HomeMy WebLinkAboutPermit Plumbing 2002-2-19
',f
\,
.
,-'!
.,
.
I Job# 02-00182-01 I
Page 1 of 2
TRANS#:Ol-0008068
DATE:FEB 19 2002
AMT RECD=2 $ 51,75
CHA'ICr.
II'mt;
CASHIER: 003
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Phone Number: 541- -
City/State/Zip: Springfield, OR 97477
New Value: $0
Registration (qolf'e'i!~ion Date Phone
11372 THI~~~fr SHALL EXP~~P~~\&tORK
AUTHORIZED UNDER THIS PERMIT IS NOT
SQ.'\1r.1::~1"2~ 01:) 1'3 ^!:)lH\II"\()I\II=n I=nR
ANY 180 DAY PERIOD.
, f I'~-' # .Of Buildings! ! ,:\'~;.Jhb,,' .
I,.. .._~'J'\"""".'"'''-~:'''~''' "i I
.. :. .." "ul"'@ccunandy.'~G~GfuC':regO;j LJthhj
'~V~''''J 'tV' ~..... -~ ~ ..,.,. .. J.I'. .
.~,{jti'i!cationHe'3t1SoJ,tee$e rules are s..el ;. .:
it j OAR 952Sql1=6af~irough OAR 9S2"~:,,: I ..
.. .._- u... .........! =-.......In ",...ninc At the:> nile::.- C.
uu;,v. I V \.I "t"""1 ViIooO'._' I -~'I---
To request an inspection call the 24 hour recording at 726-3769. All inspeotig~~fe+~If~'f'edfl:lef~~~~:OQe te~~~h?~~~r
a.m. will be made the same working day, inspections requested after 7:00ia1..mltwillftJetAl{~6'ell!lW/~H.9Wi~gNc4t)lflca
working day. Center IS 1-8')J-,~,-"....-<..:)4 .
225 Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 7 43 Crest Ln Spr
Assessors Map#: 17033414
Lot: Block: Addition:
Owner:
Sue ManDevell
743 Crest Lane
Address:
Scope Of Work: Backflow Device
Installing new backflow device
Contractor Type
Landscape
Contractor
Hunter Irrigation and Landscape
25226 Strawberry Lane, Veneta, OR
97487
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
Job Number: 02-00182-01
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #: 07400
Subdivision:
Required Inspections
I Plumbing I
-After device is installed but before backfilling trench.
Backflow Device
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Fee
Height (feet):
Proposed Units:
Paid On Receipt#
Plumbing
02/19/2002 8068
Minimum Plumbing Permit Fee
Value/Quantity
I
Fee Amount
$31.00
,~
-. .,
,
c,/
Fee
Job# 02-00182-01
.
Page 2 of 2
Value/Quantity Fee Amount
State Surcharge - Plumbing
Backflow Prevention Device
8% Administrative Fee - Plumbing
Total Plumbing
Gra nd Total
By ...igning this permit/application, I agree to call for an inspection once the backflow prevention
device has been installed and is visible for inspection (726-3769). I also state that all information on
this permit application is true and correct.
/.:>/ . . '/ . r(' 4' '7 a..
1 ~~ /A>r_ - -<,,/ /~cYJ
S'ignature Date -
Paid On Receipt#
Plumbing
02/19/2002 8068
02/19/2002 8068
02/19/2002 8068
1
$3.15
$14.00
$3.60
$51.75
$51.75