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