HomeMy WebLinkAboutPermit Plumbing 2003-2-27
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City of Springfield
Plumbing Permit
Status: Issued
225 Fifth Street
Springfiel~~egon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.: PLM2003-00015
ISSUED: 2/27/2003
APPLIED: 2/27/2003
EXPIRES: 8/27/2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
4531 FRANKLIN BLVD
...-. -~-
1703344400301
Replace starting at space 18
throughout park of sanitary
sewer IineINot in easement or
public right of way per
contractor....
Eugene
TYPE OF WORK:
TYPE OF USE:
New
Residential
OWNER! APPLICANT:
SHAMROCK VILLAGE INVESTORS
PO BOX 580
ORANGEV ALE CA 95662
PLUMBING CONTRACTOR:
HOFFMAN NORTHWEST INC
23311 MADERO ST
MISSION VIEJO CA 92691
Phone: 949-380-4161
949-380-4161
CCB#: 71162
EXPIRES: 011161200:
Descriotion
Amount Paid
Date Paid
Receint Number
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
8.70
6.09
45.00
42.00
02/2712003
02/27/2003
02/2712003
02/2712003
2200200000000000533
2200200000000000533
2200200000000000533
2200200000000000533
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.
.Relluired I nsoections:
1 Sanitary Sewer Line: Prior to filling trench and including required testing.
2 Final Plumbing: When all plumbing work is complete.
M' II::I"! IU'~.V(eyon law reqUire::; you to
follow rules adopted by the Oregon Utility
~oll"catlon Center. Those rules are set for:
In OAR 952-001-0010 th~ough OAR 952-00;
0090. You may obtain copies of the rules b
calling the center. (Note: the telephone .
number for the Oregon Utility Notification
"""I'l1 is 1-'l'1n-312-2344l.
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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City of Springfield
Plumbing Permit
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
PLM2003-00015
2/27/2003
2/27/2003
8/27/2003
By Signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon 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 pertaining to the work described herein. I
further certify 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 requested at the proper time, that each address is readable from the
street, and that the approved set of plans, if applicable, will remain on the site at all times during construction.
/~~
~wner or Contractors Signature
n ~--2 7~ 03
)Bate
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.e Items:
Job/Journal Number
PLM2003-000 15
PLM2003-00015
PLM2003-000 15
PLM2003-000 15
Payments:
T}lIe of Payment
.
Check
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Paid By
Receipt#:2200200000000000533
Date: 02/27/2003
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
+ 10% Administrative Fee
+ 7% State Surcharge
Received By
Check Number Confirm No
HOFFMAN NORTHWEST
332516
lkw
Page 1 of 1
2/27/2003
1:41:00PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Amount Paid
45.00
42.00
8.70
6.09
Line Item Total:
$101.79
How Received
Amount Paid
In Person
101.79
$101.79
Payment Total:
cReceiptrpl