HomeMy WebLinkAboutPermit Plumbing 2007-9-27
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01472
ISSUED: 09/27/2007
APPLIED: 09/27/2007
EXPIRES: 03/27/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 890 MOUNTAINGATE DR
ASSESSOR'S PARCEL NO,: 1802032208300
SPRINGFIE TYPE OF WORK: Backflow Device
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Backflow device for park.
Owner: WILLAMALANE PARK & RECREATION
Address: 200 S MILL ST
SPRINGFIELD OR 97477
Phone Number: 541-736-4044
Contractor Type
Landscape
I CONTRACTOR INFORMATION I
Contractor License
EASDALE BACKFLOW AND IRRIGATION 7305
BUILDING INFORMATION I
Expiration Date
01/31/2008
Phone
541-926-8119
# 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:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
AI II:NTION:qyre~Wi requires you to
follow rules Qtj8~ 1ffm~egon Utility
Notification C~~,.d1h'&'SC8~ are set forth
in OAR 952-o0rQmf~~gAA,R 952-001-
0090. You may obtain copies of the rules by
n~~~~'tf~~t:;~~ i!~~ :h: ~~;:t~~n
venter I~U-"""~""}. S'd Ik T
I ewa ype:
DownspoutslDrains:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
~''lT'r.W;~ .- -liE '~IO"V
ALL I::X..I-'Ilil: Ir ... j Il\
Valuatio PtKlV,lI1 DER THIS PERMIT IS NOT
$ Per Sq Ft COMM~cm PI IS ABANDONEvOlFOR
on.r:\.l\\f DC t~~n a ue Date Calculated
or multiplier ANY 1 (llV.1WUl Kdt,,,\lwp.
Pal!e 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Backflow Device
Minimum/Adjustment Plumbing
Amount Paid
$5,00
$2.50
$4.00
$16.00
$34,00
Total Amount Paid
$61.50
Total Value of Project
Fees Paid I
Date Paid
9/27/07
9/27/07
9/27/07
9/27/07
9/27/07
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01472
ISSUED: 09/27/2007
APPLIED: 09/27/2007
EXPIRES: 03/27/2008
VALUE:
Receipt Number
1200700000000001244
1200700000000001244
1200700000000001244
1200700000000001244
1200700000000001244
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be ma~e the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
L Reouired 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction,
.~-~
-=---
Owner or Contractors Signature
Pal!e 2 of 2
j-l..'\ -~
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0l472
COM2007-0l472
COM2007-0l472
COM2007-01472
COM2007-01472
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000001244
Date: 09/27/2007
Description
Backtlow Device
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
EASDALE BACKFLOW
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh
3605
In Person
Payment Total:
Page 1 of I
1 :08:36PM
Amount Due
16.00
34.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
9/27/2007