HomeMy WebLinkAboutPermit Plumbing 2001-1-19
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I Job# 01-00048-01 I.
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Page 1 of 2
TRANS#:01-0004271
DATE:JAN 19 2001
AMT RECD:2 $ 27.50
CHANGE:
CASHIER: 061
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00048-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2535 GRAND VISTA DR Spr
Assessors Map#: 17032431
Lot: Block: Addition:
Tax Lot #: 01500
Subdivision: Grandview Estates
Owner:
Shawn Hyland
325 72nd Place
Phone Number: 541-741-0259
City/State/Zip: Springfield. OR 97478
, New Value: $0
Address:
Scope Of Work: Plumbing
45' storm line for future use
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
1
(VN) Wood Frame
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group: Dwelling
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.
Storm Sewer Line
I
- Prior to filling trench.
Required Inspections NOTIl;I::
Plumbin!! IrH1S PERMIT SHALL EXPIRE IFTHEWORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COtvlMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
iArea (Sq. Feet)
I Main: Accessory:
Accessory Structure
# Of Stories: Height (feet):
Current Units: Proposed Units:1
Census Code: New SF - detached
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Total:
Fee
Paid On R.e;;gipt#,j5~-lJ\YaliJe/QiiantitYl OAfli=&'~A1l1ount
Plumbin!!UU~U. YUU el' ,\' '"'l0181r1 COPIi:l'i UllI''''' '~I"''' uy
01/19/2001 4271~allltl!J :01:: ':::::nI.J', \'~Ll\.J:.tnatel~~ho~e $.00
01/19/2001 4271JIIlbJTlor ((13 Ow,;jonLJtllIly NotlflcatI0$1.75
01/19/2001 4271 CS;1ja'~ '-::_\h;~i5.~344). $25.00
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Storm Sewer Footage
,
Job# 01-00048-01
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Page 2 of2
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Fee
Paid On Receipt# Value/Quantity
Plumbing I
01/19/2001 4271
Fee Amount
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.
>st-- ~~ O),/v/'lo/
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Signature / Date
$.75
$27.50
$27.50