HomeMy WebLinkAboutPermit Plumbing 2014-07-24GFIELD -
Phone Number:
225 Fifth St
LITCITY
OF SPRINGFIELD
Springfield,OR97477
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CONTRACTOR INFORMATION
Phone: 541-726-3753
ONEGON
Building / Commercial Permit
Inspection Phone: 541-726-3769
INSPECTIONS REQUIRED
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01589
Underslab Plumbing: Prior to filling the trench and including required testing.
v .spdngfield-or.gov
Rough Plumbing: Prior to cover and including required testing.
permilcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/24/2014 EXPIRES: 01/19/2015
STATUS DATE: 07/24/2014 APPLIED: 07/24/2014
SITE ADDRESS: 3333 RIVERBEND OR, Springfield, OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1703220004102 TYPE OF STRUCTURE: Commercial
--------PROJECT-
OWNER: PEACEHEALTH
Phone Number:
ADDRESS: 1115 SE 164TH AVE
VANCOUVER WA 98683
CONTRACTOR INFORMATION
Contractor Type Contractor
Name Lic Type Lic No Lic Exp Phone
General Contractor GREENBERRY CONSTRUCTION LLC CCB 166612 09/2612015 541-752-0301
Plumbinli Contractor TMNRIVERS PLUMBING INC CCB v 17695 03/11/2015---s4!--6W- 444
INSPECTIONS REQUIRED
Inspections
3150 Underslab Plumbing
Underslab Plumbing: Prior to filling the trench and including required testing.
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. /i
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Owner or t'ftractor Signah Date
NIIOTICE:
T HIS PERMIT SHALL EXPIRE IF THE WORK
AUl-1-IORIZED UNDER THIS PERMIT IS NOT
CoMiMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
ATI-ENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952.001-
0090. 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).
Springfield Building Permit 7/2412014 10:03:48AM Page 1 of 1
L�lGFIELD CITY OP SPRINGFIELD �„ 225 FJIh St
�„ TRANSACTION RECEIPT Sp ngfeld,OR97477
OREGON 541-7263753
811 -SP R2014-01589
%w .spnngfield-ocgov 3333 RIVERBEND DR permitoenter@spdngfield-or.gov
RECEIPT NO: 2014001587 RECORD NO: 811-SPR2014-01689 DATE: 07/24/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Continuing Education Fee 224-00000-425606 2.50
Sink/basin/lavatory 224-00000-425603 1005
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099
147.00
17.64
Technology fee (5% of permit total) 100-00000-425605 2099 7.35
TOTAL DUE: 174.49
PAYMENTTYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID ;.
Gredit Card James Willis 114.4v
000347
TOTAL PAID: 174.49