HomeMy WebLinkAboutPermit Plumbing 2000-5-18
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I Job# 00-00752-01 I
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Page 1 of2
TRANS#:01-0001789
DATE:MAY 18 2000
AMT RECD:2 $ 22.00
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00752-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 742 Lockhaven Ave Spr
Assessors Map#: 17032724
Lot: Block: Addition:
Tax Lot #: 07700
Subdivision:
Owner:
Address:
Conae Carpenter
742 Lockhaven Ave
Phone Number: 541-726-6198
Contractor Type
Plumbing Contr
Contractor
City/State/Zip: Springfield, OR q'f..
~\"OP
Value:~ $O~Oi
:/-,?\?-'C. \I '~\i \'0
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~U\'- ~\i'=>\" ~?-\""- O~~V'-
\"\\'Oy>~~ yDU~D. t>-'Ot>-~D .
i '\i\~~t. 'ratiQ.fiI#' Expiration Date
t>-\J ,,~:c.v o.~O\),
Pacific Catastrophe Inc O'N~;!/l:.137 i>-'l y>'C.'P 7/17/00
587 Shelley, Springfield, OR 97477 G"N'l W)()O
Alteration
Scope Of Work: Plumbing
Phone
541-726-9905
Office Use
# Of Buildings: \})(\V
. \-::\0
Occupancy,Group:l')
"""f}U\ 'OU,,<\ n.
, " Heat,Source:\> '0'0"
,'U'" ....\\O~ . (\o}-.. 0
Range: "'.\ ,,\\\\\':~,l!,'F~?J1lge:\:_1,c,l' ~~,\\\U\
,.1,?,',)\\.',', oW (\0'" '~.~ ,,\\,q"~-\.\o\\,r \\(h
To request an inspection call the 24 hour recording at 726-3769. All inspections requested'beforE{7:00\\ ",0 ,
a.m. will be made the same working day, inspections requested after 7:QO a:~; ~i1lr~e mad~~~,~lfoilow'ing' '
working day. ,,' ,';, ' ".. '
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
Land Use:
Zoning Code:
Bedrooms:
Underfloor Plumbing
Rough Plumbing
Final Plumbing
Required Inspections
I Plumbinll
-Prior to insulation or decking,
- Prior to cover,
-When all plumbing work is complete.
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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
Height (feet):
Proposed Units:
Total:
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Job# 00-00752-01
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Page 2 of2
) Fee
,
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
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 ~~~~~J project. I further agree to ensure that all required inspections are
~(./)$ that the project address is readable from the street. S-jt..--cV
~ature / Date
Paid On Receipt#
Plumbing
05/18/2000 1789
05/18/2000 1789
05/18/2000 1789
05/18/2000 1789
Value/Quantity
Fee Amount
2
$,00
$20,00
$1.40
$,60
$22.00
$22,00
,