HomeMy WebLinkAboutPermit Plumbing 2013-7-18 (2) •
SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD � Springfield,OR97477
Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
• PERMIT NO: 811-SPR2013-01626
wvnv.springfield-or.gov permitcenter Lalspringfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/18/2013 EXPIRES: 02/01/2014
STATUS DATE: 07/18/2013 • APPLIED: 07/18/2013 •
SITE ADDRESS: 205 DORRIS ST,Springfield,OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1803020000802 TYPE OF STRUCTURE: Public
PROJECT DESCRIPTION: Water and sewer lines for park bathroom
OWNER: WILLAMALANE PARK&REC DIST Phone Number:
ADDRESS: 250 S 32ND ST
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Plumbing Contractor TWIN RIVERS PLUMBING INC CCB 17695 03/11/2015 541-688-1444
INSPECTIONS REQUIRED r
Inspections
3315 Water Line
3400 Storm Sewer Storm Sewer Line: Prior to filling trench.
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
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 at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
Owner or Contractor Signature Date _•
on laW tequ%(eso f-01
ON:pre9 the Ote9 6etto�th
pTCENN" adopted by toles a� 52
NOTICE:MIT SHAEE SPIRE F MIT IS 140-C rules Those 9 p01'
ER THIS PER Notif cotton Cent0010 t min oAhe sulese
THIS POR ZED UNp BANDONEp FOR
AUTH p OR IS A tpo9ARYou malenbeamNopee the tecation
COMMENCE RIOD. 0• f ( tatty 1,10t,
ANY 180 DAY PE nalmp9r for the 0 1 g00.3 2-2344)
Gen is
•
Springfield Building Permit • 9/9/2013 2.19.19PM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
t ,:;
TRANSACTION RECEIPT Spnngfield,OR 97477
TS„:.
OREGON - 541-726-7753
811-SPR2013-01626
www.springfield-or.gov 205 DORRIS ST permitcentengspringfeld-ar.gov
RECEIPT NO: 2013001990 RECORD NO:811-SPR2013.01626 DATE:09/09/2013
)o7YH 119jo11 { aktee ::,. E -a s ...=�_`.:='^I-%'^ACCOUNT CODE/TRANS Con CODECtivaVAIIIIOUNTIDUPA
Floor drain/floor sink/hub 224-00000-425603 1005 63.00
Sink/basin/lavatory 224-00000-425603 1005 42.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 17.64
Technology fee(5%of permit total) 100-00000-425605 2099 7.35
Water closet 224-00000-425603 1005 42.00
TOTAL DUE: 171.99
AP.AY AWNIYP,E P.AY,OR . cAS EER::GCAItP,ERTER _ COMMENTS ANIOUNT43A19
Credit Card TWIN RIVERS PLUMBING INC 171.99
025505
• TOTAL PAID: 171.99
•
•
•
•
•