HomeMy WebLinkAboutPermit Plumbing 2000-10-12
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TRANS#:01-0003461
DATE:OCT 12 2000
AMT RECD:1 $ 50.00
CHANGE:$ 33.50
CASHIER:059
Job# 00-01532-01
~~
225 North Fifth Street
Springfield, OR 97477
I
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01532-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1099 S A St Spr
Assessors Map#: 17033642
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 04700
Subdivision:
Glen Hunt
1909 South A Street
Phone Number: 541-741-2005
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Scope Of Work: Plumbing
Grease Trap
Contractor Type
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Registration #
83311
,
Contractor
Barnes High T~c!il~~~Il~.i.ng Inc
2787 OlympiclSt'Ste 27;-Springfield, OR
97477 AU' ~'-'J-'ERMrrS'"
,., 11..1__ nLl/, _
-, ,,<.o[) '- '-Af-JI~
COMA A '- ',Office.Use"'''':,-'
..fENCE/'] -""'lIHIS IHEWO
ANYI80DLand~se";A8'A PERMrr,S Ri(
"'v",_ ,.,A/"Q A'O'f'
ZorilnifCode: .OJ 'N"'D 'v'
'~u c, FOR
Bedrooms:
Range:
Expiration Date Phone
2/17/02 541-726-9854
# 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 saw~ W&kiQgJ,ay, inspections requested after 7:00 a.m. will be made the following
working day. ,\I ~ ~OWrU/e~ V'V/~p, .
vOMc' , ado . d"
,- ~ atlnn,.. iJtAN (R .-,. .
~""'952 -~",el":" eq!llred Inspections
009 -00' '1;6- VI",,,'!),
o. YOUrn 1_00101Ih..~"'rUIP.lum.liin9rl I
'J~al/jwh'en, ~I( plthibinlV wori< is,cOInR'iEiit3:
1t)barfo'~ 'tillter. (N' '.J/eSal th' ";J~'IJ,
~ r the Ore ote' the I ~ r/jle<
.,-.~- 'gor. 'Jrl/' aleCliO'"
, , If! A/otitiC 'IF
'. atl"
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. Feet)
I Main: Accessory:
Final Plumbing
Fee
..
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Plumbing
10/12/2000 3461
Value/Quantity
Fee Amount
$5.00
Minimum Plumbing Permit Fee
.~
1
, .,
.
Job# 00-01532-01
Paid On Receipt#
Plumbing
10/12/2000 3461
10/12/2000 3461
10/12/2000 3461
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Value/Quantity Fee Amount
Fee
Number of Fixtures
State Surcharge For Plumbing Permit
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.
1
$10.00
$1.05
$.45
$16.50
$16.50
Signature
Date