HomeMy WebLinkAboutPermit Plumbing 2014-5-20 SPRINGFIELD -- 225 Fifth St
htCITY OF SPRINGFIELD Springfeld,OR97477
(( v Phone: 541-726-3753
\ OREGON Building / Residential Permit Inspection Phone: 541-726-3769
_ Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01105
www.springfield-or,gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 05/20/2014 EXPIRES: 11/15/2014
STATUS DATE:. 05/20/2014 APPLIED: 05/20/2014
SITE ADDRESS: 2600 WAYSIDE LN,Springfield,OR 97477 SCOPE: Bathroom
ASSESOR'S PARCEL NO: 1703224402600 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: P-Bathroom remodel
OWNER: ADRIANCE WALTER M Phone Number:
ADDRESS: 2600 WAYSIDE LN
SPRINGFIELD OR 97477
OWNER: WALL RUNGRAWE Phone Number:
ADDRESS: 2600 WAYSIDE LN
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
,
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor ONMER CCB 000000 08/01/2025
Electrical Contractor OWNER CCB 000000 08/01/2025
Plumbing Contractor OWNER CCB 000000 08/01/2025
' Mechanical 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.
3650 Shower Pan Shower Pan. Prior to covering 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.
.siv,4 eti-t_r . 5-72_0/20i ,
Owner or C ntractor Signature Date AT ENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility ,
JOE; - Notification Center. Those rules are set forth ,
115 PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001-
ITHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by
• calling the center. (Note: the telephone
IMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification
il' 180 DAY PERIOD. Center is 1-800-332-2344).
Springfield Building Permit 5/20/2014' 9:57:44AM Page 1 of 1
SPRINGFIELD- CITY OF SPRINGFIELD
225 Fifth St
I= i OREGON TRANSACTION RECEIPT Spdngtield,OR 97477
541-726-3753
811-SPR2014-01105
www.springfield-or.gov 2600 WAYSIDE LN permitcenter@springfield-or gov
RECEIPT NO: 2014001098 RECORD NO:811-SPR2014-01105 DATE:05/20/2014
iO4--4:7(711[oj;f '` 741E.Sif- `' !A GCOUNT.CODEEMANS,CODEC4 ?AiirAMOUNTC?P
Minimum Plumbing Fee(Three or Fewer Fixtures) 224-00000-425603 1057 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
Warm ENTi TLPE PAY,OR CASHIER:LCARPENTER - OMMENT$ AMOUNlifmtp'
Credit Card ADRIANCE WALTER M 93.60
224266
TOTAL PAID: 93.60
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