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Home My WebLink AboutPermit Plumbing 2002-01-23Job# 02-00086-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Addition: Pagel of2 APRINGFIELD hlt! R' rlT Tnfl.] ,r?.:n frli{,/.* nf1f,T+l . On1 -nnrlnfi-il-inl ,l'r*.lt!'I (r!ltr(!t, / I +t . ftl _nnfir7a!_,t, i nt tr r vt+ ' U.L U I Ul]+i L{U-ttrl\ Tn!,{+ ' nq-nnfi5|J uu+t , LrL Lrut-lLJ 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 310 Mill St Spr AssessorsMap#: 17033523 Lot: Block: Job Number: 02-00086-01 Office:726-3759 !nspection Line: 726-3769 Tax Lot#: 12600 Subdivision: crTY oF SPRTNGFIELD, OREGOTV Owner: Walker & Bush Address: 488 Sunshine Acres Scope Of Work: Plumbing Phone Number: City/State/Zip: Alteration Eugene,, OR Value: $O Contractor Type Plumbing Contr Contractor Aardvark Excavation 5335 Daisy Sp 119, Springfield, OR 97478 Registration # 1 01 850 Expiration Date 6t1t2001 3-2q,.O3 Phone 541-741-2041 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 at726-3769. 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. Required lnspections PIu Storm Sewer Line -Prior to filling trench. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply (sq. Main:Accessory:Tota!: Paid On Receipt# Value/Quantity Fee Amount Plumbi Minimum Plumbing Permit Fee 0112312002 7864 $.00 Fee Job# 02-00086-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbing State Surcharge - Plumbing Sanitary Sewer Footage Administrative Fee - Plumbing Total Plumbing 01t2312002 01t2312002 0112312002 7864 7864 7864 75 $4.13 $59.00 $4.72 $67.85 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 Springfleld and the Laws of the State of Oregon. I further state that only contractors and employees who are in compliance with oRS 701.055 be used on this project. requested time and re Date $67.85 I further agree to ensure that all required inspections are project address is readable from the street. SPRINGFIELD Job# 02-00086-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Addition: Page I of 2 Job Number: 02-00086-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 12600 Subdivision: .Dont \'21'cr2-* tlrrtg4lrro 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 310 Mill St Spr AssessorsMap#: 17033523 Lot: Block: crTY oF SPRINGFIELD, OREGOTV Owner: Ronald Bush / Susan Walker Address: 4BB Sunshine Acres Scope Of Work: Plumbing Phone Number: City/State/Zip: Alteration Eugene, OR 97401 Value: $0 Contractor Type Plumbing Contr Contractor Registration # Aardvark Excavation 101850 5335 Daisy Sp 119, Springfield, OR 97478 Expiration Date 03129t2003 Phone 541-741-2041 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: To request an inspection call the 24 hour recording at726-3769. All in a.m. will be made the same working day, inspections requested after 7:00 a. working day. Required lnspections Plum I Sanitary Sewer Line -Prior to filling trench h Gonstruction Types: Occupancy Groups:the Source: /g the f:* 7:00 '/ety the ng ts ltr # Of Buildings: # Of Bedrooms: Handicap Access? # Of Stories: Current Units: Census Code: Does not (sq Main:byAccessory:Total: Fee Paid On Receipt# Value/Quantity Fee Amount Plumbing Minimum Plumbing Permit Fee 01t23t2002 7864 $.00 # Of Buildings: Occupancy Group: Job# 02-00086-01 Page2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount State Surcharge - Plumbing Sanitary Sewer Footage 8% Administrative Fee - Plumbing Total Plumbing Plumbing 01t2312002 01t23t2002 01t23t2002 7864 7864 7864 75 $4.1 3 $5e 00 $4.72 $67.85 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. Signature $67.8s Date SPRINGFIELD Job# 02-00086-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Addition Page 1 of 2 Job Number: 02-00086-0'1 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 12600 Subdivision: -Do.il LLb.aL ' +-rEr4 lyx)€n, 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 310 Mill St Spr AssessorsMap#: 17033523 Lot: Block: ctrY oF SPRINGFIELD, OREGON Owner: Ronald Bush / Susan Walker Address: 488 Sunshine Acres Scope Of Work: Plumbing Phone Number: City/State/Zip: Alteration Eugene, OR 97401 Value: $0 Gontractor Type Plumbing Contr Gontractor Registration # Aardvark Excavation 101850 5335 Daisy Sp 119, Springfield, OR 97478 Expiration Date 03t29t2003 Phone 541-741-2041 Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Quad Area: # Of Units: Gonstr. Type: Water Heater: To request an inspection call the 24 hour recording at a.m. will be made the same working day, inspections working day Requi Source: Plumbing Sanitary Sewer Line -Prior to filling trench Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? [ # Of Stories: Current Units: Census Gode: D v /Soes not Area (Sq. Main:Total Fee Paid On Receipt# Value/Quantity Fee Amount Plumbin Minimum Plumbing Permit Fee 01t23t2002 7864 $.00 rr tO I by /F Accessory: Job# 02-00086-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbing State Surcharge - Plumbing Sanitary Sewer Footage 8% Administrative Fee - Plumbing Total Plumbing 01t23t2002 01t23t2002 01t2312002 7864 7864 7864 75 $4 13 $5e 00 $4.72 $67.85 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. Signature $67.85 Date