HomeMy WebLinkAboutPermit Plumbing 2014-3-24 •
. SPRINGFIELD- 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR97477
a'`i" Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00611
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 03/24/2014 EXPIRES: 09/20/2014
STATUS DATE: 03/24/2014 APPLIED: 03/24/2014 •
SITE ADDRESS: 3333 HAYDEN BRIDGE RD,Springfield,OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1702193100201 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: P-Addition to SFD
OWNER: : RICE PHYLIS Phone Number:
ADDRESS: 3333 HAYDEN BRIDGE RD
SPRINGFIELD OR 97477
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor MATTHEW R CLEARWATERS CCB 135711 06/16/2015 541-968-8163
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.
Na 3 Zy /54
Owner or Contractor Signature Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility NICE.
Notification Center. Those rules are set forth PHIS PERMIT SHALL EXPIRE IF THE WORK
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by UTHORIZED UNDER PHIS PERMIT IS NOT
calling the center. (Note: the telephone ;OMMENCED OR IS ABANDONED FOR •
number for the Oregon Utility Notification ,NY 180 DAY PERIOD.
Springfield Building Permit Center is 1-800-332-2344). 3/24/2014 11:48:50AM Pegg 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
• 225 Fifth St
_,s ; - TRANSACTION RECEIPT Springfield,OR97477
OREGON 541-726-3753
811-SPR2014-00611
www.springtield-or.gov 3333 HAYDEN BRIDGE RD permitcenter @springfield-ocgov
RECEIPT NO: 2014000623 RECORD NO: 811-SPR2014-00611 DATE:03/24/2014
[DESCRIPTION • ACCOUNT CODEITRANS CODE_-- AMOUNT DUE
Bathtub 224-00000-425603 1005 42.00
Clothes washer 224-00000-425603 1005 21.00
Dishwasher 224-00000-425603 1005 21.00
Fixture 224-00000-425603 1005 21.00 .
Sink/basin/lavatory 224-00000-425603 1005 84.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 27.72
Technology fee(5%of permit total) 100-00000-425605 2099 11.55
Water closet 224-00000-425603 1005 42.00
TOTAL DUE: 270.27
„PAYMENT TYPE , s PAYOR.' CASHIER:CCARPENTER • - 'COMMENTS__ . AMOUNT PAID :. - . f
Credit Card MATTHEW R CLEARWATERS 270.27
05366z
TOTAL PAID: 270.27
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