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HomeMy WebLinkAboutPermit Plumbing 2002-1-3 ~~:>- , . . I Job# 02-00004-01 I . Page l'of 2 TRANS#:01-0007668 DATE:JAN 03 2002 AMT RECD:2 $ 51.75 CHANGE: CASHIER:061 .. ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Sprin'gfield Community Services Division Building Safety Job Number: 02-00004-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 7218 Elderberry St Spr Assessors Map#: 18020221 Lot: Block: Addition: Tax Lot #: 00200 Subdivision: Owner: James Carlson Phone Number: 541-746-8236 City/State/Zip: Springfield, OR 97478 Repair Value: $0 Address: 7218 Elderberry Street Scope Of Work: Plumbing /' ~ Replace 50 ft of water line ' ",~O~O\\ .~- !-~ ~" \'0' Office Use ~<<,'<I. ~<?-~<:- ~ Quad Area: Land Use: .:;:y<<fl ~~<? ~<(iJ Of Buildings: # Of Units: Zoning COde(,,~. (:-~~ f)<<''?-- ~<;fJ Occupancy Group: Constr. Type: Bedrooml:>~~ ~~ ~\)~ \~t{P Heat Source: Water Heater: Range: ~ ,~<?<() ",<J,.<() "O'?-- ,O~. Sq. Footage: 4' .(''<'' .<-v ~o., , ,~'<'- ~v' ,,?,,' To request an inspection call the 24 hour recording at ~~~ <6~nspections requested before 7:00 a.m. will be made the same working day, inspections reqDe~"'after 7:00 a.m. will be made the following working day. ~ Water Line I - Prior to filling trench. Required Inspections Plumbin!! Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D rArea (Sq. Feet) I Main: Accessory: ,0 0'" \"t~\ "..'1,y' ~'(!o .,,~.' ~, . ',0 .... ().V' .0 _0' . ,,\j ~f?' -.."(o~ on." (')~~ Y")'\ ...'\'~ !..)' ,.,':-.,V 6" ~v ~<:t~?>.; ,,,<')<,-s.c:rJO~\>o~ ~0 <,\)\0 ~e ,~., ".,'01 11> ~ ..:s< ~o .r:p ,,9 ,;lJ ,-,OJ .:,<:$ 0' "e~. r~ \C'~o .' ,.)~ . .(~ ,<,\\0 ....r;;~ t'O. \0 ~{\\V ~,,- ,...... rO' ~"...... ~. K\v '0'" # Of Stories: A.~.". OJ H.!lig~~(fl1e~):' . 0:'. ..""", \"', t\'\. ~ ... \\,\ (,:.I A ~J ...~\ \<"\~ ....~.... ,:pr Current Units: I>' ,c>\\ ..0<:- P.roposed.Ui1i~.:J".,..;L" ~', - "~o' 2,:.) ~ v"", ("\, d;"i~ Census Code:Does'~ot?pp~iJ <f.l; _(j.~;..::Ji>-dJ"'- ....J "'-...\ 10'" 0\1 eJ ~!O- 'I v " ..:s' ..:s< .c' Total: "~';j~\)J.-S-~.<,,0<' ,~'fJ<"'o r. .v",:J r .'0' Fee n": Paid On Receipt# Plumbinq 01/03/2002 7668 01/03/2002 7668 01/03/2002 7668 Value/Quantity Fee Amount Minimum Plumbing Permil Fee State Surcharge - Plumbing Water Service Footage 50 $.00 $3.15 $45.00 (j , Fee Administrative Fee - Plumbing Total Plumbing G~ Total . C\_~Q.. G--.' Signature . \..~ Job# 02-00004-01 I Paid On Receipt# Plumbin~ 01/03/2002 7668 . Page 2 of2 Value/Quantity Fee Amount $3.60 $51.75 $51.75 I- 3- 0'2- Date