HomeMy WebLinkAboutPermit Plumbing 2001-10-10SPFINGFIELD
Job# 01-01116-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 01-01 1 16-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 07000
Subdivision:
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 374 00032nd St Spr
AssessorsMap#: 17023124
Lot: Block: Addition:
ctTY oF SPRINGFTELD, OREGO^
Owner: Elaine Smith
Address: 374 32nd Street
Scope Of Work: Plumbing
Replacing sewer line
Phone Number:
Gity/State/Zip:
Alteration
541-747-9193
Springfield, OR97477
Value: $O
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:
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 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.
Construction Types:
Occupancy Groups:
# 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 Receipt# Value/Quantity Fee Amount
Plum
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
10t10t2001
10t10t2001
10110t2001
10t10t2001
6952
6952
6952
6952
$.oo
$4.13
$59.00
$4.72
$67.85
Grand Total
B6
$67.85
Job# 01-01116-01 Page 2 of 2
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 time and that the project address is readable from the street.
rtt/o /o
Signature Date