HomeMy WebLinkAboutPermit Plumbing 2000-11-16
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I Job# 00-01686-01 I
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Page 1 of2
TRANS#:01-0003810
DATE:NOV 16 2000
AMT RECD:2 $ 54.00
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01686-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
*
Location Of Proposed Site: 1632 Main St Spr
Assessors Map#: 17033631
Lot: Block: Addition:
Tax Lot #: 03400
Subdivision:
Owner:
Address:
Engline Starjv
616 N 66th
Phone Number:
Scope Of Work: Commercial
City/State/Zip: Springfield, OR 97478
New Value: $0
waterline replacement
Contractor Type
General Contr
Contractor
Roto Rooter Service
457 River Ave, Eugene, OR 97404
Registration # Expiration Date
Phone
541-689-1711
Office Use
Quad Area: Land Use: # Of Buildings:
# Of Units: Zoning Code: Occupancy Group:
Constr. Type: Bedrooms: Heat Source:
Water Heater: Range:. ,"'1:." "(l;\i"J;Z-:~!1~~q: f.9_~tage:J?,~,~~.
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To request an inspection call the 24 hour recording at 726-3769. iXlI,inspections.requested:before'7:00 I I
a.m. will be made the same working day, inspections requestear~ftEtr9':oo~'.'r\1'\yjli\be.made:theifollowlfi'g-
working day. In OAR 952-U l~~~hl ~-;Pi~~ of the rules oy
. 009Q. You may.... '''nb th"t3leohone
ReqUired InspeEll!?I:l~',"" v-:...-' UtiliiV NolitlcallOIl
I Plumbin~l1u,nbGrrorthcO:8J.?~. ,,.,,,,.';""4).
Water Line - Prior to filling trench. l,;::- ',' '
I PublicWorks I
-After forms are erected but prior to placement of concrete
SW-Setback
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. Feet)
I Main: Accessory:
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
# Of Stories: Height (feet):'HIS PERMIT IS NOT
AUTHORl/tI.JUI~.J""" ,
Current Units: Proposed,Units:OONEOFOR
r""M~IC:NCEIJ unlu MUM"
Census Code: Does not'apply 00
'NY 180 DAY PERI .
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Total:
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Job# 00-01686-01
Paid On Receipt#
Plumbing
11/16/2000 3810
11/16/2000 3810
11/16/2000 3810
11/16/2000 3810
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Page 2 of 2
Fee
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Water Service Footage
Plumbing Administrative Fee
Total Plumbing
70
$.00
$2.80
$40.00
$1.20
$44.00
Sidewalk Repair
Total Public Works
Grand Total
Public Works
11/16/2000 3810
1
$10.00
$10.00
$54.00
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon 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 pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employess who are in acompliance with ORS 701.055 will be used
on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each
address is readable from the stret, that the permit card is Icoated at the front of the property, and the
ap roved set of pla~ will r"n on the site at all times during construction.
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