HomeMy WebLinkAboutPermit Plumbing 2001-7-24
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I Job# 01-00775-01 I
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Page 1012
TRANS#:01-0006227
DATE: JUL 24 2001
AMT RECD:2 $ 44.00
CHANGE:
CASHIER: 061
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00775-01
225 North Fifth Street
Springfield, OR 97477
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:
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,
Owner:
Address:
Katherine Lamb
30154 Lebleu Rd
Phone Number: 541-683-4623
City/State/Zip: Eugene, OR 97405
New Value: $0
Scope Of Work: Plumbing
Water service
Contractor Type
Plumbing Contr
Contractor
BMC Mechanical
648 W Oregon, Creswell, OR 97430
Registration # Expiration Date
Phone
541.895-4575
Office Use
Land Use: # Of Buildings:
Zoning Code: Occupancy. Group:)
B d H'-' 'S",nuhe-:;, 'Iv,,", ",
e rooms: -Ni"IA~"orllgc eat ource: n Utility
c'rtfi'< \;:It'll.' .~o ( }ft::~V
Water Heater: Range: :::l'l_~ IlIlElll uc.lopte~~~~~~~\~9~:e set l.?~~
, . . ':~I;~;"~I\tll1 r.un\u~;,: ;;:'~""nl) OAl'I \1""-U- '
To requesl an Inspecllon call Ihe 24 hour recording at 726-3769;'1 AlI'lnsp.ectlons)requested'belore(7:003S by
. ....,'u.t:..... '...-...,- . ,...",n'O_ V' ..-
a.m. will be made the same working day, inspections requeslea'after ~:OO\~im" .yiIill1be mad.e',t,Q,e.[C?!I?win'g'
working day. tlll~~iI\:~\t\li\ l\ontcr~ (~~t~t~ity Notilication
R . d I t' ~....~.\hl'10f,g --^ ""itA).
eqUlre nspec lons,,_., . \j1-~"v~"'-
,- Gem,)\' ~~
Plumbinll I
Quad Area:
# Of Units:
Constr. Type:
Water Line
I
-Prior to filling trench.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. r ..1)
I Main: Accessory:
NOi\CE: H ' ht "f-....)l"C It: i1-\E. WOR\<.
# Of Stories: II ~p."_,,Q.ell.C\ S NOT
Current Units: THIS PERM Proposed'Uliits:ERMIT \
EOUw"".. OR
Census Code: Does;n.611appl'Y- I IS ABf>.\'lOONED r
C MMt:NCEO OR
Total: .~~ ~;O DAY PERIOD,
Fee
r
Paid On Receipt# Value/Quantity
Plumbinll I
07/24/2001 6227
Fee Amount
Minimum Plumbing Permil Fee
$,00
.;,- '","
.
Fee
State Surcharge - Plumbing
Water Service Footage
Administrative Fee - Plumbing
Total Plumbing
Grand Total
Job# 01-00775-01
Paid On Receipt#
Plumbing
07/24/2001 6227
07/24/2001 6227
07/24/2001 6227
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Page 2 of2
Value/Quantity Fee Amount
I
70
$2.80
$40.00
$1.20
$44,00
$44,00
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 701.05 will be used on this project. I further agree to ensure that all required inspections are
req~esteq7Aat the project address is readable from the street.
Signature
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