HomeMy WebLinkAboutPermit Plumbing 2001-8-17
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225 North Fifth Street
Springfield, OR 97477
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I Job# 01-00775-01 I
Page 1 of2
TRANS#:01-0006462
DATE:AUG 17 2001
AMT RECD:2 $ 16.50
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00775-01
Office: 726-3759
Inspection Line: 726-3769
*
Location Of Proposed Site: 5007 Main St Spr
Assessors Map#: 17023332
Lot: Block: Addition:
Tax Lot #: 04600
Subdivision:
Owner:
Kathrin Lamb
30154 Lebleu Rd
Phone Number: 541-683-4623
City/State/Zip: Eugene, OR 97405
New Value: $0
Address:
Scope Of Work: Plumbing
Water service
Contractor Type
Plumbing Contr
Registration # Expiration Date Phone
.n
S 'i(54~~895-4575
lao.\l\le o{\ '0\' ~~l\'(\
_ \"'"~ I"\(eg c.A\ _"..
la~v' "'~ Silo' - &'1.'''-
Office Use O~'.o ~ao 'O'i 11)\3 \>o~ <:l ~es '0'1
~"i~ oo'? _...."sa ,~O ell)
Quad Area: Land Use: ,,-<i"'i€ .,\0s'a' ~!!,Of Buildings:\~ <\'(\o{\e
r ~ 1v Oe'(\ _,,('\'\\" ......Po':"' 'wi ~...\ey >i..\of\
# Of Units: Zoning Code: ,o\\~ \,o{\ ly\.Occup,l!ncy. cef-oup:\,~,c'a'
Constr, Type: Bedrooms: ~0\\'\C~ '?is?.:'J \lo'lHe~:~~U~~i~'\'l ~~A.l'
Water Heater: Range: \{\O~ 'lol) ll'e~q~FovoJage:~'2:'1.':'J
_0(\. ~\"\ _ ( ~\ ..., "'.:>
\)V- 'lJ.\\\\\\;j ,o~'\\\"" -..::\..0....
To request an inspection call the 24 hour recording at 726-3769. All insp&ctioris request~d before 7:00
a.m. will be made the same working day, inspections requested after 7:00\,<\',m. will'be made the following
working day.
Water Line
Backflow Device
Contractor
BMC Mechanical
648 W Oregon, Creswell, OR 97430
Required Inspections
I ~m~~ I ~
-Prior to filling trench. \l\~ 'l'l 0"\
-After device is installed but before backfilling trench. i-'?\'(o.~ \'r ~\"\ \'0 ~
",',S'\\C1C::~(I 'Ol\"\.\.<:~ "il\\'O '?~:::-') 'rO'?-.
''0 0<:'(0.\" , \~\'i)'" ~~C)\J'
~l\\'O ' '" ~'i) \J'~ ,,<or..
\ O~\t O~ \'0
,,\l"i~, ~~~G~'i) r::.?-~r:f)'
# Of Stories: 1"'0,Helght (feet):
. v ~Q\\V' .
Current Umts: \>-~P.roposed Umts:
Census Code: Does not apply
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. r, . t}
I Main: Accessory:
Total:
Minimum Plumbing Permit Fee
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
State Surcharge - Plumbing
Water Service Footage
Backflow Prevention Device
Administrative Fee - Plumbing
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 0 this project. I further agree to ensure that all required inspections are
re~po U that the project address is readable from the street. ~h0 /
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-.-'
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Fee
Job# 01-00775-01
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Page 2 of2
Paid On Receipt#
Plumbing
07/24/2001 6227
08/17/2001 6462
07/24/2001 6227
08/17/2001 6462
07/24/2001 6227
08/17/2001 6462
07/24/2001 6227
08/17/2001 6462
Value/Quantity
Fee Amount
70
1
$.00
$5.00
$2.80
$1,05
$40.00
$10.00
$1.20
$.45
$60.50
$60.50