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HomeMy WebLinkAboutPermit Plumbing 2007-11-30 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-01756 ISSUED: 11/30/2007 APPLIED: 11/30/2007 EXPIRES: 05/30/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 380 Mountaingate Dr ASSESSOR'S PARCEL NO.: 1702343402000 Springfield TYPE OF WORK: Backflow Device TYPE OF USE: New Residential PROJECT DESCRIPTION: backflow device Owner: FREE ROBERT Address: 2833 TULIP ST EUGENE OR 97408 I CONTRACTOR INFORMATION I Contractor Type Landscape Contractor STAR LANDSCAPE License 6196 Expiration Date 02/2812008 Phone 541-998-2039 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: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive RqdATTfNTION: Oreqon law reqgP.m:P~E>H to % of Lot Covera'ge:"."v rUde..',,,, adopted by the Oregon Utility NGliJlCatlon Center. Those rules are set forth in r, ,\ Q ('::'0 ('\('\1 ('\('\1 ('\ .k__.. -'1- n/. ""~;...~. -.- l - - . - ~. ". J"":::J t ~ ',I ~ \,.,IV!;: vv .. I PUBLIC IMPROVENf'ENJfSYI'U may obtain copies of the rules by Street Improvements: ~HJnclE. ""","\:-) the .~1Rter:iI'(t)tQte:.the telephone TI1IS .. number for rrre:<<rntf~ohY"e~nity Notification Storm Sewer Available: !\ I JTH6ERMIT SHALL EXPIRE IF THE W CenttJo!Wn~4!~4). Special Instruction: ~...I' RIZED UNDER THIS PERM ORK vOMMENCED OR IS ABA IT IS NOT ANY 180 DAY PERIOD. NDONED FOR Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!:e 1 of2 Status Issued CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2007-01756 ISSUED: 11/30/2007 APPLIED: 11/30/2007 EXPIRES: 05/30/2008 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' Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Backflow Device Minimum/Adjustment Plumbing Amount Paid Date Paid Receipt Number $5.00 $2.50 $4.00 $16.00 $34.00 11130/07 11/30/07 11/30/07 11/30/07 11130/07 2200700000000001758 2200700000000001758 2200700000000001758 2200700000000001758 2200700000000001758 Total Amount Paid $61.50 I Plan Reviews, 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 Reouired Insoections . 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 be)lermit ca~s-located at the front of the property, and the approved set of plans will remain on the site at all times du . g ionstr ?tiOii. It/JV/O-C Date Pal!:e 2 of2 225 Fifth Street Sprjngfleld, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01756 COM2007-01756 COM2007-01756 COM2007-01756 COM2007-01756 Payments: Type of Payment Check cReceint 1 RECEIPT #: 2200700000000001758 Date: 11/30/2007 Description Backflow Device Minimum/Adjustment Plumbing + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By STAR LANDSCAPE Item Total: Check Number Authorization Received By Batch Number Number How Received njm 6003 In Person Payment Total: Page 1 of 1 10:48:59AM Amount Due 16.00 34.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 11/30/2007