HomeMy WebLinkAboutPermit Plumbing 2000-8-17
~- - ~ '.~'
~~.'
.. > I Job# 00-01272-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 1313 Madoc St Spr
Assessors Map#: 17033622
Lot: Block: Addition:
Page 1 of 2
TRAN8#:01-0002955
DATE:AUG 17 2000
AMT RECD:2 $ 27.50
CHANGE:
CASHIER: 059
I
Job Number: 00-01272-01
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #: 02500
Subdivision:
Owner:
Rebecca Ann Johnson
1313 Madoc Stre~t
Phone Number: 541-741-0845
City/State/Zip: Springfield, OR 97477
Alteration Value: $0 ','
Address:
Scope Of Work: Plumbing
Contractor Type
Plumbing. Contr
Contractor
Drain Free
x, x, OR
Registration # Expiration Date
Quad Area:'
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
.# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Phone
541-485-3162
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.. wil.1 be made the following
wo~ngda~. .
Sanitary Sewer Line
Required Inspections
I Plumbing
- Prior to filling trench.
Construction Types:
Occupancy Groups:
# Of Buildings:
'# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Fee
Paid On Receipt# .
Plumbing
08/17/2000 29955
Minimum Plumbing Permit Fee
Height (feet):
Proposed Units:
Value/Quantity
Fee Amount
$.00
!
-*.
Fee
Job# 00-01272-01
Paid On Receipt#
Plumbing
08/17/2000 29955
08/17/2000 29955
08/17/2000 29955
State Surcharge For Plumbing Permit
Sanitary Sewer Footage
Plumbing Administrative Fee
Total Plumbing
Grand Total
Page 2 of 2
Value/Quantity
50
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 ime and that the project address is readable from the street.
~-(/
Date
Fee Amount
- $1.75
$25.00
$.75
$27.50
$27.50