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Home My WebLink AboutPermit Plumbing 2014-07-28SPRINGFIELD ' CITY OF SPRINGFIELD oaec°" Building / Commercial Permit PERMIT NO: 811-SPR2014-01590 www.springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/28/2014 STATUS DATE: 07/28/2014 APPLIED: 07/24/2014 SITE ADDRESS: 3333 RIVERBEND DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703220004102 -PROJECT DESCRIPTION:— -P= Sink— Tenant OWNER: PEACEHEALTH ADDRESS: 1115 SE 164TH AVE 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 641-726-3676 permitcenter@spdngfield-ongov EXPIRES: 01/23/2015 SCOPE: Hospital TYPE OF STRUCTURE: Commercial Phone Number: VANCOUVER WA 98683 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone General Contractor GREENBERRY CONSTRUCTION LLC CCB 166612 09/26/2015 541-752-0381 Plumbing Contractor TWIN RIVERS PLUMBING INC CCB 17695 03/11/2015 541-688-1444 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, 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. /1 A T1 11S PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED COMMENCED ORD PERMITER THIS OT S ABANDONED FOR ANY 180 DAY PERIOD. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Ulilily 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 numbeis 1800.332-Utilit2 44)Notificaitarl Center Spdngfield Building Permit 7/28/2014 3:08:42PM Page 1 of 1 Owner or Contractor Signature Date T1 11S PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED COMMENCED ORD PERMITER THIS OT S ABANDONED FOR ANY 180 DAY PERIOD. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Ulilily 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 numbeis 1800.332-Utilit2 44)Notificaitarl Center Spdngfield Building Permit 7/28/2014 3:08:42PM Page 1 of 1 SPRINGFIELD---"- CITY OF SPRINGFIELD 1 4i225 �; TRANSACTION RECEIPT Fifth Sl Spnngfield,OR97477 , OREGON 811-SPR2014-01590 541-726-3753 yr .springfield-or.gov 3333 RIVERBEND DR permitcenter@spdngfield-ocgov RECEIPT NO: 2014001616 RECORD NO: 811-SPR2014-01590 DATE: 07/28/2014 1 i. e Balance of Minimum Plumbing Permit Fees 224-00000-425603 1005 61.00 Continuing Education Fee 224-00000-425606 2.50 Sink/basin/lavatory 224-00000-425603 1005 21.00 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 iiREERIE -6 Check GREENBERRY CONSTRUCTION LLC 98.44 22711 TOTAL PAID: 98.44