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 / ..- 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 ~ o . ,....( ~ ~ u .. ,..... I r"'t , , ". n ,.' ..,\ < ~ .~ S H (l.) rl (j) U · ,...-.l > cu. n c o . ,....( ~ Q Q) > C) H r'1 ~ o , r j I ,I ,V1 u ro m 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 . Tax Lot Owner t-: i \ f '\ J 1. \ . ._ .,_ .' , I II ~,\ ''L- i: " Address '"") (""1 ~. C ". I L \ .r "::> , ,r ' , I I I, f /,\ U.o c',' { \ Phonf' j),.( \ :,7 . c_ City r' ,C-. (, ( " l-r,,- -. -, .'"\'~, /'(1\, ;,' f l\.. - ] - 'J - " .. \ Statp (} ii'- Zip C(7L./ 1 ~? BACKFLO'V PREVENTION DEVICE PERMIT FEE: $61.50 Contractor Information Contractor ._~ -) . -' ~-j I... ( /- -1~ r-\ </ '\ ~J . ~ 1 (- , i . ~ . Address -"\'~J' S ..1. ~'( ,--r"p. .,. ,'; l . '. ~ ~.., ',y.iJ j. , . ~1 F; . ~ Phont' , '" .., 6;' 1'''-' /.- ~ _ ( , ~..:.-- .~;i I - !i,' l .... ......., \' " ., I / ,+,' (, .' <. J ~ ; \. City {I_',' I \l./I j..! ,." :~'- Zip ell C 1 [) State ( /,.-.... 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. \, / /:':,""'1'1 ~ I I Date (j cf ( eL! (, (,- , ,', j, i . i~;JI ( ( ,- ~ L ':'-.;,. 'I SignatufP For Office Use Date of Application f}-7-(Y7 ~. Checked for Historical Status ---------- Checked for De1inquenci("~ Shared Drive (T:)/Building Fonns/Backflow Prevention 7-07,doc