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HomeMy WebLinkAboutPermit Plumbing 2000-10-19 ... (. SPRINGFIELD ~ . Job# 00-00928-01 . Page 1 of2 TRANS#:01-0003533 DATE:OCT 19 2000 AMT RECD:2 $ 44.00 CHANGE: CASHIER: 059 , RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00928-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1145 Delrose Dr Spr Assessors Map#: 17032344 Lot: Block: Addition: Tax Lot#: 08300 Subdivision: Owner: Character Homes Inc 835 Sand Ave Phone Number: 541-345-9395 City/State/Zip: Eugene, OR 97401 New Value: $0 Address: Scope Of Work: Plumbing extend water line Contractor Type Plumbing Contr c... - 00 . Registration # Expiration Date 0 ~ @ifcjrfe , cO)o#"117\ 101624 8/15/01 ~ ~54.1~0'7-88i9 '-'_OI'l,O=- ~(Oc~-:"~t -) -=--:;.~ hO.'-1 .....\ -Z . ~ '; ~ ~ ~ 'c5 ' o.>-'::t:-O;;.~ob{t'2. ~ ~ 1 ~ ~ # Of Buildings:Q~, ~%-;; ~' ... ~ 0 m... Occupancy Group:::: :;:l '6' 0 <0 \ 'i'5 ~ ~ ~ ~.: "-0 ?oO - <1l .- O ~ I;:;!. '-1 Heat Source: '-:' 9.--'6 ~ ~::;;; ..~ ,.~ .-, lO -."", C . ~ roo 0 (fl Sq. Footage: ~ ~. ~ '!'" ':1 t6 <;1', ,- "'T" ..,~. """1 "",1'1 ~ -_ ~ ~ Z Y: '~.....o: r\' '::;.. ~ 0- 0 (\. To request an inspection call the 24 hour recording at 726-3769. Jl.1I i~,s.p~ctions requested before 7:QO % '& 1,; ':P ro ~ _ a.m. will be made the same working day, inspections requested at@[ 7jOO],.rij}.will be made the following} ~ ~ '&., ~ ~.~: working day. . q; ~ ~ ~ '5 % b -n ;;::; '7-- (fl \rI <::!.~ <1l 0 Required Inspections "~ ;;; .. ..., :: - . I;!, ':J1 --\ Plumbmll ~ ~ ~ "rI0--\"", OCi>z :PZO 9~ Contractor Contractors Plumbing Service Inc Po Box 7636, Eugene, OR 97401 Office Use Quad Area: # Of Units: Constr. Type: Water Heater: Land Use: Zoning Code: Bedrooms: Range: Water Line Storm Sewer Line I -Prior to filling trench. -Prior to filling trench. ~ ~ Street Improvement: Curb Cut?D San Sewer Depth (Ft): Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: 00/00/00 00:00 AM Special Instructions: Other Utilities: . I Job# 00-00928-01 I Sidewalk Type: Additional ROW? . Page 2 of2 Improvement Agr.?D D Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: To Storm Sewer 00/00/00 00:00 AM Types Of Warning Devices Reqd. Project Supervisor: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D rArea (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Plumbing 06/12/2000 2123 10/19/2000 3533 06/12/2000 2123 10/19/2000 3533 06/12/2000 2123 10/19/2000 3533 06/12/2000 2123 10/19/2000 3533 Value/Quantity Fee Amount Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit State Surcharge For Plumbing Permit Water Service Footage Storm Sewer Footage Plumbing Administrative Fee Plumbing Administrative Fee Total Plumbing 150 75 $.00 $.00 $2.80 $2.80 $40.00 $40.00 $1.20 $1.20 $88.00 Encroachment Permit - Residential Total Public Works 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 - re~~ 7V time zat t; ~n;'G::e=dable from the street. / "-' _I 9"----.a--c7 Signatural Date Public Works 06/12/2000 2123 1 $80.00 $80.00 $168.00