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HomeMy WebLinkAboutPermit Plumbing 2001-12-17 " '"', j- ~ Job: 01-01375-01 Address: 1891 H St Owner: Francis Mitchell Fees Plumbing Subtotal Plumbing Miscellaneous Number of Fixtures Minimum Permit Fee Minimum Plumbing Permit Fee SubTotal ~dminis.trative, Fee Plumbing Administrative Fee Administrative Fee - Plumbing SubTotal Page 1 of 1 Received: 12/13/200' Unit: BLDG: FEE DETAILS Value/Quantity 2.00 ..L FLR: Amount Due 28.00 17.00 45.00 TRANS#:Ol-0007532 DATE:DEC 17 2001 AMT RECD:l $ 60.00 CHANGE:$ 8.25 CASHIER: 001 Amount Paid 0.00 3.60 3.60 0.00 J 3.15 3.15 0.00 51.75 0.00 51.75 0.00 Job# 01-01375-01 Page 1 of 2 RESIDENTIAL PERMIT City Of Springfield Community Services D'ivision Building Safety Job Number: 01-01375-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1891 H St Spr Assessors Map#: 17033621 Lot: Block: Addition: Tax Lot#: 11100 Subdivision: Owner: Address: Francis Mitchell 1891 H Street Phone Number: City/State/Zip: Springfield, OR 97477 Alteration Value: $0 Scope Of Work: Plumbing Relocate water heater and washer Contractor Type Plumbing Contr Contractor Roto Rooter Service 445 River Ave, Eugene, OR 97404 Registration # '1\\~ Expiration Date \. \\0 .O?J Phone 541-689-1711 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 Inspections Plumbing Rough Plumbing Final Plumbing - Prior to cover. - When all plumbing work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Job# 01-01375-01 Page 2 of 2 Fee Paid On Receipt# Plumbing 12/17/2001 7532 12/17/2001 7532 12/17/2001 7532 12/17/2001 7532 Value/Quantity Fee Amount Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Administrative Fee - Plumbing 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 and that the project address is readable from the street. 2 $17.00 $28.00 $3.15 $3.60 $51.75 $51.75 Signature Date The fa" ';ng project as submitted h.as the following lonin. j does not require specific land use apProVal, \, I rvIJ 2251'1t'1l'1STR.titH Zoning \..V'''' \ RT.Rr.TR!CALPERIvnT APPLICATION SPRINtil'lliLD, OREGON 97477, L?-l ~ \ 0 . , INSPECTION REQUES1P!"tn~~,;,u~ 'b"~' , I / City Job Number 0/- 0 (3 7 ) - a I OFFICE: 726-3759 Authorized Signature I ~J 3. COMPk:.l~ FEE SCHEDULE BELOW ., ' .1. \Oft~Or O\\n:rSTALLAHUi'i LEGAL DESCRlPTION 1703.~b2( /1/0 () JOB DESCRIPTION 0 loo ~tv0 t\r lQ11 ~ trn..ro\r} , p(j~{s are non-t:ran.-.ii:.~..ble and ~,.; if worle is not ~U:.Ci within 180 days of issnance or ifwork is suspended for 180 days. 2. CONTRAl.'lUKINSTALLATION ONLY Electrical C"uu4CtorA~ (L ~L Address~ A~AlJ(~ LAI~' Ci~~ ,PhOne'):).(o-({f?V( SUi'''''- visor License Number 3 o'd::5S Expiration Date I f) / () d.. I Constr Contr. Number do - 4(0 '/ L Expiration Date Z(j/ I};;)... I Signa;.u..,.; of S~,,;smg Electrician *- --<7~ ~ . Owners Name F~a r)(' ~ S':~ 11~.;'*c(C;{( Address ( (y I ;/-s f- City S P rJ Phone -- OwNERINSTAIiATION The installation is being made on property I own which is not intended for sale, lease or rent OW UQ,) Sig:n.:.uLUC: 190 ~ ;~3It;::;V8 : 39NtlH:J 08'~8 $ G:a:J3~ lWtl 100G 6t 83Q:31tlQ G9ljLOOO,- to: ttSNtl~l 1 "5'b Z- A New Residentia1-single or Mnlti-Family per dwelling unit Service Included: Items Cost Sum 1000 sq.ft. or less $106.00 Each additional 500 sq. :ft or portion thereof $ 19.00 Each Manof'd Home or Modular Dwelling Service or Feeder $ 50.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 ou,'i',) to 400 amps 401 amps 1D 600 ~ 601 amps 1D 1000 c>.u.q.I<> . Over 1000 ampslvolts Re..vnuect Only \ ,$ 63.00 ( a:1cb $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. Temp...41J Services or Feeders Installation, Alteration Or Relocation 200 amps or less 201 G.UI.}IO to 400 tWlI-N' Over 401 to 600 ~ Over 600 ~" or 1000 volts see '''B'' above $50.00 $69.00 $100.00 D. . Branch CL.....;Q New Alu.....uon or Extension Per Panel One ~....a $43.00 Each Additional c.....;;, or with ~ or Feeder p~ ~ '-, $ 3.00 Y-dJ E. Miscellaneous (Servicelfeeder not included) -Each installation Pump or irrigation Sign/Outline J .ightirlg Limited EnergyJRes Limited Energy/Cwuu $50.00 $50.00 $25.00 $45.00 Min7C!JI''''',,,,, Electric P..........:..lDspectiDn Fee is $45.00 + Surcharges 5. SUBTOTAL OF ABOVE 7% State Surcharge 8% AcJ''';'';~u...uwe Fee IJd -tV Sf ey C:r r)GJ ~ d. 8'6