HomeMy WebLinkAboutPermit Plumbing 2014-09-12SPRINGF18LD _-
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v apringfieldocgov
CITY OF SPRINGFIELD
Building / Commercial Permit
PERMIT NO: 811-SPR2014-01974
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@spdngfleld-oF.gov
PROJECT STATUS: Issued ISSUED: 09/12/2014 EXPIRES: 03/11/2015
STATUS DATE: 09/12/2014 APPLIED: 09/12/2014
SITE ADDRESS: 3500 E 17TH AVE, Eugene, OR 97403 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1703343400301 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Partial reroof and rebuild mechanical penthouse
OWNER: LANE TRANSIT DISTRICT Phone Number:
ADDRESS: PO BOX 7070
SPRINGFIELD OR 97475
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lie No Lie Exp Phone
General Contractor UMPQUA ROOFING CO INC CCB 51465 10/06/2014 541-302-6850
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. 1 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.
Owner or Contractor Si n ture Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rL11GS 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 1-1300-332-2344).
TRIS PLI3MIT SI EXPIRE IF THE WORD
AUTHORIZED UNDER CHIS PERMIT IS NOT
( \gN1ENCED OR IS ABANDONLD FOR
ANY i W DAY PERIOD,
Springfield Building Permit 9/12/2014 9:46:09AM Page 1 of 1
SPRI NGFI�LD--
"OREGON
vnnv.spdngfieldar.gov
TRANSACTION RECEIPT
811-SPR2014-01974
3500 E 17TH AVE
CITY OF SPRINGFIELD
225 Fifth St
Spdngfield,OR 97477
541-726-3753
permitcenter@spdngfield-ocgov
RECEIPT NO: 2014002015 RECORD NO: 811-SPR2014-01974 DATE: 09/12/2014
Continuing Education Fee 224-00000-425606 2.50
Minimum Plumbing Fee (Three or Fewer Fixtures) 224-00000-425603 1057 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
Credit Card UMPQUA ROOFING CO INC 98.44
910127
TOTAL PAID: 98.44