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HomeMy WebLinkAboutPermit Plumbing 2002-8-12 . .' SPRINQFIELD ~. I Job# 02-00971-01 I . Page 1 of 2 TRANS#:Ol-0010265 DATE:AUG 12 2002 AMT RECD:1 $ 60.00 CHANGE:$ 8.25 CASHIER:068 CITY OF SPRINGFIELD, OREGON 225 Fifth Street Springfield, OR 97477 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00971-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1445 Lawnridge Ave Spr Assessors Map#: 17032522 Lot: Block: Addition: Owner: Rosalie Murray Address: 1445 Lawnridge Avenue Scope Of Work: Plumbing Tax Lot #: 07200 Subdivision: Phone Number: 541-746-1062 City/State/Zip: Springfield" OR 97477 New Value: $0 Contractor Type Plumbing Contr Contractor Ready Rooter 1 chapman plumb 88608 ermi bee rd, springfield, OR 97478 Phone 541-744-7991 Quad Area: # Of Units: Constr, Type: Water Heater: Registration # 92524 Expiration Date 2/18/2005 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, Water Line I - Prior to filling trench, Required Inspections Plumbinll ....,., '", ...Itllll. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D iArea (Sq. Feet) I Main: Accessory: Fee Minimum Plumbing Permit Fee . I ,'-l I " . . - ~ I / ,lit ,~ 'ule~ adopted b~' the Orago . j\ ~lll1C8t.on Genter Those rules ar\:r; ~ , ) '\R 9::'2-00'; -001 0 th~ough OAR 1<- 'L'~O, You may obtain copies 01 the UI('~ callino thE center, (Note: the tele,ron n"':llbS-r ,,)r th:.> Oregon Utility Notl;I'~a\l( . -,,,n ,....? 'J~4'" l'. :..", \&;.:.,.. J. -.' - - ',' Height (feet): Proposed Units: # Of Stories: Current Units: Census Code: Does not apply Total: ~:?:tl~:~~,~~: [t 1.^,~~...~.,vP!'1~ r :IIE '/!2!11( Paid On AUTHRlIllipt#JNOEMiUGldili"Mt~IS NOifee Amount r Plliri16in9c'~G1:u un 't> AtlANUUNtU I-UH 08/12/200:i\NY l~6!i\Y t'tt110D. $,00 . Job# 02-00971-01 . Page 2 of2 Value/Quantity Fee Amount Fee Paid On Receipt# Plumbin!:! 08/12/2002 10265 08/12/2002 10265 08/12/2002 10265 30 $3,15 $45,00 $3,60 $51,75 $51,75 State Surcharge - Plumbing Water Service Footage 8% Administrative Fee - Plumbing Total Plumbing Grand Total 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 at the proper time and that the project address is readable from the street. Signature Date .;- . I Job# 02-00971-01 I . Page 1 of 2 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00971-01 225 Fifth Street Springfield. OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1445 Lawnridge Ave Spr Assessors Map#: 17032522 Lot: Block: Addition: Tax Lot #: 07200 Subdivision: Owner: Rosalie Murray 1445 Lawnridge Avenue Phone Number: 541-746-1062 City/State/Zip: Springfield" OR 97477 New Value: $0 Address: Scope Of Work: Plumbing 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, Water Line law requues yOU 10 . , -E".-,-,,-,,,,'()reaon . u''''" ReqUired Inspect!ons ,. t db\!tneU'''llv" -.... . rules adop e . et forti I I Plumbing tOIlU~l ion Center. Those rules are s -001- -Prior to filling trench, Not\llG ~52 001-001 0 thrOugh OAR 95~ b\ NOTICE' in OAR - obtain copies of the ru es y THIS PE . 0090, You may Nt' the telephone RMIT SHAll EXPIRE IF THE calling the center. ( 0 e", Notification Construction TypW:rHOR/ZEO UNDER THIS PERMIT I~ORK number for the, Oregon Utlh%344). Occupancy Gro1ltMMENCEO OR /S ABANDONEO f NOT Centens 1-800-332 # Of Buildings: NY 180 DAY PER/OD. # Of StonesPR Height (feet): # Of Bedrooms: Current Units: Proposed Units: Handicap Access? 0 Census Code: Does not apply ,Area (Sq. Feet) I Main: Accessory: Total: Fee Paid On Receipt# I Plumbing 08/12/2002 1026l1b 08/12/2002 1026l4.. c:; 08/12/2002 10264.,,5 Value/Quantity Fee Amount Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage 30 $,00 $3,15 $45,00 ,- . Job# 02-00971-01 Paid On Recelpt# Plumbing 08/12/2002 1026\ . Page 2 of2 Value/Quantity Fee Amount Fee 8% Administrative Fee - Plumbing Total Plumbing Grand Total 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 r~t thw2Qa~ect address is readable from the street. fi /J Lk t... e. . . Signature Date $3,60 $51.75 $51.75