HomeMy WebLinkAboutPermit Plumbing 2000-5-17
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I Job# 00-00745-01 I
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TRANS#:01-0001781
DATE:MAY 17 2000
AMT RECD:2 $ 16.50
CHANGE:
CASHIER:059
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00745-01
225 North Fifth Street.
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1859 Pioneer Pkwy Spr
Assessors Map#: 17032623
Lot: Block: Addition:
Tax Lot #: 02301
Subdivision:
Owner:
Address:
Joan Haydn
1859 Pioneer Parkway East
Phone Number: 541- -
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Scope Of Work: Plumbing
Wynan't Family Health Foods
New sink
Contractor Type
Plumbing Contr
Contractor
Fridlund Plumbing
X,X,X
Registration # Expiration Date
Phone
Office Use
Quad Area: Land Use: NO,.ICE: PlnttJ?f;IMrdin9'B~
# Of Units: Zoning COde:iI-lISPERMliSHALLEX c:Oc~W,I?,\l",,}I.'Group:
Constr. Type: Bedrooms: ~HORIZEOUNOERiHI'.[ea,~~Ol":
Water Heater: Range: ~'AMFNCEOORISABAl"s~~'Footage:
To request an inspection call the 24 hour recording at 72_9\lOAi)llH'~~~\~~~ 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.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: Accessory:
Required Inspections
I Plumbing I
- Prior to cover. :.. c "" . , .- ,- O:laQll.IOU
- When all plumbing work is complete. ~ ~~ :'\IIi\n 1l06alO a~~\ 1 ~. 6U1l\e::>
.u\\e::>I\\.O~ ,;i :;IO~)'IOlllo:Ja. ; '060(
~,.~. 1rl >) "l\ ll\elC\O AeW no"
"';r:i" l" Ie S2IdO::> - ,,_' OO-?,C:f\ l-I'l10 I
, "VI '. .,,' "bo10'4' \11 Po" Ol'P"III\O,
I;) 7,c..., ,-1\,\ J - 1~ll1A81j ~ oJ .
\ - "~" .:,_ <;81.1: 'lSO~l~ dop13 salnl Mo\\OI
,- ''I.... oaull\qp'Ci! _ ..'...." \-
- '\\m L10'H~i"ght (feet): ,..~"I
r -.....' .
of" .
Current Units: Proposed Units:
Census Code: Does not apply
# Of Stories:
Rough Plumbing
Final Plumbing
Total:
.
Job# 00-00745-01 I
Paid On Receipt#
Plumbing
05/17/2000 1781
05/17/2000 1781
05/17/2000 1781
05/17/2000 1781
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Page 2 of 2
Fee .
.
Value/Quantity
1
Fee Amount
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
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 used on this project. I further agree to ensure that all required inspections are
rZd a2e p~5and. that the project address is readable from the street. s; J?jo0
~~re ~ ~
1
$5.00
$10.00
$1.05
$.45
$16.50
$16.50