HomeMy WebLinkAboutPermit Plumbing 2001-6-11
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I Job# 01-00589-01 I
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Page 1 of2
TRANS#:Ol-0005750
DATE:JUN 11 2001
AMT RECD:2 $ 16.50
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00589-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
*
Location Of Proposed Site: 1505 Main St Spr
Assessors Map#: 17033632
Lot: Block: Addition:
Tax Lot #: 06400
Subdivision:
Owner:
BJ Jones
Phone Number: 541-485-2152
City/State/Zip: Harrisburg, OR 97446
New Value: $0
Address:
PO Box 601
Scope Of Work: Plumbing
Food cart hook up
Contractor Type
Plumbing Contr
Contractor
BJ Jones
PO Box 601, Harrisburg, OR 97446
Registration # Expiration Date
Phone
541-485-2152
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00
a,m, will be made the same working day, inspections requested after 7~Q..Or<!JijlF.will be made the following
working day, THIS PERMIT SHALL EXPIRE IF THE WORK
R . d I t' .. ,---~. "" ocCUlT 1~ NOT
equlre nspec 10nsAU I HUt11LC:U VIW~" "..-
Plumbinll 20MMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Rough Plumbing
Final Plumbing
.Prior to cover.
-When all plumbing work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Ar~a (Sq. Feet)
_ Main: Accessory:
ATTENTION:Oregon law requires you to
# Of Stories: It',~!g,h((f.Jl.JlU;lopted by the Oregon Utility
Current Units: N(p'roposed:t:Jnits: Those rules are set forth
Census Code: Does not apply! OAR 952-001.0010 through OAR 952-001-
0090, You may obtain copies of the rules by
calling the center. (Note: the telephone
no ,mhtor for the Oreaon Utility Notification
Center is 1-800.332'2;:\44).
Total:
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Job# 01-00589-01
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Page 2 of2
Value/Quantity Fee Amount
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Fee
Paid On Receipt#
I' Plumbing
06/11/2001 5750
06/11/2001 5750
06/11/2001 5750
1
$15,00
$1,05
$.45
$16.50
$16.50
Minimum Plumbing Permit Fee
State Surcharge - 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 1 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 ill be used on this project. I further agree to ensure that all required inspections are
request t e proper time and that the project address is readable from the street.
0-11-0/
Date