HomeMy WebLinkAboutPermit Plumbing 2001-2-1
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I Job# 01-00089-01 I
Page 1 of 2
TRANS#=Oi-Q004353
DATE:FEB 01 2001
AMT RECD:2 $ 44.00
CHANGE:
CASHlm:061
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00089-01
. 225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of proposed Site: 525 Mill St Spr
Assessors Map#: 17033523
lot: Block: Addition:
Tax lot #: 04500
Subdivision:
Owner:
Springfield School District 19
1890 42nd Street
Phone Number: 541-744-6375
City/State/Zip: Springfield, OR 97478
New Value: $0
Address:
Scope Of Work: Plumbing
60 feet water supply
Contractor Type
Plumbing Contr
Contractor
Twin Rivers Plumbing Inc
Po Box 40397, Eugene, OR 97404-0064
Registration #
17695
Expiration Date
3/11/01
Phone
541-688-1444
Quad Area:
# Of Units:
Constr. Type: (VN) Wood Frame
Water Heater:
Office Use
land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group: Office/Professionc
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All ins.R>tcti'~crs'Requested before 7:00
a.m. will be made the same working day, inspections requested after 7!do q.m..~i11r~~pj1,~E~l!.M)f~1I0WirngIEWORK
working day. . 1HI5:;RI~EDUNDER1HISPERM\1'SNOT
. R' d I t' AU1 ._..,.....^tol~I'"\Cf"lQ
eqUlre nspec Ions COMMENCEU Uti I\:> M.O,....I',...,~. .--
I Plumbing I ANY 180 DAY PERIOD.
Water Line -Prior to filling trench.
Construction Types:(VN) Wood Frame
Occupancy Groups: Office/Professional/Rest t
. . .' ",.....,-,,' "~ "nr-r'!a'lIj "powresyou 0
# Of BUlldmgs: # Of Stones: ATTHelgnt1(feet)::!:' ." ,-, ,l.-. . . .
" . _..I",", ..,rl't-tel,.: hVH"teOregon Utility
# Of Bedrooms: Current Umts: fo\!m:P~opo~ea:l:J.n!t~:. ,! . I S are setforth
H d" A ? D ~ I_A'&:cal'lon l en'\7h fnose ru,e
an Icap ccess. Census Code: Does notl~pply ....~ ..... I :00"10 through OAR 952-00'1-
- Area (Sq. Feet) In OAR v5~ 001 bt . copies of the rules by
. 0090 You may 0 am
Mam: Accessory: Total: ('~ilinn the center. {Note: the telepho'~e
~ .a _ r-\....".\-"'Il^"'" . :\YHU\I ;~I ;~~:;lJ~~;5'r:
nurnO>-l1 IVI li 10 """ ",...,,~.. - .", -~ .
Fee Paid On Recelpt# ('ont~Y~~4~!.gg<tnJll:Yl344). Fee Amount
Plumbing
Minimum Plumbing Permit Fee 02/01/2001 4353 $.00
?-
Job# 01-00089-01
Page 2 of 2
Fee
Paid On Receipt#
Plumbing
02/01/2001 4353
02/01/2001 4353
02/01/2001 4353
Value/Quantity
Fee Amount
State Surcharge - Plumbing
Water Service Footage
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 used on this project. I further agree to ensure that all required inspections are
requested at the proper time and that the project address is readable from the street.
60
$2.80
$40.00
$1.20
$44.00
$44.00
;v(J .. b~. t ~
2/; /'Z..6e> I
Date I
Signature