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SPRINGFIELD 225 Fifth St
't' CITY OF SPRINGFIELD Springfield,OR 97477
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r v Phone: 541-726-3753
"'`' 'OREGON Building I Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00926
www.springfield-or.gov permitcenter@springfield-ar.gov
PROJECT STATUS: Issued ISSUED: 04/29/2014 EXPIRES: 10/26/2014
STATUS DATE: 04/29/2014 APPLIED: 04/28/2014
SITE ADDRESS: 3467 SUE ANN CT,Springfield,OR 97477 SCOPE: Heating System
" ASSESOR'S PARCEL NO: 1702194201300 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: M-Ductless HP for garage conversion to living room-See Inquiry case 514-455 regarding
ceiling ht
OWNER: JAFFARIAN EARL MICHAEL&DAWNA SENKEL Phone Number: 541-731-0961
ADDRESS: 3467 SUE ANN CRT
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Mechanical Contractor MARSHALLS INC CCB 25790 12/23/2015 541-747-7445
General Contractor MARK N SEBRING CCB 33315 07/27/2014 541-521-9240
INSPECTIONS REQUIRED
. Inspections
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.
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Owner or Contractor Signet Date
NOTICE: ATTENTION: Oregon law requires you to
THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility
AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth
COMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001-
ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by
• calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 4/29/2014 8:37:51AM Page 1 of 1
SPRINGFIELD - CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Springfield,OR 97977
OREGON 541-726-3753
811-SPR2014-00926
www springfield-or gov 3467 SUE ANN CT permitcenter@springfield-or gov
RECEIPT NO: 2014000947 RECORD NO:811-SPR2014-00926 DATE:04/29/2014
[DESCRIPTION * 1......_ ACCOUNT CODE/TRANS CODE_ ,AMOUNT DUE _5
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
.PATMENTTYPE PPWOR„ CASHIER:CCARPEI9TER - COMMENTS , .AMOUNT PAID ..
Check MARK N SEBRING 93.60
1477
TOTAL PAID: 93.60