal In place. D Fence - When corl,pleted. D Street Trees - When all required trees are planted. D Final Plumbing - When all plumbing w9rl< Is complet.e. D Final Electrical - When all electrical work Is complete. D Final Mechanical - When all mechanIcal work Is complete. D Final Building - When all required Inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D PlumbIng Connections - When home has been connected to water .1.nd sewer. D Electrical Connection - When blocking, set.up, and plYl'nblng Inspections have been ~proll~ and the home is conne~~ the service panel. CTl --4::z. C') (Tl CD 0.- ** n --C-...f-- D Final - Aller all ~uirM c 0 Inspections are a~ove@>.fncl'j' porches, sklrtlng, m~!i,--'.~a ventlng have bee~(j. g --Z~f'.,Jf'..J ..-..~. .......H 0--. rT.'a 0 r.J j-L..OO......... ( / Lot faces . . .>" " Lot Type Setbacks Interior I P,L. HSEIGAR ACC IN I Corner ,.1 Is Panhandle I Cul-de-sac W I ~-l, tHE PROPOSED WORK tN"1'HE :-- --HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Lot sq. Itg. Lot coverage Topography Total height APPROVED: BUILDING PERMIT ITEM sa. FT. x $/sa. FT. VALUE , BUILDING VALUE. PLAN CHECK AND BUILDING PERMIT Garage Carport " This permit 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 oulldings. and may be suspended or revoked al any time upon violation of any provisions of said ordinances. Main Plan Check Fee' Date Paid: Total Value Receipt Number Building Permit Fee Received By: State Surcharge Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) Systems Development Charge is due on all undeveloped properties within tile City limits which are being improved. (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer FT, Water FT. 110 Storm Sewer FT. Mobile Home FEE ADDITIONAL COMMENTS I vJ / 0Ilc.~~",^-~ -+- (./ erlZ.-i/V\ .-- ~ ~ :!- I /.Kf) Total Charge (C) I:LO 2,80 I..{l{ Plumbing Permit A-(Jv{lIlV State Surcharge MECHANICAL PERMIT Furnaco Vent Fan N' By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon 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 perlalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. Exhaust Hood Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further agree to ensure that all required Inspections are requested at the proper time, that each 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 during construction. MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Slgnaturf' Sidewalk It Date Curbcut It Demolition Total Miscellaneous Permits (E) VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVEr> RECEIVED BY State Surcharge \ , " TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) /J