HomeMy WebLinkAboutPermit Plumbing 2001-12-28
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I Job# 01-01431-01 I
Page 1 of 2
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CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield, OR 97477
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:
Springfield Utility Board
PO BOX 300
Scope Of Work: Plumbing
Tax Lot #: 03000
Subdivision:
Addition:
Phone Number: 541-744-3624
City/State/Zip: SPRINGFIELD, OR 97477
Alteration Value: $0
Install water line tap for irrigation system
Contractor Type
Plumbing Contr
Contractor
All American Plumbing
26750 Pickens Rd, Eugene, OR 97402
Phone
541-935-2723
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Reg istration #
129204
Expiration Date
05/11/2002
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 7:00NllTwULl:!e made the following
working day, Il;t:
THIS PERM/T....5.1:JAI I [}fr' - -
Required Inspections AUTHORIZED UNDER T~/~,lL. IF I nt VVUHK
-Prior to cover. Plumbing I COMMENCED OR IS ABANd'o~~~';6~ NOT
-When all plumbing work is complete, ANY 180 DAY PERIOD.
Rough Plumbing
Final Plumbing
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
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.' IIOlifi lilt rut. 0"':0
'/)Q IC"", 9s" reo<
o ~f:/ 101) c. 0'0,019 01)/"1IIt
# Of Stories: ~,>>fAistl'O. ell19r ... 0'6YIl- r99u1
. C:.I!w.r,O{j "Il~ 'l1}o '190 res
Current Units: I) f't;-1711se811J.pltfW7o Se r. r90< YOu
Census Code: Does not apply u""6er,,'l}e ce1106/"il) Il}roUll%les "r:1) <.1lili:O
c. Orll} ter 'A,CO'oi" O.ql'\ 8el_ Jt
leI) eO 'IIVO_ "'80 '79.'" IOI'fI-
Total: ,It!lris rello le:li}, fll}e v~.Oo 'I
7.<>_ 1)11.,.., e !to" rltl.. 1.
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Fee
Job# 01-01431-01
Paid On Receipt#
Plumbing
12/28/2001 7632
12/28/2001 7632
12/28/2001 7632
Page 2 of 2
Value/Quantity Fee Amount
Minimum Plumbing Permit Fee
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 w' be used on this project. I further agree to ensure that all required inspections are
request1 a proper time and that the project address is readable from the street.
ft{ ld-Y f -0 J
Signature Date
1
$45,00
$3,15
$3,60
$51.75
$51.75