HomeMy WebLinkAboutPermit Plumbing 2001-10-22
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Job# 01-01160-01.1.
Page 1 of 2
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety ,
mANS#~01-0007046
DATE~OCT 22 2001
AMi RECD:2 $ 1552.04
CHANGE:
CASHIER:061
Job Number: 01-01160-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed. Site: 212 Q St Spr
Assessors Map#: 17032624
Lot: Block: Addition:
Tax Lot #: 01501
Subdivision:,
Owner:
Marilyn Phillips
212 Q Street
Phone Number: 541-747-1499
City/State/Zip:
Springfield, OR 97477
Value: $0
Address:
Scope Of Work: Plumbing,
State Farm Insurance
, Sanitary 'sewer connection from previous septic system " IY ~Of(..'t-.7:
~ \'r \ I " ~l.J \
Re. gist'etion # E,X X,fljt3'ffd.' n Date\ \'0 Phone
r:,~. \ \.1;:.1 \::.'(\\.. ~
~~~03 ~\\ S~~Ii~~{~r@BS ~ ~\"=:\) \'(cg41-988-0868
S ?1C.~ . \j~\)~ 'S;ft..N.\)O. '"
\'c\~ _c\152-\) .... \e, f:>( .
\\\"\v' . -D V"
Office Use ~~- ~~~cF::' 9\:;."'(-\O\)'
Land Use:CO~ \'OIJ \)~'{. # Of Buildings:
Zoning Code: ' ~~~ Occupancy Group:
Bedrooms: Heat Source:
Range: Sq. Footage:)\) \.0.
,_r\1 \\ll:.7- J, ...\\\\1
\a'J'J'~' on V" n
T . t. II h 24 h d' 726 3 69 All' n.~ooon ..r. oxeg - e' t0t't
o request an Inspec Ion ca t e our recor Ing at - 7 . rlnSRectlons ~eguestea before 7':00)'\,
a.m..will be made the same working day, inspections reqUested:aft~r'i:oo,a.~~~ilr\~ean'aB'eOSt'6'e.f6if6'~lng.r
,... V.\~;:) '" ., I ...,- n r" \ S \::,
working day. \0\\0\N {. cen\e~.'O \\,\{OUQ) \ \ne tU e
. i~\C'O.\\on 0,\,00'\. ~\es 0 \ 9none
ConstructIon Types: ~o~~?> 952,0 '0.'1 obtaIn ~~\e', \ne \e ~\\\ca\\on
Occupancy Groups: \n 090. ~OU~~e cen\e~~~ 'on \)\\\\\'1 NAA).
# Of Buildings: # Of Stories: 0 ca\\\i'\g ',l:Ieighf1fe%t)~,'?l32-'2.3
bet 'v' - '", 1,01:-
# Of Bedrooms: Current Units: nuf{\ <firojfMsed Units:
Handicap Access? D Census Code: Does not apply
-Area (Sq. Feet)
Main:
New
Contractor Type
Plumbing Contr
Contractor
Eugene Excavation & Plumbing Inc
Po Box 40821, Eugene, OR 97403
Quad Area:
-# Of Units:
Constr. Type:
Water Heater:
Accessory:
Total:
Fee
Paid On Receipt#
Plumbing
10/22/2001 7046
10/22/2001 7046
10/22/2001 7046
10/22/2001 7046
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
<Administrative Fee - Plumbing
Total Plumbing
80
$.00
$4.13
$59.00
$4.72
$67.85
Residential Improvement MWMC
System Development
10/22/2001 7046
1
$34.83
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1979 or Before
Office Building - General - MWMC
Residential Sanitary MWMC
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certifythat 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. Ifurther agree to ensure that all required inspections are
~ted at the pr<>p~ that the project add:SS is readable from the street,
SignatuffljJ Date
..'
..
Fee
Job# 01-01160-01
Paid On Receipt#
I" System Development
10/22/2001 7046
10/22/2001 7046
10/22/2001 7046
10/22/2001 7046
10/22/2001 7046
,10/22/2001 7046
10/22/2001 7046
Page 2 of 2
Value/Quantity
I
1
90
2
1
27
27
Fee Amount
$10.00
$70.68
$-441.87
$462.22
$332.86
$576.99
$438.48
$1,484.19
$1,552.04