HomeMy WebLinkAboutPermit Plumbing 2013-5-13 SPRINGFIELD 225 Fifth St
' CITY OF SPRINGFIELD Springfield,OR 97477
f Phone: 541-726-3753
"� OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-00944
ww w.springfield-or.gov permitcenter @springfield-or.goy
PROJECT STATUS: Issued ISSUED: 05/13/2013 EXPIRES: 11/08/2013
STATUS DATE: 05/13/2013 APPLIED: 05/13/2013
SITE ADDRESS: 1033 E ST,Springfield,OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1703351407100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: 20 ft water line
OWNER: TAYLOR KATRINA DAWN Phone Number:
ADDRESS: 1033 E ST
SPRINGFIELD OR 97477
OWNER: WEBBER CARLA JEAN Phone Number:
ADDRESS: 1033 E ST
SPRINGFIELD OR 97477
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OWNER: WILLIAMS LF EST DONNA Phone Number:
ADDRESS: 1033 E ST
SPRINGFIELD OR 97477
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Plumbing Contractor GARYS ROOTER&PLUMBING SERVICE LLC COB 174640 02/29/2015 541-935-6350
INSPECTIONS REQUIRED
Inspections
3315 Water Line
3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing.
3999 Final Plumbing Final Plumbing: When all plumbing work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon 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 or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
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certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time that each address is readable from the street,that the .
permit card is located AtTt#11eFp1M jhepraperly,£HHdR(§�'�ipr�� ism of plans will remain on th�Flt6.�t�B es during . •
I t g ` l�[Ullliu,tlm
construction. follow rules adopted by the Oregon tl,l C�
/ Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK
-OAR 952 001 oot o through OAR 952 oot- AUTHORIZED UNDER THIS PERMIT IS NOT
1 conies of the rules by $ - /3- i 3 COMMENCED OR IS ABANDONED FOR
Owner or Contractor Signature)the center. (Note: the teOne ate
ANY 180 DAY PERIOD.
number for the Oregon Utility Noluicatiom
Center Center is 1-800-332-2344).
Springfield Building Permit 5/13/2013 1:30:53PM Page 1 of 1
SPRINGFIELD - CITY OF SPRINGFIELD
225 Fifth SI
�jE�ON TRANSACTION RECEIPT Springfield,OR97477
541-726-3753
1. 811-SPR2013-00944
www.springfield-or.gov 1033 E ST pennitcenter @springfield-or.gov
RECEIPT NO: 2013000936 RECORD NO: 811-SPR2013-00944 DATE:05/13/2013
DESCRIPTION '' .ACCOUNT CODE/TRANS CODE :: AMOUNT DUE-„_
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.02
Technology fee(5% of permit total) 100-00000-425605 2099 4.18
Water Line 224-00000-425603 1005 83.50
TOTAL DUE: 97.70
-PAYMENT TYPE . PAYOR -CASHIER;JIARSCN COMMENTS �. _ AMOUNT PAID - -
Credit Card GARYS ROOTER& PLUMBING SERA 97.70
683117 LLC
TOTAL PAID: 97.70
Plumbing Permit Application DEPARTMENT USE ONLY .'-
�yy SPRINGF�I!ErL�D •
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CIF OF SPR1NGFIELWOREGON Ms . Permit no g// z ?3 Gi���/t
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225 Fifth Street• Springfield,OR 97477 • PH(54I)726-3753 • FAX(541)726-3689 Date: �// 3 /
This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits
expire if work is not started within 180 days of issuance or if work is suspended for 180 days.
` ::LOCAL• ,GOVERNNIENT ARPROVAL> W : . a 11%fr'.,.g'_..irgt—AFEEI?SCf EDilai nT- a ` '
. .�;w_f Fes_
Zoning approval verified? ❑ Yes ❑No at,w 1ptir gie ' A t 1'r i Qty ;4 eastl� costl'n
Sanitation approval verified? ❑ Yes ❑No e ''"dentin r�A''+ a 5 F7 '
New residential
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