HomeMy WebLinkAboutPermit Plumbing 2000-06-28SPEINGFIELD
Job# 00-01017-01
RESIDENTIAL PERMIT
City Of Springfietd
Community Services Division
Building Safety
Page 1 ol 2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1033 00003rd St Spr
AssessorsMap#: 17033521
Lot: Block: Addition:
Job Number: 00-01017-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 04500
Subdivision:
clTY oF SPRTNGF7ELD, OREGO^
Owner: Jim Woods
Address: 1033 3rd Pl
Scope Of Work: Plumbing
Phone Number:
City/State/Zip:
New
Springfield, OR97477
Value: $0
sanitary sewer replacement
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:
Gonstr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Gode:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording a1726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after Z:OffirtrySpe made the following
working dav'
THrs pERr,4rr sH,Ar-L EXpiRE TFTtJEwoRK
Required lnspections AUTHORIZED UNDEFT I HIS I'EF{MI I ID I\\J I
-Priortofilling.*#Col;iIr4ENCEDoRiSABANDoNEDFoRANY 180 DAY PEF{iOD.
Gonstruction Types:
Occupancy Groups:
Sanitary Sewer Line
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq
Main:Accessory:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Fee Paid On Value/Quantity Fee Amount
Minimum Plumbing Permit Fee 06t2812000 235s $.00
Job# 00-01017-01 Page 2 ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbing
State Surcharge For Plumbing Permit
Sanitary Sewer Footage
Plumbing Administrative Fee
Total Plumbing
06t28t2000
0612812000
06/28/2000
2355
23s5
2355
60
$2.80
$40.00
$1.20
$44.00
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
at time and that the project address is readable from the street.
Signature Date
$44.00
u/La/ao