Loading...
HomeMy WebLinkAboutPermit Plumbing 2000-11-16 .-, J <. . I Job# 00-01686-01 I . 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?,~,~~. r" . -. t<>d b\l ~n€ U1tlb:lV. II ~...nJ . 'Io,n _,,'pc <Irion v' . ''''r1~ 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 . '[ Total: .:-,;, L " . Job# 00-01686-01 Paid On Receipt# Plumbing 11/16/2000 3810 11/16/2000 3810 11/16/2000 3810 11/16/2000 3810 . 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. rL _ f~ . //-/b -CJD Si n lure , Date