HomeMy WebLinkAboutPermit Plumbing 2014-2-4 SPRINGFIELD- 225 Fifth St
44 CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753 •
OREGON • Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00226 •
www.springfeld-or.gov permitcenter @springfield-ar.gav
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PROJECT STATUS: Issued ISSUED: 02/04/2014 EXPIRES: 08/03/2014
STATUS DATE: 02/04/2014 APPLIED: 02/04/2014
SITE ADDRESS: 5839 G ST,Springfield,OR 97478 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1702342200414 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Bathroom and kitchen remodel
OWNER: FRIEZE SHERRYL LYNN Phone Number:
ADDRESS: 5839 G ST
SPRINGFIELD OR 97478
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
Electrical Contractor OWNER CCB 000000 08/01/2025
Plumbing Contractor OWNER CCB 000000 08/01/2025 '
L INSPECTIONS REQUIRED
Inspections
• 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking.
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.
f • - 2/0,,
Owner or Contractor Signature Date
ATTENTION: Oregon law requires you to
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follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
)TIDE WORK
in OAR 952-001-0010 through OAR 952-001-
IIS PERMIT SHA�1 EXPIRE IF THE • 0090. You may obtain copies of The rules by
calling the center. (Note: the telephone
JTHORIZED UNDER ABANDONEDTFOR 0
OP' IS number for the Oregon Utility Notification
OMMENCD Center is 1-800-332-2344).
,NY 180 DAY PERIOD.
Springfield Building Permit 2/4/2014 3:16:32PM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
:1.1 225 Fifth St
TRANSACTION RECEIPT Springfield,OR97477
1 Ix ea
OREGON 541-726-3753
811-SPR2014-00226
www.springfieldar.gov 5839 G ST permitcenter @springfield-or.gov
RECEIPT NO: 2014000225 RECORD NO:811-SPR2014-00226 DATE:02/04/2014
D 0 s 1 a +:Z?' 'x _;`cci_:4l.- ACCOUNT CODE/TRANS CODE;WIC'_F- 'AMOUNT DUE `
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
"'PAYMENTTYPE Ae= PAYOR s` ia;GOMMENTSK,4.3%t , . .:.'e.? 1 ' r ° PAID->7"I'aFr 1;:::: .-"'
Credit Card CHELSEA QUESADA 93.60
03510b
TOTAL PAID: 93.60
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