HomeMy WebLinkAboutPermit Plumbing 2014-5-20 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
t Phone: 541-726-3753
OREGON Building I Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01094
wvrx.spdngfield-ar.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 05/20/2014 EXPIRES: 11/15/2014
STATUS DATE: 05/20/2014 APPLIED: 05/16/2014
SITE ADDRESS: 3550 GATEWAY ST,Springfield,OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1703153301700 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Channel Drain
OWNER: INN4 LLC Phone Number:
ADDRESS: 3550 GATEWAY
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Plumbing Contractor PRO MECHANICAL LLC CCB 199786 05/07/2015 541-554-4307
INSPECTIONS REQUIRED
Inspections -
3400 Storm Sewer Storm Sewer Line: Prior to filling trench.
By signature, I state and agree,that[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 Sig` ure Date
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ON: Oreg°n law he Oreg n ut\vtw NOTICE:
praru1 adopted by are set loft THIS PERMIT SHALL EXPIRE IF THE WORK oes Notification Oe t0010 through OAR rues�by the AUTHORIZED UNDER THIS PERMIT IS NO
in OAR 952-001-obtain c°pees° teleph°ne COMMENCED OR IS ABANDONED FOR
0090. you may Note•the{gotificatiofl ANY 180 DAY PERIOD.
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Springfield Building Permit 5/20/2014 2:31:56PM Page 1 of 1
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SPRINGFIELD - CITY OF SPRINGFIELD
' 225 Fifth St
0 OREGON TRANSACTION RECEIPT Springrield,OR 97477
541-726-3753
811-SPR2014-01094
www.spdngield-or.gov 3550 GATEWAY ST • permitcenter @spnngield-or.gov
RECEIPT NO: 2014001107 RECORD NO:811SPR2014-01094 DATE:05/20/2014
j olhol:7bttl�ov]lk 47,`.ti ,2 141i:_.=_ '- ?" _ Z?F 'rACCOUNT CODE/TRANS CODE J .__ir='-.- `AMOUNT'DUE. =?..
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.02
Storm Sewer 224-00000-425603 1005 83.50
Technology fee(5%of permit total) 100-00000-425605 2099 4.18
TOTAL DUE: 97.70
tPAY.MENTTex -P,AYERI. cnsNtTi:�eG'4p ie OMITh ,;t{CO nmENSMOUNTiPA ometo "
Credit Card clerk schaefer - 97.70
01512d ,
TOTAL PAID: 97.70
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