HomeMy WebLinkAboutPermit Plumbing 2001-4-25
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Job# 01-00410-01
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Page 1 of 2
TRANS#:01-000S059
DATE:APR 25 2001
AMT RECD:2 $ 3367.01
CHANGE:
CASHIER: 061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00410-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2391 Clear Vue Ln Spr
Assessors Map#: 17032712
Lot: Block: Addition:
Tax Lot #: 03600
Subdivision:
Owner:
Address:
Marie Rankin
Phone Number: 541-726-7080
City/State/Zip: Springfield, OR 97477
New Value: $0
2391 Clear Vue Ln
Scope Of Work: Plumbing
connect to city service
Contractor Type
General Contr
Contractor
Cardwell Construction & Property M'
29377 Airport Rd, Eugene, OR
97402-9523
Registration #
74466
Expiration Date
9/8/2001
Phone
541-688-7609
Office Use
Quad Area: L d U ' ATTENTION:ql'(j'f-s l~i~j-\tPu.ires you. ~o
an se, UI I g~egon Utility
# Of Units: Zoning Code: follow rules ad'O'~'t~B~ri~~ ~bUB: t forth
N tT ation Center H,ose rul"" ".- se
Constr. Type: Bedrooms: 0 IIC F.le'a~!':ourc"'OAR 952-001-
, OAR 952-001-l/u I tlilvu\jTr
Water Heater: Range: ~nQn Ynu mav &iia rPeJ~~ of the rules by
callinlll~.e center. (Note: me telep"UI'"
To request an inspection call the 24 hour recording at 726-3769. All il1sp,,EfcgP16~ rf1SlLLerl!~911;>~P'f;E:lJ7IiO{lification
a.m. will be made the same working day, inspections requested afterr-jJoiPa'~eI'W~;q~{DM3_!lm~fQ~log
working day.
Sanitary Sewer Line
Septic Tank Pumped
Required Inspections
I Plumb in!!
- Prior to filling trench.
-After septic tank has been pumped and filled. Please provide the inspector with receipt and vel
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
# Of Stories: COMME~?ffJ~BANDON<;D FOR
Current Units: ANY 180I!ro'Pose<i1.inits:
Census Code: Does not apply
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Total:
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Job# 01-00410-01
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Page 2 of 2
Fee
I
Paid On Receipt#
Plumbin!!
04/25/2001 5059
04/25/2001 5059
04/25/2001 5059
04/25/2001 5059
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
100
$.00
$2.80
$40.00
$1,20
$44.00
In Lieu of Assessment
Total Public Works
Public Works
04/25/2001 5059
9,375
$2,812.50
$2,812.50
Sanitary Sewer
Sanitary Sewer SDC Reimbursement
SDC Administrative Fee
Total System Development
Grand Total
System Development
04/25/2001 5059
04/25/2001 5059
04/25/2001 5059
13
13
$209.95
$276.25
$24,31
$510.51
$3,367,01
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Plan Check Type
Checked By
Date Completed
Comment
Engineering-C/I/P Steve Templin 04/24/2001
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 empioyees 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.
/7J7o;p,~e~ -./ tlflMJ,JA--'
Signature
/J'7/1/
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