HomeMy WebLinkAboutPermit Plumbing 2001-12-17
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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