HomeMy WebLinkAboutPermit Plumbing 2002-02-05RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1of 2
Job Number: 02-001 33-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 06500
Subdivision:
SPRTIllqFIELED LU
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225Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1138 00018th St Spr
AssessorsMap#: 17032534
Lot: Block: Addition:
,0 lrI GONo
Owner: Frank Light
Address: 3515 Valentine Ct
Scope Of Work: Plumbing
lnstall 60 feet of sanitary line
Phone Number: 541-747-7871
City/State/Zip: Springfietd,OR
New
101
office use _
Land Use:
Zoning Code:
Bedrooms:
Range:
Val ros
Contractor Type
GeneralContr
Quad Area:
# Of Units:
Gonstr. Type:
Water Heater:
Contractor
Aardvark Excavation
5335 Daisy Sp 119, Springfietd, OR
97478 rN'{
\$S
Date
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Phone
541-741-2041
To request an inspection call the 24 hour recording at 726-3769. Alt inspection s requesteda.m. will be made the same working day,inspections requested after 7:00 a.m.willworking day.
Required lns
Storm Sewer Line -Prior to filling trench
Plum
Construction Types:
Occupancy Groups:
# Of Buitdings:
# Of Bedrooms;
Handicap Access?
(sq.
Main:
Fee
# Of Stories:
Current Units:
Census Code:Does not appfy
Total:
Height (feet):
Proposed Units:
Minimum plumbing permit Fee
Paid On
7950
Fee
$.00
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Job# 02-00133-01 Page? of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbi
State Surcharge - Plumbing
Sanitary Sewer Footage
8% Administrative Fee - Plumbing
Total Plumbing
02t0st2002
02t05t2002
02t05t2002
7950
7950
7950
60
$4.t s
, $s9.00
$4.t2
$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 time and that the project address is readable from the street.
-1-
$67.85
o/ate /