HomeMy WebLinkAboutPermit Mechanical 2014-5-16 SPRINGFIELD • 225 Fifth St
" I — 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-SPR2014-01027
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 05/16/2014 EXPIRES: 11/11/2014
STATUS DATE: 05/16/2014 APPLIED: 05/09/2014
SITE ADDRESS: 2322 10TH PL,Springfield,OR 97477 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1703261203700 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Garage conversion and interior remodel,adding bathroom
OWNER: MUSSACK STEVEN E IRA FBO Phone Number: 541-953-8751
ADDRESS: 4988 CHANCELLOR LN
EUGENE OR 97405
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General 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 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.
j` _ - S1/46 /I 7
Owner or Contractor Signature Date
ATTENTION: Oregon law requires you to
HIS PE NOTICE: follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
THIS PERMIT SHAEL EXPIRE IF THE S NOT Tru
in OAR 952 001 obtain copies ofthe ru?es by
rOMMENC DOOR SRABANDONED FOR O 0090. You may
Calling the center. (Note: the telephone
,NY 180 DAY PERIOD. number egn ty Notification
Center for the is Or 1 600o -332 Utili 2344).
Springfield Building Permit 5/16/2014 11:07:31AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
"\tti TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
811-S PR2014-01027
www.springfield-or.gov 2322 10TH PL permitcenter @springtield-or.gov
RECEIPT NO: 2014001077 RECORD NO:811-SPR2014-01027 DATE:05/16/2014
(DESCRIP.TION__, _ — _1' --_-. ACCOUNT CODE/TRANS_CODE.—_-'_: _ AMOUNTDUEL
First Appliance Fee 224-00000-425604 1006 80.00 _
Single-duct exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 10.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.80
Technology fee(5%of permit total) 100-00000-425605 2099 4.50
—. --------- --- -------- – ------
TOTAL DUE: 105.30
I_ PAYME_NT_TYPE _PAYOR CASHIER:CCARPENTER COMMENTS _ `AMOUNT PAID • {
Check Matthew Sutton 105.30
1001
TOTAL PAID: 105.30
•