HomeMy WebLinkAboutPermit Plumbing 2001-10-31
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I Job# 01-01217-01 I
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Page 1 of2
TRANS#: 01'-0007148
DATE:OCT 31 2001
AMT RECD:2 $ 116,15
CHANGE:
CASHIER:061
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SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01217-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2203 Henderson Ave Spr
Assessors Map#: 18030313
Lot: Block: Addition:
Tax Lot #: 00400
Subdivision:
Owner:
Skillern Investments
PO Box 714
Phone Number: 541-746-8601
City/State/Zip: Springfield, OR 97477
Addition Value: $0
Address:
Scope Of Work: Plumbing
80 feet water service and 3 fixtures
Contractor Type
Plumbing Contr
Contractor Registration # Expiration Date
Ready Rooter / chapman plumb
88608 ermi bee rd, springfield, OR 97478
Phone
541-744-7991
Office Use , ~O<f-..'f..
Quad Area: Land Use: # Of B!riIilihgs:~O'\
# Of Units: Zoning Code: ~~c1fu}iancYiG7ciilP:
ci<:' -..."",' aP'
Constr. Type: Bedrooms: C~. ",,-,- vlJ.~S~lt(.g~:( .
Water Heater: Range: ~O,\v._<-,,~le'0 'O~~O~~l!,J~9tage:
y.,''7>' - :t~\) ~ ,'0 "'-
To request an inspection call the 24 hour recording at 726-3769, AI~ifiS'~ectionS\~qUested before 7:00
a,m, will be made the same working day, inspections requested iitfur ~~~9\ar~~UiDe'made the following
working day, COW R\ Ql'
R . d I t' .~'\ \~
equlre nspec Ions
Plumbing
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq, Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
ou\o
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~~~\\o:;OO?\e~~~se IU~~~~ 9~~es '0'1
~ ~\o'.r-J IU\e Ce,,\el. \o\nIOU~ s 01 \ne :l\O"e
10 'a\\O" ,\-00 co?le W\e? \\0"
~O\I\IC 9'6?--00 0'0\8.\" oW', \ne ~O\\\ICa:
\"O~~'{oU (lIa\"WI' ~~ ,,\)\1\1\'1_.<1,).
OClO, \"e c Ole~o ,,-?..!2:~
o 'Heignt (feet):. '000-'3->
C"'" ....0,,,\0\.. _.,.~c:;'\"
lp.roposed\l!JmtS:
\V. v.....
Rough Plumbing
Water Line
Final Plumbing
- Prior to cover,
-Prior to filling trench,
-When all plumbing work is complete,
Total:
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Job# 01-01217-01
Paid On Receipt#
Plumbing
10/31/2001 7148
10/31/2001 7148
10/31/2001 7148
10/31/2001 7148
10/31/2001 7148
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Page 2 of 2
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Fee
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
Number of Fixtures
Slate Surcharge - Plumbing
Water Service Footage
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
req~eMthe p~~/n~e project address is readable from the street.
^- ~ U '- Irlll! Ie/I
Signature Date
3
$,00
$42,00
$7,07
$59,00
$8,08
$116.15
$116.15
80