HomeMy WebLinkAboutPermit Mechanical 2014-09-12LSPRINGFIf LD -`
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OREGON
wvm.springfield-or.gov,
CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR2014-01977
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
petmitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/12/2014 EXPIRES: 03/11/2015
STATUS DATE: 09/12/2014 APPLIED: 09/12/2014
SITE ADDRESS: 5755 OBSIDIAN AVE, Springfield, OR 97478 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1802033207300 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Bedroom and playroom addition
OWNER: JAMES KARI B & ADAM S
ADDRESS: 5755 OBSIDIAN AVE
Phone Number:
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name
Lie Type
Lie No
Lie Exp Phone
Mechanical Contractor BEYMER HEATING & SHEET METAL CO CCB
4483
11/14/2014 541-688-5004
.._._..�,.--H.___..__-_..._______.—_........._..___._-_...__.._..._.._._.,..._._.-._...._-_.___�-____.�—._—__—._..—__—_
General Contractor BOOHER BUILDERS INC
CCB
9228
09/18/2016 541-895-3404
INSPECTIONS REQUIRED
Inspections
2300 Rough Mechanical Rough Mechanical: Prior to Cover
2999 Final Mechanical
Final Mechanical: When all mechanical 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.
Owner or Contractor Signature
ATI-Jj1lON: Oregon I w =r! sires you to
fo;hv rule"; adjp!�-i syr ;,tr Orepil Utility
Nohfn,tllon Ccntcl. Those I tiles are set forth
in OAR 962-001-0010 through OAfi 952_-001-
0000. YOU may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-234x1),
Date
I pt.l„
S [ 111VI1I "I IM -1- I-XPIRF IF THE WORK
if1DIZEO UNDFR FHIS PERMIT IS NOT
'."ICI -0 013 IS ABANDONED FOR
1x11' PFRIDD.
Springfield Building Permit 9/12/2014 11:33:22AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
d 225 Fifth St
TRANSACTION RECEIPT Springfield,OR97477
"- OREGON 541-726-3753
811-SPR2014-01977
w .spdngfield-or.gov 5755 OBSIDIAN AVE parmitc ntor@spdngfield-or.gov
RECEIPT NO: 2014002019 RECORD NO: 811-SPR2014-01977 DATE: 09/12/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE, AMOUNT DUE
Continuing Education Fee 224-00000-425606 2.50
First Appliance Fee 224-00000-425604 1006
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099
82.00
9.84
Technology fee (5% of permit total) 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
PAYMENT TYPE;' .;:..P,4YOR� � ,CASHIER: CCARPONTER COMMENTS AMOUNT PAID s
Credit Card BOOHER BUILDERS INC 98.44
03163g
TOTAL PAID: 98.44