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Permit Building 2014-1-17 (2)
SPRINGFIELD 225 Fifth St °1_ CITY OF SPRINGFIELD Springheld,OR97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00049 www.springfield-or.gov permitcenterirgspringfield-or.gov . 1 PROJECT STATUS: Issued ISSUED: 01/17/2014 EXPIRES: 07/16/2014 STATUS DATE: 01/17/2014 APPLIED: 01/09/2014 SITE'ADDRESS: 933 A ST,Springfield,OR 97477 SCOPE: Interior ASSESOR'S PARCEL NO: 1703354203900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ME-Attic conversion to bed/bath/living space OWNER: FRITZ FREDERICK JOE&BARBARA Phone Number: 541-206-7492 ADDRESS: 933 A ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone • General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 I, INSPECTIONS REQUIRED Inspections • 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2999 Final Mechanical Final Mechanical: When all mechanical 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 NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK ATTENTION: Oregon law requires you to AUTHORIZED UNDER THIS PERMIT IS NOT follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth COMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD. 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 1/17/2014 9:48:01AM Page 1 of 1 . SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St �`O EGON TRANSACTION RECEIPT Springfeld,OR 97477 541-726-3753 811-S PR2014-00049 www.springfield-ar.gov 933 A ST perrnitcenter©springfield-or.gov RECEIPT NO: 2014000116 RECORD NO:811-SPR2014-00049 DATE:01/17/2014 (DESCRIPTION 7 ACCOUNT CODE/TRANSCODE. AMOUNT DUE,_ First Appliance Fee 224-00000-425604 1006 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 "`" AMOUNT PAID _PAYMENT TYPEPAYORcaselER_ccnRPeNrER �_ ._COMMENTS,____ -� __�_�___..- __ _�_-. _ .._. _.. Check FRITZ FREDERICK JOE& BARBARA 93.60 2741 TOTAL PAID: 93.60 • , SPRINGFIELD -- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 j`c‘Lor Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00050 www.springfield-or goy permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 01/17/2014 EXPIRES: 07/16/2014 STATUS DATE: 01/17/2014 APPLIED: 01/09/2014 SITE ADDRESS: 933 A ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703354203900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PL-Attic conversion to bed/bath/living space OWNER: FRITZ FREDERICK JOE&BARBARA Phone Number: 541-206-7492 ADDRESS: 933 A ST • SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 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 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 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth JTf E: in OAR 952-001-0010 through OAR 952-001- HIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by UTHORIZED UNDER THIS PERMIT IS NOT . calling the center. (Note: the telephone „OMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). • • Springfield Building Permit 1/17/2014 9:46:24AM Page 1 of 1 • • , SPRINGFIELD CITY OF SPRINGFIELD 49 ..a:�.:: ''= 225 Fifth St EGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-S P R2014-00050 www.springfield-or.gov - 933 A ST permitcenter©springfield-or.gov RECEIPT NO: 2014000117 RECORD NO:811-SPR2014-00050 DATE:01/17/2014 EDESCRIPTION -ACCOUNT_CODE/TRANS CODE _AMOUNTDUE__ Minimum Plumbing Fee(Three or Fewer Fixtures) 224-00000-425603 1057 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 • PAYMENT TYPE PAYOR CASHIER;CCARPENTER .COMMENTS AMOUNT PAID ■ Check FRITZ FREDERICK JOE& BARBARA 93.60 2741 TOTAL PAID: 93.60 • • •