HomeMy WebLinkAboutPermit Mechanical 2014-6-10 •
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SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR97477
,�t Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01256 •
www.springfieldor.gov permitcenter(glspdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/10/2014 EXPIRES: 12/06/2014
STATUS DATE: 06/10/2014 ' APPLIED: 06/10/2014
SITE ADDRESS: 499 34TH ST,Springfield,OR 97478 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1702312410702 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: M-Convert garage to living room,incl prior bedroom conversion.
OWNER: OSTERHOFF JEFFERY SD&TINA M Phone Number:
ADDRESS: 499 34TH ST
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER - COB 000000 08/01/2025
Mechanical Contractor OWNER - CCB 000000 08/01/2025
Electrical Contractor OWNER CCB 000000 08/01/2025
INSPECTIONS REQUIRED .
Inspections
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2300 Rough Mechanical Rough Mechanical: Prior to Cover
2997 Final Medical Gas Final Medical Gas: When all medical gas work is complete and certificate is provided
to inspector from verifier.
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 hereiri, 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.•
04 or Contractor Signature Date
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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 oAR 952 Dot 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
Springfield Building Permit 6/10/2014 10:37:53AM Center is 1-800-332-2344)• Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
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h225 Fifth St
. TRANSACTION RECEIPT Springfield,OR97477
"OREGON 541-726-3753
811-SPR2014-01256
www.springfeld-ar.gov 499 34TH ST permitcenter @spdngfield-or.gov
RECEIPT NO: 2014001260 RECORD NO:811SPR2014-01256 DATE:06/10/2014
hm_*ae],nAtrsuC.-_.rta`w = ,_rt' ':. F3_ ;-.Lr .i.y-sue,'ACCOUNT CODE/TRANSCODELIn "AMOUNTOUE-`g
• Continuing Education Fee 224-00000-425606 2.50 •
First Appliance Fee 224-00000-425604 • 1006 82.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.84
Technology fee(5%of permit total) 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
PAYMENT=TYPE PAYOR CasNIER:ccaReENfER at GOM
_. MENT§f . AMOUNTyPAID"
Credit Card OSTERHOFF JEFFERY SD 8 TINA M 98.44
05286b
TOTAL PAID: • 98.44
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