HomeMy WebLinkAboutPermit Septic Tank 2000-11-30
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I Job# 00-01735-01 I
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Page 1 of2
TRANS#:01-0003902
DATE:NOV 30 2000
AMT RECD:2 $ 44.00
CHANGE:
CASHIER: 061
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01735-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3796 Franklin Blvd Spr
Assessors Map#: 17033442
Lot: Block: Addition:
Tax Lot #: 02900
Subdivision:
Owner:
Leland Barkley
1180 Providence
Phone Number: 541-741-4141
City/State/Zip:' Bend, OR 97701
New Value: $0
Address:
Scope Of Work: Plumbing
septic connection and septic tank demolition
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Line to Septic Tank
Septic Tank Pumped
To request an inspection call the 24 hour recording at 726-3769. All inspections/equested before 7:00
a.m. will be made the same working day, inspections requested after 7.ttob 'a:rW.\.Jilro&made.the,following. YOlj t
k. d Ollowrule"ad -, --,' '" .0
wor Ing ay. Notificc:tion C ~?taG bV!he OrJQon UtWty
R' . d I .' C' - enrvl. Tl1w,-, .."10.-,.,,,_, " .
equlre nspectlons "n""'::-UU1-UU1(J'h h' --..-. -
I Plumbing 0vPO. You may obtairic~op~leg ,IOOfAthH~ 952,'00 1-
'allil th - -" (Ij as bj
-Prior to filling trench. . ". .'g. eCbntOl. (Notd: Cil;:3talanho
-After septic tank has been pumped and fifi'E\H!lJPleasetproliide:the inspector1with /Jf6eipt and vel
, C -'':' ... .'. -.. '~11 ~(J lllt.:duor,
, entcrr~: "t~e~'}'.~:'2":::'44)..
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. FI..I)
I Main: Accessory:
# Of Stories: Height (feet):
Current Units: F'rop.osed Units:
Census Code: Does not apPlyf\!CH ICE: _ .
Total: ::;::~~~~SHAU EXPIRE IFTHEWORK
_ _ UNDER TH/,C: Pee, "T'~ . ,__
Paid On Rec;~ip.~Il~'~:yit.!~~(9~.Ii{tftY10NE(F.iierA..mount
Plumbing I . , -' "'",.....
11/30/2000 3902
11/30/2000 3902
11/30/2000 3902
11/30/2000 3902
1
$.00
$15.00
$2.80
$25.00
Fee
Minimum Plumbing Permit Fee
Septic Tank Removal or Fill
State Surcharge For Plumbing Permit
Sanitary Sewer Footage
20
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Fee
Plumbing Administrative Fee
Total Plumbing
Grand Total
Job# 00-01735-01
Paid On Receipt#
Plumbing
11/30/2000 3902
.
Page 2 of2
Value/Quantity Fee Amount
I
$1.20
$44.00
$44.00
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
reques'J at the proper time and that the project address is readable from the street.
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, ~s~, YOUR PLACE
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"'3796 flonk/in Blvd. ~ Eugene. 9regon 97403
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ADDITION 1I1
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~/ LONG TERM BIKE PARKING
If ~ WI WALL MOUNTED 'EYE SOL T 1,
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BUILDING 'A' C---'"
, .3,299 SF. , 7
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PARKING SIGN
MOUNTEb E> 84' F=
. MAIN ENTRY t:;
) BIKE ~A1I5j
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