HomeMy WebLinkAboutPermit Plumbing 2002-7-12
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225 Fifth Street
Springfield, OR 97477
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I Job# 02-00828-01 I
-Page 1 of 2
TRANS#:01-0009918
DA TE : JUL 12 2002
AMT RECD:2 $ 83.95
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00828-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3198 Gateway St Spr
Assessors Map#: 17032220
Lot: Block: Addition:
Owner:
Tax Lot #: 02700
Subdivision:
Yu Chlu Lee
1373 Woodside Dr
Phone Number: 541-345-8228
City/State/Zip: Eugene, OR 97401
Alteration Value: $0
Address:
Scope Of Work: Plumbing
Install grease interceptor
Contractor Registration # Expiration Date Phone
Vos Plumbing Inc 41805 4/4/2004 54~-485-0551
Po Box 2189, Eugene, OR 97402-0061 _ \c- \~t. ~~~\
Office Use - ~: ~t>.\.\. t.'I-\l~~~~\\~\\ ~Qi '
Land Use: \\'i)",\~ t.~~\\ c:; ~'i)t.\# ~~\,.!!Cil~:
Zoning Code: \~\~ \l ()\\\1t.'i) ~ ()\\ \'9~pancy Group:
Bedrooms: t>-IJ\~ ~t.~c.'i:.'i) ~'t.\\~t Source:
Range: c.()~ ,\l.<J 'i)t>.'{ Sq. Footage:
t>-~\ .
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. 'IOU \0
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ReqUire nspectlons __, C';\ -. 016Yv'- \ \OW'
O~'v\v9 ",\ne lese ,
I Plumbin!! __eNI,\ \ '(\09\eoO' IUleSa 9'0'2.-00'
- Prior to filling the trench. ";I~~ IUles; {I\e'. \noS~Ugn O~~e IUleS 'O~
- Prior to cover. \0 'lica\iOI\ ~,_OO, ~ \n'09ies 01 \139\"101\13
- Prior to filling trench. ~O\I ~I'\ 9'O'2..() o'o\all\ c 0\13'. \ne \6 \i\iCa\iOl\
-When all plumbing work is complete!' 090 '{oullla~el\\e'. \.~ 1\ \.l\\liW:)
00 c~\\il\g \~~ \ne o,e~~0.33'2.-Z .
l\Ulll'Oel cel\\e' is ,-
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Are,a (Sq. Feet)
_ Main: Accessory:
Contractor Type
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Underground Plumbing
Rough Plumbing
Sanitary Sewer Line
Final Plumbing
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
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
requeste~ ~l and that t~~ject address is readable from the street.
Signat (e .)
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'"' Fee
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Sanitary Sewer Footage
8% Administrative Fee - Plumbing
Total Plumbing
Grand Total
Job# 02-00828-01
Paid On Receipt#
Plumbing
07/12/2002 9918
07/12/2002 9918
07/12/2002 9918
07/12/2002 9918
07/12/2002 9918
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Page 2 of 2
Value/Quantity Fee Amount
$.00
1 $14.00
$5.11
100 $59.00
$5.84
$83.95
$83.95
7 - ;,;( - () d--
Date