HomeMy WebLinkAboutPermit Plumbing 2000-05-24Job# 00-00787-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 00-00787-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 05100
Subdivision:
TRANS*:01-0001866
DAIE:I'1AY ?4 2000
Af{T RE[D: ? $ 44 .00
IHAI.,IGE:
IASHIER:05?
SPRINGF!ELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 322 00037th St Spr
AssessorsMap#: 17423113
Lot: Block: Addition:
ctrY oF SPRfiNGFfiELq OREGON
Owner: Joe Donovan
Address: 322 N. 37th St
Scope Of Work: Plumbing
Contractor Type
GeneralContr
Contractor
McDonald Construction
Phone Number:
City/State/Zip:Springfield, OR
Value: $O
4ty Y7,86Day Date Phone
541 -91 5-8659
845 W '19th Ave, Eugene, OR 97402 No7
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Storm Sewer Line
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 afier 7:00 a.m. will be made the following
working day.
Required lnspections
-Priortofillingtr"#
Construction Types
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbin
Minimum Plumbing Permit Fee 05t24t2000 1866 $.00
"q,
Height (feet):
Proposed Units:
Job# 00-00787-01 Page 2 of 2
Paid On Receipt# Value/Quantity Fee Amount
Plumbi
State Surcharge For Plumbing Permit
Storm Sewer Footage
Plumbing Administrative Fee
Total Plumbing
05t24t2000
05t2412000
0512412000
1 866
1 866
1 866
120
$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
ihe 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 proper time and that the project address is readable from the street.
nature Date
r-h
$44.00
L( l2*,,
Fee