HomeMy WebLinkAboutBuilding Plumbing 2014-6-2 . SPRINGFIELD - 225 Fifth St
A _ CITY OF SPRINGFIELD Springfield,OR 97477
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:', Phone: 541-726-3753
`-" OREGON Building I Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2 01 4-01 0 01
www.springfield-ar.gov permitcenter @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
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
construction.
(C----9M M 4f,—/I 1
Owner or Contractor Signature Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility NOTICE:
Notification Center. Those rules are set forth TH POERLL PE IF THE W
in OAR 952-001-0010 through OAR 952-00t- AUTHIS RIZED MIT UNDER SHA THIS EX IR PER MIT IS NOT ORK
0090. You may obtain copies of the rules by
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).
Springfield Building Permit 6/2/2014 12:12:46PM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
o E�oN TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
811-SPR2014-01001
www.springfield-or gov 780 S 57TH ST permitcenter @springfield-or.gov
RECEIPT NO: 2014001197 RECORD NO:811-SPR2014-01001 DATE:06/02/2014
[DESCRIPTION �,. ACCOUNT CODE/TRANS-CODE- _ _„_AMOUNT_DUE__!
First Appliance Fee 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
PAYMENT TYRE _ PAYOR, cASRIER:JLARSON.- COMMENTS - .< ,AMOUNT PAID
Credit Card Don M. Horton 93.60
020556
TOTAL PAID: 93.60
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