HomeMy WebLinkAboutPermit Plumbing 2001-9-27
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SPRINQFIELD
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. I Job# 01-01060-01
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Page 1 of 2
TRANS#:Ol-0006830
DATE:SEP 27 2001
AMT RECD:1 $ 52.00
CHANGE:$ 0.25
CASHIER:061
CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 3444
Assessors Map#: 17023131
Lot: Block:
Owner:
Address:
Thomsens Market
3444 Main Slreet
Scope Of Work: Plumbing
Thomsen's Market Sign
Storm sewer repair
Contractor Type
Plumbing Conlr
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01060-01
Main Sl Spr
Office: 726-3759
Inspection Line: 726_376~.
Tax Lot #: 00800 ~
Subdivision:
Addition:
Phone Number:
City/State/Zip: Springfield, OR 97478
New Value: $0
Contractor
Mr Rooler
PO Box 50154, Eugene, OR 97405
Phone
541-343-4404
Registration # Expiration Date
147076 2/1/2003
Office Use uta
N requireS yo ..
Land Use: ilON:oregon \a~ oregon#_Of.IB~lldmgs:
Zoning~Cb'd~~ les ac;oiltad bY tM \'S aie Occupancy Group:
._II~'II/ ru -rhose ru ~ ,n ~"1_
Bedrooms: t'on center. \" gh OAR 'Heat Source:
.. tH\ca \ 010 tnrol.! ""\fi" t'I"
Water Heater: Rang'~::"!l.f\ 952-001-0~._,,, ~ooies at t\1:~~:.~gotage:
";"'nQO- 'Iou fl'GlY ....::-.. (Note: tne lC:I:'~i';?tion
To requesl an inspection call1he 24 hour recording.?,\\?i?J>,3769!n~~~n~p.e.s~.on.streq'ueslea before 7:00
a.m. will be made lhe same working day, inspecliohs requesle(j(after'7:00,a:m~will\be made lhe following
working day. nun'''"'6~n(3riS 1-11Uv-,,v--
Quad Area:
# Of Units:
Constr. Type:
Required Inspections
I Plumbinll
- Prior to filling lrench,
Storm Sewer Line
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
Fee
Minimum Plumbing Permit Fee
%Oi\CE: XPIRE If '\'\-IE WOR\<.
,\-lIS ?ERM\1 S\-I/l.LL; 1\-\IS PERM\'\' IS NO'\'
# Of Storie~:,"'LlOo\ZEO UNOEHeight.{feet)i.l fOR
Il.u'" " '" ~H",NuU:'-
Current Units, : ."",Mc;E.D OR I'Proposed Units:
f.\l"'\t..1I.\lJ1_1'i,I
Census Cotte: Does not'iapI1IY,IC'D.
lit-I\! 1.RGUM. .-
I
j....
Total:
Paid On Receipt#
Plumbin!!
09/27/2001 6830
Value/Quantity
Fee Amount
$.00
.......
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Job# 01-01060-01
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Page 2 of 2
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Fee
Paid On Receipt#
Plumbing
09/27/2001 6830
09/27/2001 6830
09/27/2001 6830
Value/Quantity
Fee Amount
Slale Surcharge - Plumbing
Storm Sewer Foolage
Administralive Fee - Plumbing
Total Plumbing
Grand Total
By signalure, I state and agree lhat I have carefully examined the completed applicalion and do
hereby certify lhat all information herein is lrue and correcl, and I further certify lhal any and all work
performed shall be done in accordance wilh the Ordinances of lhe City of Springfield and lhe Laws of
the State of Oregon. I further stale thai only contraclors and employees who are in compliance wilh
ORS 701.055 will be used on this project. I further agree to ensure lhat all required inspections are
/?~~e projecl address is readable from lhe street. ;::? tf.; ~ 27
t.Slgnatq Date
45
$3.15
$45.00
$3.60
$51.75
$51.75