HomeMy WebLinkAboutPermit Mechanical 2014-5-16 •
SPRINGFIELD • 225 Fifth St
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: 811SPR2014-01078
vmw.springfieldor.gov permitcenter @spdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 05/16/2014 EXPIRES: 11/11/2014
STATUS DATE: 05/16/2014 APPLIED: 05/16/2014
SITE ADDRESS: 4878 E ST,Springfield,OR 97478 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1702332301405 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Bathroom addition-132 SF
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OWNER: HENRY JOHNNY D Phone Number:
ADDRESS: 4878 E ST
SPRINGFIELD OR 97478
_ CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Mechanical Contractor MARSHALLS INC CCB 25790 12/23/2015 541-747-7445
General Contractor KELLY M KING CCB 65401 04/27/2015 541-520-1922
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
cons ' for
i 546720d
Owner or Contr: or Signature Date
follow rules•
ATTENTION: Oregon law requires you to
Notification Cennter. Those rules are set forth
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NOTICE: in OAR 952-001-0010 through OAR 952-001-•
THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by
AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone •
COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification
ANY 180 DAY PERIOD. Center is 1-800-332-2344),
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Springfield Building Permit 5/16/2014 8:36:42AM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
225 Fttth St
I TRANSACTION RECEIPT Springfield.OR 97477
OREGON 541-726-3753
811-SPR2014-01078
vnvw.spnngfield-o r.gov 4878 E ST permitcenter@springfield-or.gov
RECEIPT NO: 2014001073 RECORD NO:811-SPR2014-01078 DATE:05/16/2014
I R : u tdaSS.'_ L 7%- =e'.t_.t_C4:`,Lr-_y^__ACCOUNTICODETRANSCODE TI '. Ate` AMOUNTmDUE^
First Appliance Fee T 224-00000-425604 1006 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
4
ii;PAYMENT..TYPE?_`�_PAYOR-�: :ra_ .��^COMMENTS �.'._.e -�.._.r,-F-:.e.-AMO1 N bar:11Y-Ffr .-ii'!.'-T 11
Check KELLY M KING 93.60
3440
TOTAL PAID: 93.60