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HomeMy WebLinkAboutPermit Plumbing 2002-07-18SPRINGFIELD Job# 02-00854-01 RESIDENTIAL PERMIT Gity Of Springfietd Community Services Division Building Safety Page 1 of2 Job Number: 02-00854-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00101 Subdivision: 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 2473 00014th Pt Spr AssessorsMap#: 17032433 Lot: Block: Addition: crTY oF sPRtNcFtELD, OREoON Owner: Homer & Beth Payne Address: 247314thPlace Scope Of Work: Backflow Device Sprinkler System i-|i'ir';-rr f#[if Nqmbqr: s41-740-s023 n u ii bii r iE ,j,HfrffiW*ffiJfi^Hffi#ffi$ o R e7478 C0MlvlENCE84ff lS ABANDofrl[p ggptui: $o ANY 1BO DAY PERIOD. Contractor Type Landscape Gontractor Reqistration # Exoiration Date Meadow Landscape services ooJs -tfiffis 1755 Clearwater Lane, Springfield, OR 97478 Phone 541 -726-9903 Quad Area: # Of Units: Constr. Type: Water Heater: Office -Ug676gr52a0i -0010 th'ougl'i ilAF !,i52 't,' Land Use: Zoning Gode: Bedrooms: Range: 0090. You maY obtain cqp6t calling the center. (N Footage: nurnberforthe Oregon Center ir i -8lf.t- To request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Required lnspections Plumbing Backflow Device -After device is installed but before backfilling trench. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main:Accessory: # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount Minimum Plumbing Permit Fee 07t18t2002 9975 $31.00 I a: Job# Fee Page 2 of 2 State Surcharge - plumbing Backflow prevention Device 8% Administrative Fee - plumbing Total Plumbing Paid On 07t18t2002 07t18t2002 07t18t2002 Receipt# 9975 9975 9975 1 once the backflow prevention devicestate that all information on this Date Fee Amount $3.1s $14.00 $3.60 $s1.7s $s1.7s Grand Total Signature /t - SPFIilGFIELD BACKFLOU PREVEMION DBVICE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 FIFTII STREET SPRINGFIELD OR 97477 OFFICE: INSPECTION LINE: 726-3759 726-3769 CITY OF SPFINGF'ELD, OREGO'U JOB LOCATION:K ASSESSORS MAP *:t1o1 2c+ S 3 Frc-:tn I TAX LOT *I OIINER: ADDRESS:fA. crrY: SP?r-ru 6.,F-cgz \ SrArE: DATE OF -/( -a o RECEIPT S:ISSUED BY: L{> PEoNE *, )Ll6^ &ld.5 ul\:(Jregorr lavl e Ore Those gon Utitity 50 00; l-l ')/ THIS IHIS in copies of the rules bote: the tel, ADDm$6 :l PHONE crrY: SRaz-^ e STATE: <T<zrp,9 )g 7& CONSTRUCTION CONTRACTORS REGISTRATION T:6,62I EXPIRES:c:ol/c,:< By SIGNING THIS PERMIT/APPLICATIoN, I AGREE T0 CALL FoR AN INSPECTIoN oNCE TttE BACKFLOII PREVENTION DEVICE HAS BEEN INSTALLED AND IS VISIBLE FOR INSPECTION (726-3769). I ALSo STATE THAT ALL TNFoRMATIoN 0N THIS PERMIT/APPLICATIoN IS CORRECT. FOR OFFICE USE TOTAL AI{OUIT COLLECTED:,5/.a{ JOB *:0)