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Permit Plumbing 2014-6-2
• • ' SPRINGFIELD 225 Fifth St ' ' - CITY OF SPRINGFIELD Springfield,OR 97477 f; La Phone: 541-726-3753 ' OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01000 www.springfield-or.gov perm itce nter©Springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/02/2014 EXPIRES: 11/28/2014 STATUS DATE: 06/02/2014 APPLIED: 05/06/2014 SITE ADDRESS: 780 S 57TH ST,Springfield,OR 97478 SCOPE: Bathroom • ASSESOR'S PARCEL NO: 1802041109000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Kitchen/bathroom expansion OWNER: HORTON REVOCABLE LIVING TRUST Phone•Number: ADDRESS: 780 S 57TH ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER • CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED J 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. .c.j ..),•N t'Ir'k•F==°1 - 1.12_ // / Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by �oTiI;E: THIS PERMIT SHALL EXPIRE IF THE W calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notification Center is 1-800-332-2344), COMMENCED OR IS ABANDONED FOR 'IV 180 DAY PERIOD. Springfield Building Permit 6/2/2014 12:16:12PM Page 1 of 1 'SPRINGFIELD CITY OF SPRINGFIELD ' t -/a, 225 Fifth St �,; TRANSACTION RECEIPT Springfield,OR 97477 c � ` OREGON 541-726-3753 811-S P R2014-01000 www Spr41001d-or.gov 780 S 57TH ST permitcenter @springfield-or.gov RECEIPT NO: 2014001198 RECORD NO:811-SPR2014-01000 DATE:06/02/2014 {DESCRIPTION ACCOUNTaCODEfTRANS CODE W, ::ANIOUNT DUES Bathtub 224-00000-425603 1005 21,00 Sink/basin/lavatory 224-00000-425603 1005 42.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.08 Technology fee(5%of permit total) 100-00000-425605 2099 4.20 Water closet 224-00000-425603 1005 21.00 - - - -- - - - - - TOTAL DUE: 98.28 `_PAYMENT TYPE _ PAYOR CASHIER:JLARSON • COMMENTS : r . AMOUNT PAID I - Credit Card Don M Horton - --- - --� - -- - -- - _ - - -_ 98.28 020556 TOTAL PAID: 98.28 Page 1 of 1 SET ID:780 S 57TH Menu Pay Help Set Members: 3 Terminal#: All Fees Paid: 0 Cashier ID: CCARPENTER Valuation: 513706.24 Date: 05/06/2014 Total Fee Assessed: 5644.50 Total Fee Invoiced: $644.50 Payments: $132.54 Balance: $511.96 Transactions Date Amount Receipt# Cashier ID Method Status Transaction Code 0 racorE(s)toun4. ly JD • https://av.prod.oregon.accela.com/portlets/fee/setPaymentLi st.do?mode=list&module=Build... 5/6/2014