HomeMy WebLinkAboutPermit Plumbing 2001-4-2
"
"'~:,"""\
.
I Job# 01-00317-01 I
e--
Page 1 of2
.1RANS#:0l-0004826
oATE:APR 02 2001
AMT RECD:2 $ 49.50
CHANGE:$ 11.00
CASHIER:003
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00317-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3105 Gateway St Spr
Assessors Map#: 17032220
Lot: Block: Addition:
Tax Lot #: 03600
Subdivision:
Owner:
KKMDH L1c1Pacific Village Apt
3033 Gateway Street
Phone Number: 541-726-8895
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Backftow Device
Installing two backftow devices
Contractor Type
Plumbing Contr
Contractor
Richards Plumbing and Heating
83410 Nieblock, Creswell, OR 97426
Registration #
9170
Expiration Date
4/2/2001
Phone
541-895-4817
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.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Plumbin!l
04/02/2001 4823
04/02/2001 4823
04/02/2001 4823
04/02/2001 4823
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Backftow Prevention Device
Administrative Fee - Plumbing
Total Plumbing
Grand Total
2
$.00
$1.40
$20.00
$.60
$22.00
$22.00
____oiic.~".
--
~
.'.--'. ,..:,t
.
I Job# 01-00317-01 I . Page 2 of 2
By signing this permiUapplication, I agree to call for an inspection once the backflow prevention
device has been installed and is visible for inspection (726-3769). I also state that all information on
this permit :t::n is 79Zt ~.
Signature' v /
c;~2~d)
Date