HomeMy WebLinkAboutPermit Plumbing 2014-4-29 SPRINGFIELD-' 225 Fifth St
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` CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753.
•Mt l OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00938
www.springfield-or.gov pe rmitce nter @springfield-or.gav
PROJECT STATUS: Issued ISSUED: 04/2912014 EXPIRES: 10/26/2014
STATUS DATE: 04/29/2014 APPLIED: 04/29/2014
SITE ADDRESS: 3467 SUE ANN CT,Springfield,OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1702194201300 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: P-Garage conversion to living room-Add sink-See Inquiry case S14--755 regarding ceiling
ht
OWNER: JAFFARIAN EARL MICHAEL&DAWNA SENKEL Phone Number: 541-731-0961
ADDRESS: 3467 SUE ANN CRT
SPRINGFIELD OR 97477 .
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor MARK N SEBRING CCB 33315 07/27/2014 541-521-9240
L INSPECTIONS REQUIRED
Inspections
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.
.T1. a CO 9Il14
Owner or Contractor Signature Date
ATTENTION: Oregon law requires you to
NOTICE: follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001-
AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by
COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone
ANY 180 DAY PERIOD. number for the Oregon Utility Notification
Center is 1-800-332-2344).
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Springfield Building Permit 4/29/2014 8:32:20AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
A.t. ,:a>A. - 225 Fifth St
' -a kCo TRANSACTION RECEIPT springfied.oR97477
OREGON 541-726-3753
811-S P R2014-00938
www.springfield-or.gov 3467 SUE ANN CT permitcenter @springfield-or.gov
RECEIPT NO: 2014000945 RECORD NO:811-SPR2014-00938 - DATE:04/29/2014
DESCRIPTION_ _, _ ACCOUNT_CODE/TRANS CODE _ -___-,_AMOUNT,DUE_-!
Minimum Plumbing Fee(Three or Fewer Fixtures) 224-00000-425603 1057 80.00
SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 69.64
SDC: Reimbursement Cost- Local Wastewater 442-00000-448024 1183 142.68
SDC:Total Sewer Administration Fee 719-00000-426604 1175 10.62
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: 316.54
AMOUNT PAID: '
,_ PAYMENT TYPE„_ _YPAYOR- •cnswER:CCaRPeRrER -�_�COMMENTS__ �. :,-___ 1__ ...-_1 . ._ ._ _ _. _—.-_.
Check MARK N SEBRING 316.54
1477
TOTAL PAID: 316.54
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