HomeMy WebLinkAboutPermit Plumbing 2000-10-19
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(. SPRINGFIELD
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Job# 00-00928-01
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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 "~ ;;; .. ..., :: -
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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?
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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