HomeMy WebLinkAboutPermit Mechanical 2014-1-7 SPRINGFIELD- 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
`t 6coR Phone: 541-726-3753
Building I Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00030
www.springfield-or.gov permitcenter @springfieId-or.gov.
PROJECT STATUS: Issued ISSUED: 01/07/2014 EXPIRES: 07/06/2014
STATUS DATE: 01/07/2014 APPLIED: 01/07/2014
SITE ADDRESS: 526 WALNUT PL,Springfield,OR 97477 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1703342303700 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: remove and replace HVAC system •
OWNER: OWEN THOMAS&JANE Phone Number:
ADDRESS: 526 WALNUT PL
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Mechanical Contractor INNOVATIVE AIR INC CCB 161742 10/11/2014 541-746-1040
INNOVATIVE AIR INC (BP)Plumbing ant BP21 07/01/2014 541-746-1040
_ INSPECTIONS REQUIRED
Inspections
2300 Rough Mechanical Rough Mechanical: Prior to Cover
2999 Final Mechanical Final Mechanical: When all mechanical work is complete.
2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to
an appliance.
2995 Final Gas Final Gas: When all gas 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
0
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 C)
construction. /�(�'�/
Owner or Contractor Signature Date I/, ��
o
Oregon law requires you to ,
ATTENTION: Oreg the Oregon Utility
follow rules adopted by
Notification Center. Those r h�Pr 2 Dot NOTICE'. EE EXPIRE�F'iHE.�1`�ORK •
in OAR 952 001"obt Qn copies of'he rules by THIS PERMIT SHA THIS PERMIT IS NOT
0090. You may
calling the center. (Note: the telephone AUTHORIZEp UNDE
number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR
Center is 1-800-332-2344). aNy 1g0 DAY PERIOD.
Springfield Building Permit 1/14/2014 8:39:35AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Firth St
1S EGON TRANSACTION RECEIPT Springtield,OR 97477
541-726-3753
811-S P R2014-00030
wvw.springtield-or.gov 526 WALNUT PL permitcenter @springtield-or.gov
RECEIPT NO: 2014000079 RECORD NO:811-SPR2014-00030 DATE:01/14/2014
DESCRIPTION ' ^ACCOUNT_CODE/TRANS CODE AMOUNT DUE'._
Gas Piping up to 4 outlets 224-00000-425604 1006 7.50
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 0.90
Technology fee(5%of permit total) 100-00000-425605 2099 0.38
— —""' — TOTAL DUE: 8.78
i PAYMERT_TYPE_PAYOR_ CASHIER:CCARPENTER. _COMMENTS - . AMOUNT PAID. '1
Cash INNOVATIVE AIR INC 878
TOTAL PAID: 8.78