HomeMy WebLinkAboutPermit Plumbing 2014-09-29GFIELD
225 Fifth St
L-2
CITY OF SPRINGFIELD
Springfield,OR97477
Phone:541-726-3753
OREGON
Building If Commercial Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-02099
wvrw.springfeld-or.gov
permitcenter@spnngfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/29/2014 EXPIRES: 03/28/2015
STATUS DATE: 09/29/2014 APPLIED: 09/29/2014
SITE ADDRESS: 1250 RAINBOW DR, APT# 1, Springfield, OR 97477 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1703273402602 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: P - Parking lot rehabilitation
OWNER: RAINBOW VILLAGE INC Phone Number:
ADDRESS: 1250 RAINBOW DRIVE
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor EMERALD EXCAVATING INC CCB 14173 07/14/2016 541-345-1505
INSPECTIONS REQUIRED
Inspections
3400 Storm Sewer Storm Sewer Line: Prior to filling trench.
3440 Culvert/Catch Basin
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.
`1/1,7 4
Own or Contractor Slgnal re Date
ATTENTION: 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 1-500-332-2344),
0F:
iS PERMIT SHALL EXPIRE IF THE WORK
11IORIZED UNDER -THIS PERMIT IS NOT
i ;,, +,1ENCED OR IS ABANDONED FOR
:!Y 180 DAY PERIOD.
Springfield Building Permit 9/29/2014 9:12:03AM Page 1 of 1
LPRINGFIELD CITY OF SPRING FIELD
riw 225 Fifth St
TRANSACTION RECEIPT SpringfieldpR 97477
OREGON 641-72E3753
811-SPR2014-02099
mm.springfield-ocgov 1250 RAINBOW DR. APT 1 permits nter@springrield-ocgov
RECEIPT NO: 2014002147 RECORD NO: 811•SPR2014-02099
DATE: 09/29/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE AMOUNT DUE
Catch basin or area drain
224-00000-425603
1005
84.00
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
30.36
Storm Sewer
224-00000-425603
1005
85.00
Storm Sewer - Each additional 100 feet or portion of
224-00000-425603
1005
84.00
Technology fee (5% of permit total)
100-00000-425605
2099
12.65
TOTAL DUE: 296.01
PAYMENTTYPE PAYOR 'CASRIER:RHOLMAN
COMMENTS
AMOUNT PAID
Credit Card Branch Eng
296.01
02190z
TOTAL PAID: 296.01