HomeMy WebLinkAboutPermit Plumbing 2002-9-10
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TRANS#;Ol-0010561
DATE;SEF' 10 2002
AMT RECD;2 $ 67.85
CHANGE;
CASHIER: 032
Job# 02-01081-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-01081-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 939 C St Spr
Assessors Map#: 17033513
lot: Block: Addition:
Tax lot #: 10600
Subdivision:
Owner:
Anne Ballew
953 C Street
Phone Number: 541-988-0372
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Address:
Scope Of Work: Plumbing
Contractor Type
Plumbing Contr
Contractor
Cardwell Construction
29377 Airport Road, Eugene" OR 97402
Registration #
74466
Expiration Date
9/8/2003
Phone
541-688-7609
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
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.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
, Handicap Access? D
-Area (Sq. Feet)
Main:
# Of Stories:
Current Units:
Census Code: Does not apply
Required Inspections
I w reqUires you 1<.:
Plumbing I\lnENTION:Oregon a h Ore goo Utility
t. d pted b\Jt e ,
follow r.ules a 0 Th;se rules are set fon,\
Notification cent~~1 0 through OAR 952-00'1'
in OAR 952-001- , ~pies of the rules b'~
0090. You may obtam c ie' the telephone
calling the center. (No Utility Notification
b r for the Oregon . ,
num e I '^, ~ 800-3'12-234.:'1-).
('(.\n+er ISI- "
Heigtlf(feet):
Proposed Units:
Sanitary Sewer Line
Final Plumbing
I
- Prior to filling trench.
- When all plumbing work is complete,
Accessory:
Total:
~QTar.I=.
lHIs'PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Fee
Job# 02-01081~01
Paid On Receipt#
Plumbing
09/10/2002 10561
09/10/2002 10561
09/10/2002 10561
09/10/2002 10561
Page 2 of 2
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
8% 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 Or . further state that only contractors and employees who are in compliance with
ORS 701.0 w' used on this project. I further agree to ensure that all required inspections are
request at toper time and that the project address is readable from the street.
65
$,00
$4.13
$59.00
$4,72
$67.85
$67.85
9-/0-DC-
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