HomeMy WebLinkAboutPermit Mechanical 2014-3-4 •
SPRINGFIELD ---- 225 Fifth St
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-SPR2014-00354 •
www.springfield-or.gov permitcenter @springfield-or.gov
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PROJECT STATUS: Issued ISSUED:" 03/04/2014 EXPIRES: 08/31/2014
STATUS DATE: 03/04/2014 APPLIED: 02/18/2014
SITE ADDRESS: 5183 B ST,Springfield,OR 97477 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1702333107800 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: NI-New SFD Lot 4 Alex Acres
OWNER: CRESCENT HOMES INC Phone Number:
ADDRESS: 2210 COMSTOCK AVE
EUGENE OR 97408
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type • Lic No Lic Exp Phone
General Contractor CRESCENT HOMES INC CCB 132267 11/28/2014 541-954-1372 •
STEVE E HAUCK,II (S)Electrician,Ge 57255 10/01/2016 541-221-2665
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
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth ,
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by NOTICE:
calling the center. (Note: the telephone THIS PERMIT SHALL EXPIRE IF THE WORK
number for the Oregon Utility Notification AUTHORIZED UNDER THIS PERMIT IS NOT
Center is 1-800-332-2344).
COMMENCED OR IS ABANDONED FOR
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ANY 180 DAY PERIOD.
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Springfield Building Permit 3/4/2014 10:48:10AM - Page 1 of 1
SPRINGFIELD --` CITY OF SPRINGFIELD
225 Fifth St
EGON TRANSACTION RECEIPT Spnngfeld,OR 97477
541-726-3753
811-SPR2014-00354
wwwspringfeldor.gov 5183 B ST perrnitcenter @spnngfield-or.gov
RECEIPT NO: 2014000479 RECORD NO:811-SPR2014-00354 DATE:03/04/2014
1D1*Y4:11:6q[ofnmnnaY1wo=aKezerrivarAC000NT COD TRANS.CODE=.=1$!:��. 'AMOUNTDUE•�
First Appliance Fee 224-00000-425604 1006 80.00
Single-duct exhaust(bathrooms, toilet compartments, utility room: 224-00000-425604 1006 30.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 13.20
Technology fee(5%of permit total) . 100-00000-425605 2099 5.50
TOTAL DUE: 128.70
PAYMENT EVI E PAYOR; cnsweR ccaaWaii, ...COMMENTS ' ' T� �WI1kM0_11NTIMSIDZIRAI
Check CRESCENT HOMES INC 128.70
4078
TOTAL PAID: 128.70
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