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HomeMy WebLinkAboutPermit Plumbing 2001-8-17 ~'''''''''i: 225 North Fifth Street Springfield, OR 97477 . . 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 / ~~~l I ~lfi -.-' ........ . Fee Job# 01-00775-01 . 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