HomeMy WebLinkAboutPermit Plumbing 2001-9-27
. I Job# 01-01055-01 I
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COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
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TRANS#:01-0006824
DA TE: SEP 27 2001
AMT RECD:2 $ 51.75
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
Job Number: 01-01055-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1442 S A St Spr
Assessors Map#: 17033632
Lot: Block: Addition:
Tax Lot #: 04804
Subdivision:
Owner:
Address:
Jeff Cole
3562 E Game Farm Rd
Phone Number: 541-736-1161
City/State/Zip: Springfield, OR 97477
Scope Of Work: Plumbing
New
Value:
Sanitary sewer repair
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Location Of Proposed Site: 1442 S A St
Assessors Map#: 17033632
Lot: Block:
Spr
Job Number: 01-01055-01
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Office:' 726'3'7.59
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Inspection L:irie:"726}3769
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PhoneJllimber:1 \\541-683;9001
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City/StatlflZip:jeWEugene, OR
New Value: $0
225 North Fifth Street
Springfield, OR 97477
Owner:
Metco Investment Realty
Address: 440 E Broadway SW 100
Scope Of Work: Plumbing
Sanitary sewer repair
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use .
Land Use:
Zoning Code:
Bedrooms:
Range:
Registration # Expiration Date'l'lO?\<.Phone
~\I'W{;. '~:\'
6668C~:' 6/\ff-Q03C. l>tI\'\ \'2>54~-746-4224
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" ""v' 'i) \)I'V' ~\J'.J"-
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I>' ",~':~Go;:.D ~r_#'(;2f. Buildings:
CO,,""'- l'r:.r. -
. ~'Cil \)~'l Occupancy Group:
f>,~'l Heat Source:
Sq. Footage:
Contractor Type
Plumbing Contr
Contractor
Thompson Septic and Rooter
PO Box 636, Springfield, OR 97477
."
. I Job# 01-01055-01
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
.
Page 2 of 2
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Quad Area:
# Of Units:
Constr. Type:
Water Heater:
# 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.
Sanitary Sewer Line
Required Inspections
I Plumbing
- Prior to filling trench.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Plumbing
09/27/2001 6824
09/27/2001 6824
09/27/2001 6824
09/27/2001 6824
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
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
y)::- ~=hat the project address is readable from the street. 9a ~ A /
Signature /Oate r"
50
$.00
$3.15
$45.00
$3.60
$51.75
$51.75