HomeMy WebLinkAboutPermit Plumbing 2002-1-22
,
Job# 02-00075-01
Page 1 of 2
TRANS#~Ol-0007833
DATE:JAN 22 2002
AMT RECD:2 $ 103.50
CHANGE:
CASHIER:061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00075-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Une: 726-3769
Location Of Proposed Site: 3943 Virginia Ave Spr
Assessors Map#: 17023144
Lot: Block: Addition:
Tax Lot #: 02300
Subdivision:
Owner:
Address:
Dan Huff
95 Santon
Phone Number: 541-607-0491
City/State/Zip: Eugene, OR 97404
Repair Value: $500
Scope Of Work: Dry Rot
Repair dry rot and relocate bath fixtures
Contractor Type
General Contr
Contractor
Registration #
Expiration Date
Phone
541-607-0491
~Q..~
- / ~~,,~ O~
a~~ ~\~~
Quad Area: Land Use: . \.~i-~\:O~~i~
# Of Units: Zoning Code: r(\Ct(;. K ~~flo.\J ~~~y~ Group:
Constr. Type: Bedrooms: ~O <?~~~"\ Q'U~\)~ ~~~~ur~e:
Water Heater: Range: ~,<,-\~ v..O~:t;G\)O~\~ ~~. Footage:
~~ ~~v- f(;..'(\(J
To request an inspection call the 24 hour recording at 726-376%<#t-~RRElJ~I'b~S requested before 7:00
a.m. will be made the same working day, inspections requested ~~ 1~ a.m. will be made the following
working day.
Dan Huff
95 Santon, Eugene, OR 97404
Office Use
Framing
Final Building
Required Inspections
I Building I \0
- Prior to cover. . ~ ~O~\,,(\.~
-When all required inspections have been approved anS>~&~is~6'omPlete.
. \ \~~ 0<..0 ~0 $ J::J~V
I Plumbing .1 :\e~O\ 'O'l<<,0~\eCZl~ ~~~'2.:~es 'Oi
- Pr~or to insulation or decking. , ~\O~'~o'Q\e~oCZl0 ~~'<' O~ <<,0 '<.~ o~0
-Prior to cover. '~('~"'~ ~eS'lJ ~\0'<.' C~'(O ~\eCZlO \0\e~'f! 'l;.tQ.O~
- When all plumbing work is COrilP!~e\ <..~o~ 00 ~#CC"\ .~~ co~ 0 <<,0 ~o\\~\c
,..(j\\\c?J.\~ ~?;C'\j ,\ 0'O\'lJ. ~o\! ~~~ ~"'.
,\,,\0\'\ flo.~ ~ ~?J.l ~\e'<.' t'\0~ ~~#t'[;
'(\ 0 ~o\) ~e C6 O<..e'YJ r.f::/5
\ C\C. t\~' .~e ..~,
OC':J ~\~'YJ \0'<. 'I." ..\S "
C~ ",e<") ~\.e;..
{\.\)~\# G0
Underfloor Plumbing
Rough Plumbing
Final Plumbing
.
. ..
#-
I Job# 02-00075-01 I
Page 2 of 2
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
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Building
01/22/2002 7833
01/22/2002 7833
01/22/2002 7833
Value/Quantity
Fee Amount
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
500
$45.00
$3.15
$3.60
$51.75
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
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, that the project address is readable from the street, that the permit card
is located at the front of the property, and the approved set of plans Will remain on the site at all times
during nruclion.
(I/CA"~/lv# !-'L7~{/C
Signa!~ /I/" Date
Plumbing
01/22/2002 7833
01/22/2002 7833
01/22/2002 7833
01/22/2002 7833
2
$17.00
$28.00
$3.15
$3.60
$51.75
$103.50