HomeMy WebLinkAboutPermit Plumbing 2002-1-4
.
.
I Job# 01.01431-01 I
Page 1 ofl~ANS#: 01-0007683
DATE: JAN 04 2002
AMT RECD:2 $ 51.75
CHANGE:
CASHIER:061
.~~
225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01431-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 223 A St Spr
Assessors Map#: 17033532
Lot: Block:
Owner:
Address:
Tax Lot #: 03000
Subdivision:
Addition:
Springfield Utility Board
PO BOX 300
Phone Number: 541-744-3624
City/State/Zip: SPRINGFIELD, OR 97477
Alteration Value: $0
Scope Of Work: Plumbing
Contractor Type
Landscape
Plumbing Contr
Install water line tap for irrigation system
Contractor
Delta Landscape Irrigation Inc
PO Box 40217, Eugene, OR 97404
Vos Plumbing Inc
Po Box 2189, Eugene, OR 97402-0061
Registration #
119285
Phone
541-688-9144
Expiration Date
1/6/2002
41805
4/4/2002
541-485-0551
Office U~OTICE.
Land Use: THIS PERMIT SHALL EXPIPG#18Thl8M'~K
Zoning Code: AUTHORIZEDUNDERT~'PM\t~Xp:
Bedrooms: COMMENCED OR ISABAHWISiiU~
Range: Il.VPFRIOD Sq. Footage:
.^!.'~':'1':1nn .
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,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. r ..1)
Main: Accessory:
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Rough Plumbing
Backflow Device
Final Plumbing
Required Inspections
I . J I roq' ,;.~~ you to
. PlumbmQ-rt:.....\T!~I~~.1:()ror.cr. BW .' .'" - I' ..'.&.
. . -, " -l~' "('" '.......c,con vnll4.Y
-Pnorto cover. ~v:~""v-J ~'e.,s~ u_..')pt.c::....I..,~ I \,l u.~ ;4~ ~Bl :0rth
-After device is installed but befpr7"b~q,~fillinli,treinch-;-hc.Se rulO;:: Ar,-9-52-0n1-
-When all plumbing work is complete,wr:;2-CO~-J(J10th, ro~ghuf h' rul~s by
1.._.' ~ 'I' .....,C"Ql:e ~
'. ~")O 'IOU r;!ay OtHi:llil :(.pit;;~ 1 h ,""
,,",v ". ,_ (Note' the te ep .0..,;
calling tr:t1 ccr"e.. U;"'h'I"oflfication
f 'h" A"'.....O.... lilHJ"'II.
"lumbar or tl e ,-' I -.;..~ II ,..,3.. A)
. '" RI'" ''Jr.? "'t"t
C07",ter!s '4~;._~.)-.~':1'__-,(. .
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
.
Job# 01.01431.01
Paid On Receipt#
Plumbing
12/28/2001 7632
01/04/2002 7683
12/28/2001 7632
01/04/2002 7683
01/04/2002 7683
12/28/2001 7632
01/04/2002 7683
.
Page 2 of2
Value/Quantity Fee Amount
.'r
Fee
Minimum Plumbing Permit Fee
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
State Surcharge - Plumbing
Backftow Prevention Device
Administrative Fee - 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:701~5 ' be used on this project. I further agree to ensure that all required inspections are
request e roper time and that the project address is readable from the street.
, ~~~
Signature~ Date
1
$45,00
$31,00
$3,15
$3,15
$14,00
$3,60
$3,60
$103.50
$103.50
1