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Permit Mechanical 2014-2-20
• • SPRINGFIELD 225 Fifth St ' - CITY OF SPRINGFIELD Springfield,OR 97477 ?_.j`C Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00377 www.springfield-or.gov permitcenter @springfielo-or.gov PROJECT STATUS: Issued ISSUED: 02/20/2014 EXPIRES: 08/19/2014 STATUS DATE: 02/20/2014 APPLIED: 02/20/2014 SITE ADDRESS: 455 23RD ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703361407900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: M-Bathroom/laundry remodel OWNER: CREATIVE REAL ESTATE SOLUTIONS LLC Phone Number: ADDRESS: 505 SW MILL VIEW WAY STE 250 BEND OR 97702 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical 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 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 re. - ed at the proper time,that each address is readable from the street,that the permit card is located at the front of th- . operty,and the approved set of plans will remain on the site at all times during construction. Ad . fl _ s L Owne or • actor Signature Date ATTENTION: Oreaor law requires you to foamy rules adopted by the ?r Notification Center. Those rules egon Utility NOTICE: in OAR 952-001-0010 through are set forth THIS PERMIT SHALL EXPIRE 1F THE WORK • 0090. You may obtain copies of the rules by OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-3322344), Springfield Building Permit 2/20/2014 9:54:20AM Page 1 of 1 SPRINGFIELD _ CITY OF SPRINGFIELD TRANSACTION RECEIPT 5pringf`nd tOR 6-3753 97477 OREGON 26-3753 www.springtield-or.goy - 455 23RD ST permitcenter©springfield-or.gov RECEIPT NO: 2014000361 RECORD NO: 811-SPR2014-00377 DATE:02/20/2014 DESCRIPTION __ ACCOUNT CODE/TRANSCODE_ 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 -` _PAYOR' CASHIER.CCARPENTER ti ,.COMMENTS AMOUNT PAID. Credit Card GLENDA BROWN 93.60 00203c TOTAL PAID: 93.60 • • • • • •