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Permit Building 2013-11-4
• SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01849 www.springfeld-or.gay permitcenter©spdngfield-or.gav PROJECT STATUS: Issued ISSUED: 11/04/2013 EXPIRES: 05/03/2014 STATUS DATE: 11/04/2013 APPLIED: 08/19/2013 • SITE ADDRESS: 5880 MAIN ST,Springfield, OR 97478 SCOPE: Tenant Infill ASSESOR'S PARCEL NO: 1702343200400 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: PLM-Tenant infill OWNER: FEDAK DARYL A Phone Number: ADDRESS: 85788 PARKLAND CIR PLEASANT HILL OR 97455 CONTRACTOR INFORMATION 1 Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor MCINTYRE CONSTRUCTION INC CCB 3550 10/08/2015 541-687-2841 Plumbing Contractor HARVEY&PRICE CO CCB 77 10/31/2014 541-746-1621 INSPECTIONS REQUIRED Inspections 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 3999 Final Plumbing Final Plumbing: Wien all plumbing work is complete. 3500 Rough•Plumbing Rough Plumbing: Prior to cover and including required testing. 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 • consiructio . ceittidg 11 Owner or ontractor Signathre Dat: • NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT ATTENTION: Oregon law requires you to COMMENCED OR IS ABANDONED FOR foilow rules adopted by the Oregon Utility ANY 180 DAY PERIOD. Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by • calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 11/4/2013 10:52:41AM Page 1 of 1 • SPRINGFIELD -- CITY OF SPRINGFIELD f\•- 225 Fifth St OREGON TRANSACTION RECEIPT Spnngfield,oR97477 541-726-3753 811-SPR2013-01849 www,springfield-or.gov 5880 MAIN ST pennitcenter @spnngfield-or gov RECEIPT NO: 2013002416 RECORD NO:811SPR2013-01849 DATE: 11/04/2013 1 -: 4k-7-:.A6COUNT80DELTRANSCODE a :�!_ ',: � 'AMOUNLDUE Backflow preventer 224-00000-425603 1005 21.00 Clothes washer 224-00000-425603 1005 21.00 Shower/Shower pan 224-00000-425603 1005 21.00 Sink/basin/lavatory 224-00000-425603 1005 210.00 Special Waste Connection 224-00000-425603 1005 21.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 47.88 Technology fee(5%of permit total) 100-00000-425605 2099 19.95 Water closet 224-00000-425603 1005 105.00 TOTAL DUE: 466.83 PAYMENT TYPE J.1 :,PAYORtrcA§HIER:`d[ARSONw-: 7 COMMENTS->' -ut'f+`yW-l ` {-AMOI Credit Card MCINTYRE CONSTRUCTION INC 466.83 04047g TOTAL PAID: 466.83