HomeMy WebLinkAboutPermit Building 2000-11-14
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I Job# 00-01669-01 I
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Page 1 of 2
TRANS~:01-0003785
DATE:NOV 14 2000
AMT RECD:l $ 40,00
CHANGE:$ 12.50
CASHIER:061
CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01669-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1285 Delrose Dr Spr
Assessors Map#: 17032344
Lot: Block: Addition:
Owner:
Character Homes Inc
835 Sand Ave
Address:
Scope Of Work: Plumbing
Saniary Sewer
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
Tax Lot #: 08900
Subdivision:
Phone Number: 541-345-9395
City/State/Zip:
New
Eugene, OR 97401
Value: $0
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq, Footage:
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.
R . d I .0'''''';;'''''"'''.
equlre nspectlons)" .=~.
Plumbing l;:rm PERiVllT SHALL EXPIRE IFTHE WOR:<
AUTHORIZED UNDER THIS PERiVilT IS NOT
COi,liv;ENCED OR IS ABANDONED FOR
Ai~Y 180 DAY PERIOD.
Sanitary Sewer Line
I
- Prior to filling trench.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
Fee
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Sanitary Sewer Footage
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply_, ., '"
1-\' I t:.'t: C~:_ --:-".. 1:"":-:-~~'~-""~1O;"'l40
f~1I0Wrl'I3r5c~r.~"L':-~' .",...:...... =-'r~rlon U~i~:ty
Total:
M,,' iiic~lioj; C:;." , :1'. -1"ilO;;=. 111-::-: l(l'",:i :;rih
"' ......,-.., I iJvO:"'..~..J ,-uu '" I.'llt" "Hl"'~1 'I I : ",--V', 1-
Paid On OnD.r~l!C::!1!p~'\I"(lt.,V;~Jue/Ql!~!1t,i.ty, .."i......Ii'!,ljl Amount,
I Plumbintiil:l.t ~"J~.JJ)! 1,,', II:...!!..J; ~;l~ L..~.,:)j.:.Jlla .
11/14/2000 nU.-3785:c'~' ',," : I''',,, \I'l~:ficalion
11/14/2000 3785> ""j." '-'4
11/14/2000 3785 3
$.00
$1.75
$25.00
....
.
Job# 00-01669-01
Fee
Paid On Receipt#
Plumbing
11/14/2000 3785
Plumbing Administrative Fee
Total Plumbing
Grand Total
.
Page 2 of 2
Value/Quantity
Fee Amount
$.75
$27.50
$27.50
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
re~~t the ~opemime and that the project address is readab~ from the street.
I 5---/] ~ -IL fr i-Iu~<4--~
Signature [
11-1 i'-~
Date