HomeMy WebLinkAboutPermit Plumbing 2000-2-23
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I Job# 00-00303-01
Page 1 of2
TRANS#:01-0000677
DATE:FEB 23 2000
AMT RECD:2 $ 16.50
CHANGE:
CASHIER: 059
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00303-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 654 Scotts Glen Dr Spr
Assessors Map#: 17032724
Lot: Block: Addition:
Tax Lot #: 04500
Subdivision:
Owner:
Address:
Darrell Fosback
654 Scots Glen Dr
Phone Number: 747-321-5
City/StatelZip: Springfield, OR 97477
Alteration Value: $0
Scope Of Work: Plumbing
Contractor Type
Plumbing Contr
Contractor
Yaegers Plumbing
Po Box 1701, Roseburg, OR 97470
Registration #
75545
Expiration Date
8/1/01
Phone
541-672-8460
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,
MH Plumbing
Required Inspections
I Plumbing I
-After home has been connected to water and sewer.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt# Value/Quantity
r Plumbing 1
02/23/2000 677 1
02/23/2000 677
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
$15,00
$1,05
.
.
.
Fee
Job# 00-00303-01 I
Paid On Receipt#
Plumbing
02/23/2000 677
Page 2 of2
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 and that the project address is readable from the street.
J
$.45
$16.50
$16.50
Signature
Date
__n__e.'..n
[~:~.,~".,c'" JO" """H'"90...-@~
225 flfln Slro,,:
. ~ ~ SVllfl~11l..'lr.J,r>~~glnM47; I
toCAflON OF Pi<OPuSEO WURI- --64- ~~tL ~ 7-s:Jd) en tlt --f;,~JfidJ
"'.;"'SC~3 ""~., j+03;).1'.0l.~,":".q.i:?'Qf1'. _n" ,1f"c:",_O-f.9 ,')-1/.-77
F""..,., ".(,(, ;or-, ,~,.. __
I'ii:SIDi:i'Hi..L
::'f'.",:Ai~ h'i".i~ATION
11l~,j,"'(;::,,~;'. 7J<~1~1?
Ij!fi1;e: 726.3759
!.o7;______
fll0cl\:
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p.n2'
~:;Utl01VIS10N:
'JWNER, -n lit.e JI ,~! L//VA.'r.Etl~~_~cjGlf ~i-71j?::,3.;U...r
~ dAt- C;; /1 1'1 r'.', . r \ 1.11
'DD"E"".f \-rY--5~'LlJ -'" f"b...-#-L-vl" ',::!J I~ ""'-'l~' '7'"'
,om,S"''-',/l.,p) ,p", -~-____ "rI,Tf,..,rJp, i7 ZIP';z , I
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~::RIB:WO::'~~I!l--u :!.'OH~!! :E!o~:::-~~XH'~ ~ -fy/t' h <- i,,- C . r-:v,c,
-CONTRACroR'S NAME
GENERAl:_
PLUMBING: ~Pd.#'!~
C/'
ADDnEse
cor~sf.
CONTRACTOR
I=YPIRCS
7' f.l~'O~E
MECHANICAL'
r-..L4l!Lt,"A'pjil/.Ji.1)";)"?qL,--!Z-(1 C;e12~ r? Of'
.P' 'L1'11J lJ .# '7 s-.S Y s -ff Jt:-tJt;
, , .r.Y/C:/tJ 2;2~ff..~6n._,
F!i..ECTAICAl'
aUAD AREA: ___ _
.. OF BLOG5:
oeCY GROUP:
.. OF STORIES: ~_ _____. _\_._
\
WATE.~ HEAT!:.R: ____.___
- Of'FleE use: -
LAND USE: _.
.. Dr UNIT~~ _._....___
:::ONSTR. lYPr;:_
HEAT SOUftCE: ____n___
RANGE: _....._.___._
HOOD I~I.AIN;_
:!lJNINcl CCOE:___
. OF BDI1MS'
~~CONllAR" HfAf:
:'QUAl-If. FOt'TACE'
To rCQutl'sl un I"spectlon, you .nt..,: '-'I'!l 726,3769 Thlfl 1."I1I::!4 hour n:lcordln!1. AlIlnllpQcllo. ,. "~q\.'c$I':<J ~,><!rl.'r(.' 7:00 tl_:n. will 0.::
made lh" ."nlP.! .....o,Ung dilll)l. In.''l....,ctjc./l~ Iftqu~."l"'d ilflou i':O:J a,m.. will 00 miKIo Iou f"llo-..-hl~l wO'~ oJ.....
o To",por.,y ellK:lrlr:
,
D 3110 In~lIGI1 - To bO'I rl<1l\!'I
",'ter exc8V(lllol'l. but prlOl" :e '
luttUng tDlm!'J. \
o UndOnll.b PlllInbfng:l.;lec1Iical
MNlwnloal - Plio! to oOo'er.
o FQOtlng- .After ~re"Ch.a ~re
exCM-atoC::.
D MasomY - Slllelloe::uJon, bono
be""ru. groutlnu.
o Foundallon -'After (orm3 we
.rec;t.-d bul pr19f 10 1;0000rtlt"
plQCllmcnt.
[J Underground Plurwblng _ Prlul
l~ IIllln\) Ir(rnC'I.
D UndorUoor Phunblng/N.ct'la....:at
. - Plior to In~url.\tlu:l Of decking.
[] Pa.. 4nc f!Jellm _ Prior to 1/001
li'l!l,\ul:lolloT"l 01 cerc.klflg.
o Floor 111;1ul.atlern - PriOr' to
de;:,k1n~,
o sa'lllary Sower - 'P'rt.Of !O 1Il1It,~
ucncn.
o Stein" Sewer - F'llcI...to tlllln~
IfMCh,
,
o 'NIl" \.\ne - Pflor IQ filllng
t"O/'Ich.
o
Rough Plumbing - Pdo:Jl' Hl
cover.
REQUIRED INSPECTIONS
o Flaugh M,u:IUlnkul - Frlor '0
Covetr.
o Ro...gh Ellle"lc," - Prior to
".......l;!l,
CJ !llrCtrtcoI SHVt;:. - Ml.JSl L1e
.apprO"lild I(] (tt.1:lIn pelllkl~J)1
OltC\r!Cllt ~OWUf.
o Flutplaoe - Fr:or to tllcJrg
mlltl:llat:> w'tl Ir~If)!iJ I.,,,p-
D F~.ml"" ~ Prior to co~r.
\ D WaUIr.:~1i1l9 hll....latltm - PrIor to
: co...er.
o I)ry~~1I - Pll~.'Ot3pln~..
CJ WQod Slove ~ Aller Inst~:![lt!Qfl.
CJ In..'' - Aft"r !Iropl,x& apl'Ilo'W'e.1
D~d In:l1allutlon 01 unIt. .
['] Curbrml &. ^llprcBOh _ Allor
- IOlm:s ar.:: ('rl~c:ed bUI pflor to
...t~...mQ"I'JI cu..c,,,,t...
o Skltwalk 40 brl'fO\illlall" - A(I",
ell.<:~~;1lloll I~ eoml'llarc. IOlms
. pnd lj'Jt)'bC!~~ ma'~fl<u ill plilc~.
O,FtnOt - ~'mQfl. (;Oi'I\~.t6~.
LJ Sir... Tr~l!it~ - \'\Ih\ll'l 01.11 rO,=!ulred
INt~a I!lr~ plall~od.
\l Fln.t fllurnblng - Wh\l'l~ .:.11
r plU'Tlblng wor!..;5 cornp,l'la.
[J Fln.1 Electrl!::l1 - WheT: all
- - (J1\l'(;hlcl...' .....(,lrtl;., cQmplclq.
[:J FiniJl MectllU1lcal - Wfl.:n illl
lIlo1l;har.i".1 'h~.k. It complete
o FInal tlwildhlg -- WM..n ail ~
req..:lred InspttCllCns ".... ~.n
IIIDproved and bulldinQ Is
cOI.,pr.t4ld.
DO....".',
MOBILE HOME INSPECTIONS
o 9locklng .nd $CI'Up - Wti'~n if:!
t);Q(;lo,in:J I~ .;omplctc
~ Plulnbillw C"'fln.,;:lIU"~ _ \'\'hflfl
nUlno h.u~ t.uun Cun~.:II!'Cl '0
\N~"et ,'"0 ~\IIo~r,
o CI.ctrlc:.1 ConneCllon ~ .......'1).....\
t:rICJ(;kl,,'.l. s.,I'l,lll, 0"<::1 plumbing
. .n9O>CCllon:lIlUVIl tI".n ~pmvtd
'.no ~I'le nome I. conn'CIIl'G 10
thf' SIlI'\'ICf' p3n~:.
o
Pln.1 _ Altor MIl rOlOIoIII\IO
In~"er..IIQ"' o.re I!PP'QW!i;I o.nc
porchoa; Itllir~lng. declls. 4.-:d
velltlng hQVO b_1I il1ltta.lhll':,
.
.
Fgb-16-00 06:34P
.
P.03
.
lot ll1i~e5 lei Type Se'bac~'l
lot SQ. llg. InleriOI I RL l"aE_~""R. ;~~
,
ll')l G('l",(uago Cornor I ~_.
Topography P~ndle
Tbtal hQt!jhl Cul-d"'l;I'll< i,!L_
I; _I
It:. no/I: FROP09EO WORK IN THE.
HI5TORlCAL DISTRICT, 01"\ ON
THE HISTORICAL REGISTER?_
II ye., Itll:il application fnu:ol be olg'leoc
nnd QPprovcd by tne HJGIorlcal
CoordlnOlor prior 10 ~rrr'11t IU.UMCQ.
APPROVED: __
BUILDING VALUE, I>lAN CHECK
AND BUILDING PERMIT
.rhl:; permit j:J gfilntl?d un ttltl OllPU).tIS, GondJ,lcn that tne uJd
\'"lOt'I&truG1Ior'\ &l'\AII, In Air Utlll:ll':ets, G0l110fm lo Ihll Ordlnefu:.
poopted by the City of SpJlnOfleld, Including lh&
Oovdopmenl C.Me, U~nlllAllnQ lntl CGnslruG~'on ollM uae 01
oulldlngll.llnd Mil'" be aUI.C'l'lCleCl Q' r....oked AI any ll"..,
upon \*ioLallon 01 any provlclons 01 nld ordInances.
Pl.n ChOleIC ,,".IIl:
0010 Paid;
Ilcceipl Numoer:__.._
~l:Ic;eh..,,(! 'fly
ri"n; 1'l~.:"'ill"....,,(I'RY
Oa..
BUILDING PERMIT
ITl~ 50. ", X SO/Sa. FT.
VALUE
$Ylit"lfllll D"I'O'II()l'''ltlnl t~lIAIl)ot I~ llut,) on llll ","<!llv.IOj)a(.l
prv~ll."rt i~~ willI)" Illl' City 111ll!1t. Wlll;::h all' bol'ir'lCjlmOrOvCIJ.
ADDITIONAL COMMENTS
By l!.lgnaturlJ, I tillllu ilntl ;:uJ'~$, lh.::rl I llave carefully cxwnlned
UIIIl cOfTIplllhtd lI[lpllcatlc;,: !.,R,~ do horoby ~11(y thol atl
Inforl'\'\allun hp.leon;s l"u~ Cr'lo:1 cenael, and I lurth.r l:.rtlty
\hlll On)' and 0.11 work pC'ti:.tm,,~ ,.h~l ~ dona in accOfdanr.o
,':'i 1.'1 d, C' (of ,-,p,j~91i':11~, 'il,,[j 'r,.
w, '''~ ...,..... ...., ,",.~",,,,, pe"..,lo'I,\oI 'u Inti WorK acs.,:.fOetl
I'iOloli"l, :an~ lll:ll N(, OCCurV~NCY will bo mQfle of ftI1)'
"l:;.~:...,.. ;;":;~iw; ~E'II(li:.:..iun....i lba clliidlllg ~t.l, OIvlalon.
I Illrllllfl c;tlrtH}t lh"l o:"\ly conir01Clor~ OM ~m~"yt.r.; -1"10
..,"" ill eomp,iullC'f' wllil UH~ iU1.05~ ""III b. us.~ 01'1 lhle:
prolect,
I {urlhl;'l agree .0 c-n:;urr. Ihal 811 r.~llJlr.l! Inllpeclions ;J.r~
r<:::QIJ<:::,teo at \1"': propel lIln.. lI... e&l;h IICduuul ISlo.adablu
lrem tho t:trecr.lhil\ the permIt cu,.i i" localod 81 thct lront
,~; I;'", ;:m......rt.'. .......rl ,~c ~:.'~:::-v~:': ~':;: ;1 >::~:~:: ....1:; ,'.,.oaln
.,~\h~lr.:1 "0'" r.h"J
D"OU~ ,_m__J
vAIJOATI',/N;
RECEIPT Nl..IM6::R
::::. ~:r:~~;::':~~:~~::,,,"" "r:",,,,,~&~nnD:, :::,.~: i:.~~,-~:--
.i\, ~i. \' [, fI>1: ~'. ('.(lInI,lno<J) / t _____ nece:......:D [J( _.__..
\...----. .-. - ..!.-__..-~.~ --~.
M.~"
Gar.go
C.,porl
fl,'nl Y..hll:
--'i-
B.,;I';li"U ...."m" ..."..
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,
5:,):0 Surc:h<lryo
\
rullal Fcc
:...)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(U,
PlUM~ING PERMIT
,T;M
FEE.
Flxlurcfa
Acslocn\ ill llllUl{31 W
So!\nltary &,tWfll
n:
W.lIOf
n.
~
S:Ofm Scwe,
n.
i;ft:~t
~lum~lng Perm t
c../rJ ( I
./.6,"0
~..F()
. - - -----
SI",!. ~ ",'<;hNge
It...I.::.........
~...,
rv'.::r:.lii..\:,II<;f,l. PE~.~'I':'
,
rut"'",'.'J
:_1I;r"..\1-100'1
'ocr,t r:it"
N'
u,~. ....,
I\\-;cn.'!niClll ~'HlT.:
"~lu..nC{l
~d..\t1 Si..H<::I1"':g"l
r
,
I
Tt,'", Parmi!
(0)
~1'SC~LlAN:;OU:> PERMITS
Mor"le HOrT1O:
:.';Jl~ ~"rc.n"'IlU
o;;.,:i.w.lk
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