HomeMy WebLinkAboutPermit Plumbing 2002-02-05RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 02-001 35-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 06300
Subdivision:
lSPRTNIEFTELD
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1158 00018th St Spr
AssessorsMap#: 17032534
Lot: Block: Addition:
Owner: Frank Light
Address: 3515 Valentine Ct
Scope Of Work: Plumbing
lnstall 160 feet of sanitary line
Phone Number:
Gity/State/Zip:
New
541-747-7871
Springfield, OR97477
Value: $0
Contractor Type
GeneralContr
Contractor
Aardvark Excavation
5335 Daisy Sp 119, Springfield, OR
97478
Registration #
1 01 850
Expiration Date
3t29t2003
Phone
541-741-2041
office use
-
# Of Buildings:Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use:
Zoning Code
Bedrooms:
Range:SHALL
To request an inspection call the 24 hour recording at
a.m. will be made the same working day, inspections
working day.
req uested before 7:00
be made the following
ANY
Required lnspections
Plumbing
Sanitary Sewer Line -Prior to filling trench
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
# Of Stories:
Current Units:
Census Code:Does
Area (Sq.
Main:Accessory:Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Minimum Plumbing Permit Fee 02t05t2402 7952 $.oo
NOREGOOFGITY
t
Job# 02-001 35-01 Page2 of2
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbing
State Surcharge - Plumbing
Sanitary Sewer Footage
8% Administrative Fee - Plumbing
Total Plumbing
02t05t2002
0210512002
0210512002
7952
7952
7952
160
$5.11
$73.00
$s.84
$83.95
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.
$83.95
z-r/s/<-
Sate /