HomeMy WebLinkAboutPermit Plumbing 2014-07-24SPI21NGfIGLD
-=' OREGON
v v.spdngfieid-or.gov
CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR2014-01495
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@spdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/24/2014 EXPIRES: 01/19/2015
STATUS DATE: 07/24/2014 APPLIED: 07/10/2014
SITE ADDRESS: 186 DEADMOND FERRY RD, Springfield, OR 97477 SCOPE:
ASSESOR'S PARCEL NO: 1703140001500 TYPE OF STRUCTURE:
_.-...._ PROJECT DESCRIPTION
OWNER: EILERS DIANA D Phone Number:
ADDRESS: 449 N 9TH ST
SPRINGFIELD OR 97477
OWNER: EILERS KENNETH E & DIANA D Phone Number:
ADDRESS: 449 N 9TH
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type Lic No Lie Exp Phone
INSPECTIONS REQUIRED
Inspections
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, 1 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.
wf
Own or Contractor Signature Dat
NOTICE:
TRIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit
1. CrePnn law requires you to
;adopted by the Oregon Utility
Genter. Those rules are set forth
>;'-001-0010 through OAR 952.001
You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1.800.332-2344).
7/2412014 10:16:34AM
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L
CPPV OF SPRINGFIELD
225 Fifth Sl
, TRANSACTION RECEIPT Spdngfield,OR07477
OREGON 541-726-3753
811-SPR2014-01495
www.springfield-ocgov 186 DEADMOND FERRY RD permilcenter@spdngfield-ocgov
RECEIPT NO: 2014001588 RECORD NO: 811-SPR2014-01495 DATE: 07/2412014
DESCRIPTION "ACCOUNT CODE/TRANS CODE AMOUNT DUE
Balance of Minimum Plumbing Permit Fees 224-00000-425603 1005 82.00
Continuing Education Fee 224-00000-425606
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099
Technology fee (5% of permit total) 100-00000-425605 2099
2.50
9.84
4.10
TOTAL DUE: 98.44
PAYMENT TYPE PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID
405534
TOTAL PAID: 98.44