HomeMy WebLinkAboutPermit SUB Sanitary Sewer 2002-9-6
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I Job# 02-01066-01 I
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Page 1 of 2
TRANS#:01-0010541
DATE: SEP 06 2002
AMT RECD:2 $ 67.85
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-01066-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3570 Marcola Rd Spr
Assessors Map#: 17023000
Lot: Block: Addition:
Tax Lot #: 00901
Subdivision:
*'
Owner:
Ed Huntington
3570 Marcola Rd
Phone Number: 541-746-1412
City/StatelZip: Springfield, OR
Alteration Value: $0
Address:
Scope Of Work: Plumbing
Connect to sanitary sewer 140 feet
Contractor Type
Plumbing Contr
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RegistratiOI'!,~,\O,EX'~j}~tion Date
*'''' f;:o~ .\V ;'"
Bedortha Construction Co Inc 33616 ,~e~ ~c~O ~O/~W20lC3,
Po Box 220, Walterville, OR 97489-0220 \~~ eO ",0;>' n.OJ'ij ~e'" 0
~(C. .,~ ;\0 _~. . ( '" _
,,(0'l> ;...'0' 0'.:s;:..v ~~- <'\~.... ~O"
Office Use.~ ~'" ",0C:! ,>(;$ 0 ~\0'< 'l:J'l>
0"'" :o..o~ ~'" ,0 . 0'" '\.'" ,;i,,\~
Land Use: _~'I. ~~v i!..0~' ,<::lolS" o~~ .;:s-0#,Of B.uildings:
<,,-- :;.e~ 0~ &)' f;:oG :;..0' '\" .1>.\
Zoning ~~ile:~-s f;:o G ".'J :;..<i>' ~o ,,0&' O&.cupancy Group:
Bedrooms;c:)~ #-0 (.'JlP ~ ~ :;"0~'~~,o~ o..flieat Source:
Range: \Vo~\O ~ OJ':> '> <f:''l> 00<:' O~0 ~pr::fJ Sq. Footage:
_\! _~ tn: ~....e, .~o. "..
'\.'<:'v ~.~.r.~"""f'\'<..''''',,';'\'O
To request an inspection call the 24 hour recording af7J6i3~69, (.AlI"ir.spections requested before 7:00
a.m. will be made the same working day, inspections requested~after17:00 a.m. will be made the following
working day. ~v
Contractor
Phone
541-746-8035
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Sanitary Sewer Line
I
- Prior to filling trench.
R . d I t' ..r\9-~
equlre nspec Ions ~'{.. 'l'- ~\
Plumbina I ~'{.. ,'{ ~'\ 'CO ~
~"" '{..~~CO <?~~~'{..\) "'t\)~
~~'\\~\~~~ CO~~\)\~ ~'Q~~'V
,\~,CO ~~,?-\1.'{..1\) ~'?-'{..,?-\~\).
\>.~\ ~'{..~" ~ ~
# Of Stories: c,~~ \'O'U \) Height (feet):
Current Units: \>.~'{ Proposed Units:
Census Code: Does not apply
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. Feet)
I Main: Accessory:
Total:
Fee
Paid On Receipt#
Plumbinll
09/06/2002 1 0541
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
$.00
/
.
!
Fee
Job# 02-01066-01
Paid On Receipt#
Plumbing
09/06/2002 10541
09/06/2002 10541
09/06/2002 10541
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Page 2 of2
Value/Quantity Fee Amount
State Surcharge - Plumbing
Sanitary Sewer Footage
8% Administrative Fee - Plumbing
Total Plumbing
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.
/'~~. {./ 12t:_";I.; _/~ .:7- c - 0 ~
Signature Date
140
$4.13
$59.00
$4.72
$67.85
$67.85