HomeMy WebLinkAboutPermit Plumbing 2001-06-07SPRINGFIELD
Job# 01-00578-01
RESIDENTIAL PERMIT
Gity Of Springfield
Community Services Division
Building Safety
Page 1 of2
h,
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 364 00020th St Spr
Assessors Map#: 17033613
Lot: Block: Addition:
Job Number: 01-00578-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 13000
Subdivision:
crTY oF SPRTNGFTELD, OREGOI'
Owner: Development Resource Corp
Address: 975 Willagillespie Rd
Scope Of Work: Plumbing
Approx 150' sanitary line
Phone Number:
City/State/Zip:
New
541-484-6693
Eugene, OR 97401
Value: $O
Contractor Type
Plumbing Contr
Contractor
Eugene Sand & Gravel lnc
Po Box 1067, Eugene, OR 97440-1067
Registration #
44524
Expiration Date
2t23t2005
Phone
541-683-6400
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
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 7:00 a.m. will be made the following
working day.
Required Inspections
Plumbing
Sanitary Sewer Line -Prior to filling trench
Construction Types:
l
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:
# Of Stories:
Gurrent Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
'tEl
Accessory:Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumb
Minimum Plumbing Permit Fee 0610712001 5716 $.oo
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180 OAY PERIOD'
Job# 01-00578-01 Page2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbi
State Surcharge - Plumbing
Sanitary Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
0610712001
0610712001
06t07t2001
571 6
571 6
5716
150
$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 the that the project address is readable from the street.
$44.00
,l/1
a 6-?-o t
Signature Date