HomeMy WebLinkAboutPermit Plumbing 2000-3-15
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I Job# 00-00404-01 I
Page 1 ofrt<ANS#: 01-0000938
DATE:MAR 15 2000
AMT RECD:2 $ 27.50
CHANGE:
CASHIER: 032
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00404-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3805 Jasper Rd Spr
Assessors Map#: 18020613
Lot: Block: Addition:
Tax Lot #: 09900
Subdivision:
Owner:
Address:
Roger Ward
3805 Jasper Rd
Phone Number: 541-726-8371
City/StatelZip: Springfield, OR
New Value: $0
Scope Of Work: Plumbing
Contractor Type
General Contr
Contractor
Bishop Construction
1546 D St, Springfield, OR
Registration # Expiration Date
Phone
541-736-8696
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
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,
Storm Sewer Line
Final Plumbing
Required Inspections
I Plumbing
- Prior to filling trench.
-When all plumbing work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Ar~a (Sq. Feet)
_ Mam: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Plumbing
03/15/2000 938
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
$.00
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4
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Fee
State Surcharge For Plumbing Permit
Storm Sewer Footage
Plumbing Administrative Fee
Total Plumbing
Grand Total
Job# 00-00404-01 I
Paid On Receipt#
Plumbing
03/15/2000 938
03/15/2000 938
03/15/2000 938
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Page 2 of2
Value/Quantity Fee Amount
30
$1,75
$25.00
$.75
$27.50
$27.50
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 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 aQro::;~We project address is readable from the street.
Signature/ /
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Date