HomeMy WebLinkAboutPermit Plumbing 2014-5-16 •
SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
si u Phone: 541-726-3753
GREG°" Building / Residential Permit . Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01079
•
www.springfeld-or.gov - permitcenter @springfield-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: Bathroom
ASSESOR'S PARCEL NO: 1702332301405 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Bathroom addition-132 SF
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
Plumbing Contractor - RS PLUMBING CONTRACTOR INC CCB 103816 01/04/2016 541-461-4714
General Contractor KELLY M KING CCB - 65401 04/27/2015 541-520-1922
INSPECTIONS REQUIRED 4
•
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.
iror
/672 0/
Owner or C.• -ctor Si. -ture Date
NOTICE: . • ATTENTION: Oregon law requires you to -
follow rules adopted by the Oregon Utility
THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth
AUTHORIZED UNDER THIS PERMIT IS NOT in OARt952-001-0010 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 8:37:03AM Page 1 of 1
•
SPRINGFIELD- -- CITY OF SPRINGFIELD
`I ^^- 225 Fifth St
OREGON TRANSACTION RECEIPT Spnngfield,OR 97477
541-726-3753
811-SPR2014-01079
www.spnngfield-or.gov 4878 E ST permitcenter @spnngfield-or.gov
RECEIPT NO: 2014001074 - RECORD NO:811 SPR2014-01079 DATE:05/16/2014
lo] YN•1191tl(o]' '_,.:':.. .t.,.�:�.:_T. ..��at_.-.�_ ,etik=:ACCOUNT'CODELTRANS:CODE tAMOUNTOM�_s
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: 9160
IrEP--AYMENTg1NP.E SAVOR .casw'°@'ER:`ICCaReeNleTM -= COMMENTS n .AMQUNTS.F2I9.4tr :,,,a,�„"��►"at
Check KELLY M KING 93.60
3440
TOTAL PAID: 93.60