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HomeMy WebLinkAboutPermit Plumbing 2002-1-8 ." /:1 " .' .. 'i . . Job# 02-00017-01 . 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