HomeMy WebLinkAboutPermit Plumbing 2002-1-8
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. Job# 02-00017-01
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Page 1 of 2
JAN OB 2002/1:15 PM/$ 4.13
ACCT#:B21-00000-215004
RCPT#:01-0007699/KEN WILSON
JOB#:02-00017-01
SPRINGFIELD
~~
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00017-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 965 Kelly Blvd Spr
Assessors Map#: 17033411
Lot: Block: Addition:
Tax Lot #: 04501
Subdivision:
Owner:
Ken Wilson
Phone Number: 541-726-2916
City/State/Zip: Sspringfield, OR 97477
Repair Value: $0
Address:
965 Kelly
Scope Of Work: Plumbing
Repair of Sanitary Sewer line from c1eanout to main
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. NOTICE:
Sanitary Sewer Line
Final Plumbing
Required Inspections
I Plumbing
- Prior to filling trench.
- When all plumbing work is complete.
71 :1: ~:l:vi;-;-~; ;~;..'- t:^r1n~ Ir r nc VI/UN"
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Total:
ATTE~';(:O:':')r~gon le'N reqL';res you to
fOI;o\'/ ~uies 8Licpt0d by thE! 0;6;)On Ui,;;iy
Hei f;ltf~~t\lon Ce..ter. Thcse rules are set fOrth
g", LMn)';?2-C01-001 0 through OAR 952-001-
Prop9,!;!lg,l!!!~;!ay obtain copies of the rules by
calling the center. (Note: the telephone
numberforthe Oragon Utility Notification
Canter is 1.eD!;<~32..?.3tt4).
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Fee
Paid On Receipt#
Plumbing
01/08/2002 7699
01/08/2002 7699
01/08/2002 7699
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
141
$.00
$4.13
$59.00
;u~~ ~
'::, ,
Fee
Administrative Fee - Plumbing
Total Plumbing
Grand Total
Signature
.
Job# 02-00017-01
Paid On Receipt#
PlumbinR
01/08/2002 7699
.
Page 2 of2
Value/Quantity
Date
Fee Amount
$4.72
$67.85
$67.85
"
,
.
I Job# 02-00017-01 I
.
Page 1 of 2
SPRINQFIELD
~.
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00017-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 965 Kelly Blvd Spr
Assessors Map#: 17033411
Lot: Block: Addition:
Tax Lot #: 04501
Subdivision:
Owner:
Ken Wilson
Phone Number: 541-726-2916
City/State/Zip: Sspringfield, OR 97477
Repair Value: $0
Address:
965 Kelly
Scope Of Work: Plumbing
Repair of Sanitary Sewer line from clean out to main
Contractor Type
Contractor - ROW
Contractor
Ken Wilson
965 Kelly, Sspringfield, OR 97477
Registration # Expiration Date
Phone
541-726-2916
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.
Sanitary Sewer Line
Final Plumbing
Required Inspections
I Plumbinll I
-Prior to filling trench.
-When all plumbing work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
.
,
Fee
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Grand Total
Signature
.
Job# 02-00017-01 I
Paid On Receipt#
Plumbing
01/08/2002 7699
01/08/2002 7699
01/08/2002 7699
01/08/2002 7699
.
Page 2 of 2
Value/Quantity Fee Amount
I
141
$.00
$4.13
$59.00
$4.72
$67.85
$67.85
Date