HomeMy WebLinkAboutPermit Plumbing 2001-10-03SPRINGFIELD
Job# 01-01089-01
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Addition:
Page 1 of 2
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225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 130 Mill St Spr
AssessorsMap#: 17033532
Lot: Block:
Job Number: 01 -01 089-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot #: 03500
Subdivision:
crTY oF SPRTNGFTELD, OREGOTU
Owner: Bright Oaks Meats
Address: 130 MillStreet
Scope Of Work: Plumbing
lnterior hot water supply line
Phone Number:
City/State/Zip:
New
Springfield, OR97477
Value: $O
Contractor Type
Plumbing Contr
Contractor
Roto Rooter Service
445 River Ave, Eugene, OR 97404
Registration # Expiration Date Phone
541-689-1711
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
Plumbing
Rough Plumbing
FinalPlumbing
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq
Main:
- Prior to cover.
-When all plumbing work is complete
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Accessory Total
Job# 01-01089-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbi
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
1010312001
10t03t2001
10t03t2001
6897
6897
6897
1 $45.00
$3.1 5
$3.60
$51.75
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 that ect address is readable from the street
ature Date
$s1.75
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proper