HomeMy WebLinkAboutPermit Plumbing 2014-6-13 SPRINGFIELD • 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
.._.....L.......... i
l .i Phone: 541-726-3753
• ORE°°" Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01089
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/13/2014 EXPIRES: 12/09/2014
STATUS DATE: 06/13/2014 APPLIED: 05/16/2014
SITE ADDRESS: 1336 R ST,DPLX#,Springfield,OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1703252301800 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: P-New Duplex Phase 1 -1336/1338 R Street
OWNER: FREEMAN ROBERTJ Phone Number: 541-521-8997
ADDRESS: 3023 SKYVIEW LN
EUGENE OR 97405
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
I, INSPECTIONS REQUIRED
Inspections
3130 Footing/Foundation Drains
3150 Underslab Plumbing Underslab Plumbing: Prior to filling the trench and including required testing.
3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. .
3315 Water Line
3400 Storm Sewer Storm Sewer Line: Prior to filling trench.
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.
W < — C- 13 - / V
Owner or Contractor Signature Date •
ATTENTION: Oregon law requires you to
NOTICE: ''''''''.-•' 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 952.001-0010 through OAR 952-001-
COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone
ANY 180 DAY PERIOD. number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 6/13/2014 1:31'33PM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
�� TRANSACTION RECEIPT Spring field,oR97477
v A OREGON 541-726-3753
811-SPR2014-01089
www.springfield-or.gav 1336 R ST. DPLX permitcenter@springfield-ar.gov
RECEIPT NO: 2014001297 RECORD NO: 811-SPR2014-01089 DATE:06/13/2014
[DESCRIPTION m ACCOUNT CODE/TRANS CODE_ >_ AMOUNT DUE ,.
One or Two Family Dwelling with Three Bath 224-00000-425603 1005 966.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 115.92
Technology fee(5%of permit total) 100-00000-425605 2099 48.30
TOTAL DUE: 1,130.22
PAYMENTTYPE-_.._ _,FAYOR_ CASHIER:ccARPENTER__,_ -__COMMENTS,_ i:__ AMOUNTPAID -I
Check FREEMAN ROBERT J 1,130.22 .
2012
TOTAL PAID: 1,130.22
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