HomeMy WebLinkAboutPermit Plumbing 2002-10-7
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City of Springfield
Plumbing Permit
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.: PLM2002-00101
ISSUED: 10/7/2002
APPLIED: 10/7/2002
EXPIRES: 4/7/2003
SITE ADDRESS: 3965 VIRGINIA AVE
ASSESSOR'S PARCEL NO.: 1702314402200
Sorimdield
PROJECT DESCRIPTION:
Replacing 54 ft of sewer ling
TYPE OF WORK:
TYPE OF USE:
Alteration
Residential
OWNER/APPLICANT:
BAYS WILLIAM & JULIANA
3965 VIRGINIA AVE
SPRINGFIELD OR 97478
PLUMBING CONTRACTOR:
CCB # 74466 Expiration Date: 00/ /9/8/
Descrintion Amount Paid Date Paid Receint Number Cashier
Sanitary Sewer - 1st 50 Feet 45.00 10/07/2002 1200200000000000023 dIm
+ 8% Administrative Fee 3.60 10/07/2002 1200200000000000023 dIm
+ 7% State Surcharge 3.15 10/07/2002 1200200000000000023 dIm
Sanitary Sewer - 1st 50 Feel $45.00 I 0/07/2002 ~00000000000023
+ 8% Administrative Fee $3.60 I 0/07/2002 ~00000000000023
+ 7% State Surcharge $3.15 I 0/07/2002 ~00000000000023
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 worldng day.
Reauired Insnections:
5&vuerL - .(Jc3?~e Gv~
City of Springfield
Plumbing Permit
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.: PLM2002-00101
ISSUED: 10/7/2002
APPLIED: 10/7/2002
EXPIRES: 4/7/2003
By Signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
infonnation hereon is true and correct, and I further certify that any and all wOIk performed shall be done in accordance with
the Ordinances ofthe City of Springfield and the laws of the State of Oregon pertaining to the work described herein. I
further certify 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 each address is readable from the
street, and that the approved set of plans, if applicable, will remain on the site at all times during construction.
!(),-7-0L-
Date
7r or ContrnctOls Signature
City of Springfield
Plumbing Permit
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.: PLM2002-00101
ISSUED: 1017/2002
APPLIED: 1017/2002
EXPIRES: 417/2003
SITE ADDRESS: 3965 VIRGINIA AVE
ASSESSOR'S PARCEL NO.: 1702314402200
Springfield
TYPE OF WORK: Alteration
PROJECT DESCRIPTION:
Replacing 54 ft of sewer line
TYPE OF USE: Residential
OWNER/APPLICANT:
BAYS WILLIAM & JULIANA
3965 VIRGINIA AVE
SPRINGFIELD OR 97478
PLUMBING CONTRACTOR:
CARDWELL CONSTRUCTION
29377 AIRPORT RD
EUGENE OR 97402
Phone: 688-07609
CCB# 74466
EXPIRES 09/08/200]
Descrintion
Amount Paid
Date Paid
Receint Number
Cashier
Sanitary Sewer - 1 st 50 Feet
+ 8% Administrative Fee
+ 7% State Surcharge
45.00
3.60
3.15
1010712002
1010712002
10107/2002
1200200000000000023
1200200000000000023
1200200000000000023
dIm
dlm
dIm
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.
ReQuired Insoections:
1 Sanitary Sewer Line: Prior to filling trench and including required testing.
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
GOM~ENCED OR IS ABANDONED FOR
ANY 1 SO DAY PERIOD.
ATTEN IIUIi;;Vlt;:;~I,.,I.<.:.,"i.J'1""" c., l .. ..
follow rules.adopted by the Oregon Utility
Notification Center. Those rules are aet forU.
in OAR 952-001-001 0 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
numberforthe Oregon Utility Notification
rOY"l~'O' ~- . ")''\r ......,...., ..,......;1 t\
, .
City of Springfield
Plumbing Permit
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.: PLM2002-00101
ISSUED: 10/7/2002
APPLIED: 10/7/2002
EXPIRES: 4/7/2003
By Signature, I state and agree, that I have carefully examined the completed application and do hereby certify
that all information hereon 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 pertaining to the
work described herein. I further certify 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 each address is readable from the street, and that the approved set of plans, if applicable, will
remain on the site at all times during construction.
Owner or Contractors Signature
Date