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HomeMy WebLinkAboutPermit Plumbing 2003-2-27 .- ..'- . . 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. . . 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 \ / 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