HomeMy WebLinkAboutPermit Plumbing 2002-04-15SPRINGFIELD
Job# 02-00450-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
Job Number: 02-00450-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot #: 00300
Subdivision:
225 Ftfth Street
Springfield, OR97477
Location Of Proposed Site: 1519 00001st St Spr
AssessorsMap#: 17032632
Lot: Block: Addition:
ctTY oF SPRTNGFIELD, OREGON
Owner: Lane County Housing Authority
Address: 300 West Fairview Dr
Scope Of Work: Plumbing
Replacing 20 feet of sewer line
Phone Number:
City/State/Zip:
Repair
541-682-2573
Springfield, OR97477
Value: $o
Contractor Type
Plumbing Contr
Contractor
Hoffman Northwest lnc
23311Madero St, Mission Viejo, CA
92691
Registration #
71162
Expiration Date
1t16t2003
Phone
949-689-1 71 1
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
#
tollow
inOAR
To request an inspection callthe 24hour recording at726-3769. All inspectio
a.m. will be made the same working day, inspections requested after 7:00 a.m
working day.
Plumbing
Sanitary Sewer Line - Prior to filling trench
Construction Types:
Occupancy Groups:
trU I tlrg: rrr.1.,r./
;;-,. ; -,r suluL EXPIRE lFrt'rF \^'nou
s
"
I d$,$Yrlt$ PAY P EHI 0D
Proposed Units:
.,j. it:fi !'.r '- -;'i
"r f, r llr,\r.-ii;viisl iUn
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbin
Minimum Plumbing Permit Fee 04t18t2002 8650 $.00
Required lnspections
Job# 02-00450-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
State Surcharge - Plumbing
Sanitary Sewer Footage
8% Administrative Fee - Plumbing
Total Plumbing
04t18t2002
04118t2002
04118t2002
8650
8650
8650
20
$3.1 5
$45.00
$3.60
$51.75
Grand Total $51.75/-6-oz,.zz .2.,-,
DateSignature