HomeMy WebLinkAboutPermit Plumbing 2002-8-8
~
"
0;/
I Job# 02-00961-01 I
Page 1 of 2
CITY OF SPRINGFIELD, OREGON
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00961-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 1869 I St Spr
Assessors Map#: 17033621
lot: Block: Addition:
Tax lot #: 07300
Subdivision:
Owner:
Dirk Meekins
Phone Number: 541-741-4327
Contractor Type
Plumbing Contr
Address: 18691 Street City/State/Zip: Springfield, OR 97477
Scope Of Work: Plumbing Repair JTEN1101\l:uregd(~.I.Y.e:re(~ores you. ~o
. A , s adopted b\/ the Oregon Utility,
" follow ru e - I s are seUortn
50 feet water supply replacement with side~~~~i'il,~QreP-P.r6'adil.er. ~h?Se r~... en ^ Q 01;"-001-
. OAR952-UU-I-UUIVUHV":~"'~!- ,~by
In R . t t' .tI. b11!:' - .--t"''''<'.:if +the ru e~Ph
oac.egl~Jf!..~ny'O Ii;'~plralon) ~a e h one
",u. . t (Note: thetelep one
callmg the cen er. UtTt NotificMibii!41-4327
number for the Oregon II Y ,
f"'Mtl!>ri~ 1_ROO-332.-2344).
Contractor
Dirk Meekins
1869 I Street, Springfield, OR 97477
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. NOTICE: .
Required Insp~~JiEftlv\l'j 3tt';LL ["rm:: Ir TI IE WORK
I PlumbingAUTHOffllZED UNDER THIS PERMIT IS NOT
Water Line -Prior to filling trench. COMMENCED OR IS ABANDONED FOR
I Public WoriJJY 1 sP DAY PERIOD.
SW-Setback -After forms are erected but prior to placement of concrete
CC-Standard -After forms are erected but prior to placement of concrete
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet!
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
~
-~ -I
t:::l ':::r1
;ODD
rn -I :z
CJ C"') lTl OJ
::CO.. #
C"JD" D"
~"> :z: f--L c: .;::)
coG1 Ci")!--'-
::clTl-E:8-_...L
n1 ;:17 (_..1 co 6
::::0 +-' f--L
., ..j::-- f--L 1"',) 0
Q. . or...)
f--L 1"',) 0 0 C.J
f--L r..n c:::;. r..,,) -.:I
Total:
,
Fee
Job# 02-00961-01
Paid On ReceiRt#
Plumbing
08/08/2002 10237
08/08/2002 10237
08/08/2002 10237
08/08/2002 10237
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Water Service Footage
8% Administrative Fee - Plumbing
Total Plumbing
Sidewalk Repair
New Curbcut
Total Public Works
Public Works
08/08/2002 10237
08/08/2002 10237
Grand Total
'I
! AflliJaJ ~ I 0 (J 11 lAL//
"--
I
I
\
"".Slgnature
Page 2 of 2
Value/Quantity Fee Amount
$.00
$3.15
50 $45.00
$3.60
$51.75
1 $10.00
1 $75.00
$85.00
$136.75
X--X'-rJJ-
" Date