HomeMy WebLinkAboutPermit Plumbing 2000-10-24Job# 00-01576-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
SPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 815 00020th St Spr
AssessorsMap#: 17033612
Lot: Block: Addition:
Job Number: 00-01 576-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 05600
Subdivision:
ctTY oF SPRINGFIELD, OREGON
Owner: Robin Higdon-Madison
Address: 815 20th St
Scope Of Work: Plumbing
new washer drain
Phone Number:
City/State/Zip:
New
541-741-2613
Springfield, OR97477
Value: $O
Contractor Type
Plumbing Contr
Contractor Registration # Expiration Date
the Plumbing Works
1704W.6th POBOX 21407, Eugene, OR
97402
Phone
541-484-9869
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
&ErggqTi E I F THE \"JoHi(
NOTICE:
q
To request an inspection call the 24 hour recording at 726-3769. All
a.m. will be made
working day.
the same working day, inspections requested after
Required lnspections
Plumbing
ANY 180 DAY PEHIOD
T
Rough Plumbing
FinalPlumbing
Area (Sq.
Main:
- Prior to cover.
-When all plumbing work is complete.
rrtid b:r tne Oregon UtilitY .
i,.1noie rules are set forth
int o tt rouoh OAR 952'001 -
aclo
)entt
)01.(
# Of Stories: Height (feet):
Current Units: Proposed Un
Census Code: Does not apply
s ol the rules bY
hetolephone
ityNotilication
-./3441.
Accessory:Total:
its:
FOR
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? [
Job# 00-01576-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbi
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Ptumbing
10t24t2000
10t2412000
10t2412000
1012412000
3584
3584
3584
3584
1
$5.00
$10.00
$1.05
$.45
$16.50
Grand Total
By signature,
hereby certify
I state and agree that I have carefully examined the completed application and do
that all information herein is true and correct, and I further certify that any and allwork
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oreg on. I further state that only contractors and employees who are in compliance with
oRS 701.055 be used on this project. I further agree to ensure that all required inspections are
requested the project address is readable from the street.
S Date
$16.s0