HomeMy WebLinkAboutPermit Plumbing 2001-07-097 Job# 01 -00694-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2'&enlNcrrst.o
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 304 00020th St Spr
AssessorsMap#: 17033613
Lot: Block: Addition
Job Number: 01-00694-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 13300
Subdivision:
GITY OF SPRINGFTELD, OREGO^
50 feet water service
Phone Number:
City/State/Zip:
New
541-726-1609
Springfield, OR97477
Value: $O
Contractor Type
Plumbing Contr
Contractor Registration # Expiration Date
Ready Rooter / chapman plumb
88608 ermi bee rd, springfield, OR 97478
Phone
541-744-7991
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
WOHK
To request an inspection call the 24 hour recording at726-3769.
a.m. will be made the same working day, inspections requested
working day.
Required !nspecti6h$"
Plumbing
Sanitary Sewer Line -Prior to filling trench.
'iRn n PERIOD
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? !
Area (Sq
Main:
# Of Stories:
Current Units:
Census Code: Does not
Total:Accessory:
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbing
Minimum Plumbing Permit Fee 0710912001 6089 $.oo
Owner: Carol Devereaux
Address: 304 20th Street
Scope Of Work: Plumbing
Cr*iliirLi,-
NOT
a.m. willbe NF.qftlulg'fgDfifrE7:00
Height (feet):
Proposed Units:
apply
Job# 01-00694-01 Page 2 of 2
Fee Paid On Receipt# Value/euantity Fee Amount
Plumb
State Surcharge - Plumbing
Sanitary Sewer Footage
Administrative Fee - Plumbing
Tota! Plumbing
0710912001
07t09t2001
0710912001
6089
6089
6089
50
$1.75
$25.00
$.75
$27.50
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
req uested at the time nd that the project address is readable from the street.
sig re Date
$27.50
z/r,/,t