HomeMy WebLinkAboutPermit Plumbing 2007-9-7
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01366
ISSUED: 09/07/2007
APPLIED: 09/07/2007
. EXPIRES: 03/07/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3909 S REDWOOD DR
ASSESSOR'S PARCEL NO.: 1802061109900
Springfield
TYPE OF WORK: Backtlow Device
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Backtlow
Owner: MANZER ELLEN L
Address: 3909 S REDWOOD DR
SPRINGFIELD OR 97478
I CONTRACTOR INFORMA nON I
Contractor Type
Plumbing
Contractor
PROGRASS
License
Expiration Date Phone
503-682-6076
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
SqFt 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: Oregon law requires you,t,o
follow rules adopted by the Oregon Utility
- ' -I - - - i..J~'" 'i"'" coot fl"\rth
Not\1lcallUlI 0<:;11'<:>1, I '.~~... <0.. - - . ,
. OAR 952-001-0010 through OAR 952-001-
~;~~fWTUa~.obtain copies of the rules by
calling thPcenter. (Note: the tel~~ho~e
R8mooo1U~~edil~gon Utility NotifIcation
Center is 1-500-332-2344).
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AU I HUKILtU UI\lUtt\ I n ~ ~~...II';;~- ;,:. ;,I,:.'f
COMMENCED OR IS AS Nl:}BlIMiilcfliHIDescri
ANY 180 DAY PERIOD.
$ Per Sq Ft
or multiplier
Description
Type of Construction
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 2
/
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01366
ISSUED: 09/07/2007
APPLIED: 09/07/2007
EXPIRES: 03/07/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid-l
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Backflow Device
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
$5.00
$2.50
$4.00
$16.00
$34.00
9/7/07
9/7/07
9/7/07
9/7/07
9/7/07
Receipt Number
1200700000000001173
1200700000000001173
1200700000000001173
1200700000000001173
1200700000000001173
Total Amount Paid
$61.50
1 Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reauired Insoections I
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
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 of 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
time, dU~:l~tiO~ a~ 0 f1 I(f) frn
'-./ _ I" - -r_( I ' r
Owner or Contractorli Signature ../ Date
Pae:e 2 of2
225 Fi(th Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01366
COM2007-01366
COM2007-01366
COM2007-01366
COM2007-01366
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
1200700000000001173
Date: 09/07/2007
Description
Backflow Device
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
LONNY R. COKELEY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 067638 In Person
Payment Total:
Page 1 of 1
2:56:26PM
Amount Due
16.00
34.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
9/7 /2007
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225 FIITH STREET . SPRINGFIELD, OR 97477 . PH:(541) 726-3753 · FA.'<:: (541) 726-3689
City Job Number({)fY'I 2,r)'[JI - 01 3 ~t;:;
Job Location+l t cl ~';:...fl f' rf , :', 'fY( Qt.." \ ;;"-'L \ J" ,'11') -C ',. t I J j {I ,.2.. (i..:L:L1 ~
Assessors Mar
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BACKFLO'V PREVENTION DEVICE PERMIT FEE: $61.50
Contractor Information
Contractor
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Address
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Construction Contractors Registration # 1/ r ) C I
Expires
By signing this permit/application, I agree to call for an inspection once the backflow prevention device
has been installed and is visible for inspection (726-3769). I also state that all information on this
permit/application is correct.
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SignatufP
For Office Use
Date of Application
f}-7-(Y7
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Checked for Historical Status
----------
Checked for De1inquenci("~
Shared Drive (T:)/Building Fonns/Backflow Prevention 7-07,doc