HomeMy WebLinkAboutPermit Plumbing 2014-5-16 •
SPRINGFIELD-••■■• 225 Fifth St
`t ' 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-SPR2014-01028
www.springtield-or.gov permitcenter @springfieldor.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: Plumbing Only
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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
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
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.
//6,7Cr
Owner or Contractor Signature Date
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NOTICE: ATTENTION: Oregon law requires you to
THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001-
COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by
ANY 180 DAY PERIOD. calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 5/16/2014 11:05:30AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
t i .n+a��. 225 Fifth St
TRANSACTION RECEIPT Springfield.oR97477
'-:": t 541-726-3753 .
OREGON 811-SPR2014-01028
wwwspringfield-orgov 2322 10TH PL permitcenter@springfield-or.gov
RECEIPT NO: 2014001078 RECORD NO: 811-SPR2014-01028 DATE:05/16/2014
;DESCRIPTION. s. �: = " ACCOUNT/CODE/TRANS CODE_:„. ` AMOUNT.DUE :.
Bathtub 224-00000-425603 1005 21.00
Shower/Shower pan 224-00000-425603 1005 21.00
Sink/basin/lavatory 224-00000-425603 1005 63.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 17.64
Technology fee(5%of permit total) 100-00000-425605 2099 7.35
Water closet 224-00000-425603 1005 21.00
Water heater 224-00000-425603 1005 21.00
TOTAL DUE: 171.99
I PAYMENT TYPE__PAYOR - CASHIER:CCARPENTER '' COMMENTS - AMOUNT PAID
Check Matthew Sutton 171.99
1001
TOTAL PAID: 171.99