HomeMy WebLinkAboutPermit Plumbing 2000-12-26Job# 00-01826-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
SPFINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 305 00035th St Spr
AssessorsMap#: 17023131
Lot: Block: Addition:
Job Number: 00-01 826-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 01200
Subdivision:
crrY oF SPRTNGF7ELD, OREGOTV
Owner: Gary Rudewicz
Address: 7984 S. A St
Scope Of Work: Plumbing
Phone Number:
City/State/Zip:
New
541-747-8120
Springfield, OR 97478
Value: $O
Contractor Type
Plumbing Contr
Contractor
Crane Plumbing Co
BB5 S.42nd St, Springfield, OR 97478
Registration #
122285
Expiration Date
3t25t2001
Phone
541-744-0300
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 callthe 24hour recording at 726-3769. All inspgctions 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
Plumbin uttlDer Ioi
^^-tJUl
)tittcatior
tj.Water Line
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
-Prior to filling trench.
# Of Stories:
Current Units:
Census Code: Does not
Height (feet):
Proposed Units:
apply
(sq.F
Main Accessory:Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbin
Minimum Plumbing Permit Fee 12t26t2000 4108 $.00
water line placement
A1 I E,I\
Job# 00-01826-01 Page2 o't2
Fee Paid On Receipt# Value/Quantity Fee Amount
State Surcharge - Plumbing
Water Service Footage
Administrative Fee - Plumbing
Tota! Plumbing
Plumbing
1212612000
12t26t2000
12t26t2000
41 0B
41 0B
41 0B
$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
requested at the proper time and that the project address is readable from the street.
$44.00
*21
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