HomeMy WebLinkAboutPermit Plumbing 2001-7-19
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I Job# 01-00741-01 I
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TRANS#:01-0006193
DATE: JUL 19 2001
AMT RECD:2 $ 726.00
1 $ 30.00
CHANGE:$ 2.50
CASHIER: 003
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00741-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5991 Obsidian Ave Spr
Assessors Map#: 18020300
Lot: Block: Addition:
Tax Lot #: 00502
Subdivision:
Owner:
Crossroads Development
Phone Number: 541-923-6607
City/StatelZip: Redmond, OR 97756
New Value: $0
Address: 2622 SW Glacier Place, Suite 1
Scope Of Work: Plumbing
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Sanitary and storm sewer lines from street to P.L.
NotA: ~torm ~AWAr linA '*0 ~ArvA~ S!l7S. S!lR:l Oh~ic1i'm ,mc11R!l!l ~ ROth ~,.
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 7:00 a,m. will be made the following
working day.
Sanitary Sewer Line
Storm Sewer Line
Required Inspections
I Plumbin~ I
-Prior to filling trench.
-Prior to filling trench.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Plumbin~
07/19/2001 6193
07/19/2001 6193
07/19/2001 6193
07/19/2001 6193
Value/Quantity
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
Storm Sewer Footage
123
185
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Fee Amount
$.00
$6.65
$40.00
$55,00
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Job# 01-00741-01
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Fee
Paid On Receipt#
Plumbin~
07/19/2001 6193
Value/Quantity
Fee Amount
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 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 701.055 will be sed on this project. I further agree to ensure that all required inspections are
req at the pro ime and thaytJ project address is readable from the street. 0#
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Signature r Oat
$2.85
$104.50
$104.50