HomeMy WebLinkAboutPermit Plumbing 2001-7-9
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I Job# 01-00692-01 I
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Page 1 of2
TRANS#:01-0006088
DA TE : JUL 09 2001
AMT RECD:1 $ 20.00
CHANGE:$ 3.50
CASHIER:061
CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield. OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00692-01
Office: 726-3759
Inspection Line: 726_3769~
Tax Lot #: 03400
Subdivision:
Location Of Proposed Site: 1735 Lexington Ave. Spr
Assessors Map#: 17033443
Lot: Block: Addition:
Owner:
Steven Pardo
1735 Lexington Ave
Address:
Scope Of Work: Plumbing
Phone Number: .541-726-1427
City/State/Zip: Eugene. OR 9740
New Value: $0
install shower in shop building
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 a~~~.?..;qO.a.t11. will be made the following
working day. -....:. XPI"E IF THE WOR\(
, " T SHALL En.
R' . I ~-. __.....u,- Ie: .,"'il
equlred Inspections. ,.... . r> UNDEH 1"'0' ~.,..
Plumbinll I. . ..: t.", IS AB~Nr'" .
G.. .
'\'1 [ d;.' ,;\\)1)
P:i'( 10 _.
Rough Plumbing
Shower Pan
Final Plumbing
'--=-Prio~to cover.
-When all plumbing work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
I Main: Accessory:
Fee
Minimum Plumbing Permit Fee .
Number of Fixtures
Slate Surcharge - Plumbing
. ATTE~TI~N~Or~t~~nbla~~e6~:;~:~~i~~y
# Of Stones: toll,Helght.(feet): y utes are sat torth
C t U 'ts .t.,.,..,-- "''''-u':>r. Those r 52001
urren m : Notl'",roposeu . mts:through OAR 9 - -
Census Code: Does not applyAR 952-00y1 ~~~~n copies ot the rules by
0090. You ma Note' the telephone
Total: I calling the ~en~:~~on Utility Notification
numberfort a ___ nM' "",u,
Paid On Receipt#
Plumbinll
07/09/2001 6088
07/09/2001 6088
07/09/2001 6088
Value/Quantity
Fee Amount
1
$5.00
$10.00
$1.05
Page 2 of2
Value/Quantity Fee Amount
....
.
Job# 01-00692-01
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J/
Fee
Paid On Receipt#
Plumbinfl
07/09/2001 6088
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 xroper time and that the project address is readable from the street.
. 5r;.v< r OA-rtr 7 - y- 0 I
Signature Date
$.45
$16.50
$16.50