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Home My WebLink AboutPermit Mechanical 2014-2-11 SPRINGFIELD 225 Fifth St 1 CITY OF SPRINGFIELD Springfield,OR 97477 ht.. t� Phone: 541-726-3753 ORE°°" Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00243 www.springfield-or.gov permitcenter @springtield-or.gov PROJECT STATUS: Issued ISSUED: 02/11/2014 EXPIRES: 08/10/2014 STATUS DATE: 02/11/2014 APPLIED: 02/06/2014 SITE ADDRESS: 1361 S ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703252301602 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: M-Washer/dryer relocate,with new water/sewer and feeder extensions OWNER: HURD ZACHARY JUSTIN Phone Number: ADDRESS: 1361 S ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION II Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER COB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 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. ■ k-UA–U\} – 1— l4 Owner •r Contractor Signature Date Oregon law requires you to ATTENTION ted by the Oregon utility follow rules adop h OAR 952-x01- ,,__ „ ._ .... :„:; enter. Those rules are set forth•NOTICE: OAR 001-0 . throng n OAR obtain copies of the r hone Y THIS PERMIT SHALL EXPIRE IF THE WORK 009o. You may (Note:the telep AUTHORIZED UNDER THIS PERMIT IS NOT number the for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR Center is 1-800-332 2344). ANY 180 DAY PERIOD. Springfield Building Permit 2/11/2014 11:13:49AM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD .L-. :ea... . _.. 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-S PR2014-00243 www_springfield-ocgov 1361 S ST permitcenter@springfleld-or.gov RECEIPT NO: 2014000272. RECORD NO: 811-SPR2014-00243 DATE:02/11/2014 !DESCRIPTION `' "-_ ACCOUNT CODE/TRANS_CODL, "=--.AMOUNT.DUE j 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 ,_PAYMENT'TYPE MPAYORcnsHIER:CCARPENTER _COMMENTS_ _ _ ':AMOUNT PAID Credit Card HURD ZACHARY JUSTIN 93.60 234880 TOTAL PAID: 93.60 • • • . Property Owner Statement Regarding Construction -Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) • This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. • Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or • I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. Print Name of Permit Applicant Z ignat e of Permit Applicant / Date / I� Permit#: CILI - gq� 2'f2( 2Y3 o __ Address: f? /Ys _` %�s': Issued by: ate: 2i This Copy for Permit Offices