The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2007-4-19 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00574 ISSUED: 04/19/2007 APPLIED: 04/19/2007 EXPIRES: 10/19/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 326 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703263406200 Springfield TYPE OF WORK: Backflow Device PROJECT DESCRIPTION: Backflow device TYPE OF USE: New Public I DEVELOPMENT INFORM6tTfON I \\\~~ tI.\~\ over!~~,s~ ~\ \~ \~ ^ ~~'ilet' r'{3~"J~~~ '(\\C~" :\ S"?P-~~~'P~y^~~ \\t) \>\:.~~\ \J~V1\;)f~~~erage: ,,,:S \-\\)~\1~~\\ C0~ ~~ \\. ~~~~~Srf~lt~PROVEMENTSI 11.~\" \'C S' r-\{' Idewalk Type: Downspouts/Drains: Owner: Address: SPRINGFIELD SCHOOL DISTRICT 19 525 MILL ST SPRINGFIELD OR 97477 Contractor Type Landscape . ()u \0 . ~ \i\~\:JJ J \\\\\\~, I cO~~At1~~)!,AtOO~ nON I . O\e'J~ 0 'O'l \W u\es 'v 9'6~-\Jv Contra.ft~\0~~o09\e ,\,\ose ~ ~ O!>-"'- e ~u\e~~ense OW~R_.., ~u\es r p(\\e~' ," \\,\~ou~c. 0\ \\\ \ r'()'(\o(\e ~~~\\C~~~~-:O'l \~;~f~~~Tr1i~ I . o!>-~ \) ~'3-'i ~e~' (\ \)\\ ?JA.b;. \(\ r;:I~O''l.o \'(\e ce(\!tJ.fcSR, i~~~rz; o c'3-\\\(\C!J ( \O~ \'(\~ig~~ Structure: \,)'(0ue Ce(\\e~ype of Heat: ~ Water Type: Range,Type: Energy Path: Sprinkled Building: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pae:e 1 of2 Expiration Date Phone n/a Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00S74 ISSUED: 04/19/2007 APPLIED: 04/19/2007 EXPIRES: 10/1912007 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 1 Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Backflow Device Minimum/Adjustment Plumbing Amount Paid Date Paid $4.50 $2.25 $3.60 $14.00 $31.00 4/19/07 4/19/07 4/19/07 4/19/07 4/19/07 Receipt Number 1200700000000000438 1200700000000000438 1200700000000000438 1200700000000000438 1200700000000000438 Total Amount Paid $55.35 I 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. Reouired Insuections 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 times durin construction. , r7 I. l AI. ,&. a ty~t..~ Sig~atn," 4- /lrft7 , Date Pa2e 2 of2 225 Fifth Street ., Springfield, Oregon 97477 541-726-3759 Phone Cjhr of Springfield Official Receipt 1 :lopment Services Department Public Works Department Job/Journal Number COM2007-00574 COM2007-00574 COM2007-00574 COM2007-00574 COM2007-00574 Payments: Type of Payment Cash Change Job/Journal Number COM2007-00574 COM2007-00574 COM2007-00574 COM2007-00574 COM2007-00574 Payments: Type of Payment Cash Change cReceintl RECEIPT #: 1200700000000000438 Date: 04/19/2007 Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Backflow Device Minimum/Adjustment Plumbing Paid By SPFD SCHOOL DlST 19 SPFD SCHOOL DIST 19 Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Backflow Device Minimum/Adjustment Plumbing Paid By SPFD SCHOOL DIST 19 SPFD SCHOOL DIST 19 Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: Page 1 of I 1l:25:41AM Amount Due 2.25 3.60 4.50 14.00 31.00 $55.35 Amount Paid $60.35 ($5.00) $55.35 Amount Due 2.25 3.60 4.50 14.00 31.00 $55.35 Amount Paid $60.35 ($5.00) $55.35 4/19/2007