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Home My WebLink AboutPermit Plumbing 2007-12-5 Status hsued CITY VJ:< ~rRINGFIELD . Building/Combination Permit PERMIT NO: COM2007-01770 ISSUED: 12/05/2007 APPLIED: 12/05/2007 EXPIRES: 06/05/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 715 Oakdale Ave ASSESSOR'S PARCEL NO.: 1703223400201 Springfield TYPE OF WORK: Backflow Device TYPE OF USE: New Residential PROJECT DESCRIPTION: Backflow devices (2) for domestic water Owner: MCKENZIE MEADOW APARTMENTS Address: 12570 SW 68TH AVE STE 200 A TTN BOWN FIN SVCS CORP nGARD OR 97223 I CONTRACTOR INFORMA nON I Contractor Type Plumbing Contractor RIGHT WAY PLUMBING License 49561 Expiration Date 12/16/2008 Phone 541-484-3787 I BUILDING INFORMATION I VB A # of Sto, ries: Lot Size: T-r-r~I""r:"'l\t, f fl' , Height oflStr,!I,cJII~~W requl'r Sq Ft 1st Floor: o OJ''. "".~~ ' es you to Notific pC'o.....ell't:ed by the Oregon Utili Sq Ft 2nd Floor: in OA m~ r. Those rules are set f ty Sq Ft Basement: 0090. ~e!f~l ~ through OAR 952-0~~~q Ft GaragelCarport eal/in ~~ ~y>f;htp.Jn caples of the rules b Sq Ft Other: numb~rd ~.!l~&i1~tkg!e: the te'~l'Ione YOccupant Load: " or the Ofl~,:"n" I '.m~ PJ _.. ~ I DEVELBM*r '~~i""un REQUIRED PARKING # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-1 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I ~UBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Notes: NOTICE: , THIS PERMIT SHA AUTHORIZED II EXPIRE IF THE WORK COMM1=M/"CO':' ~~Dl~~1HIS PERMIT IS NOT I A,~ I 11ill nAY PJ:"OIrt:. J1IVUUI~tU FOR V aluatlOn lTe~~th1tIOIl't'. DownspoutslDrains: Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage 01' Bid Amount Value Date Calculated Pa2e 1 01'2 _"',NO,," ~,','" lItii:~. t Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01770 ISSUED: 12/05/2007 APPLIED: 12/05/2007 EXPIRES: 06/05/2008 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paicl I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Backl10w Device MinimumlAdjustment Plumbing Amount Paid Date Paid Receipt Number $5.00 $2.50 $4.00 $32.00 $18.00 1215107 1215107 1215107 12/5107 1215107 1200700000000001462 1200700000000001462 1200700000000001462 1200700000000001462 1200700000000001462 Total Amount Paid $61.50 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. I ~e/luire~ hlsnections . Backl10w Device: Prior to covering and provide a copy of the test report on site at the time of inspection. By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 structnre without permissiou of the Community Services Division, Building Safety. I further certi(y 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 during construction. ~~t:1 /2-~-07 Owner or Contractors Signature Date Pa2e 2 of2 ZZ5 FIlTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~i ~; ~ .,~, I~ ~ 0) .~~~ " Ij I!J!!'., Owner ^^<.J~"'>-.A'f:'_ Mtf\J..ovJr ~~ ~1 ~ <rt: J Addres" ItS' lJ.M<..J 1>..\-1', ~)..t. City 'S, P P-hX\ l~ .'E~'-l ..-J rJ -; ~ f'\ Ij ~ 0) .,~j ~ ~ ~) ~j ~j ~ -oJ 'fI!!!!!4~ --'-'=i' ~ ~; ~j ~ ~ ~ ~j ~~11 ~ ~ r-r;=l: ~j ,.;:.. j ~) ~ ~) CITY OF SPRINGFIELD, OREGON s~ ~~~ C"lyJ bN b COVV\2-007- 0/770 I 0 urn P'~ , L \ . '1')-..~-f,'36i Job Location 7\ S 0f\l-..cl. A ~ t-\,i4- ~N..c:.\..~-"''tlt- fws,AOI).}'- ~-t-.. Assessors Mar ("7 () 3. z Z:3 l( Tax Lot 6 02.0 ( Phon'" J.,.(o~ U"3lD I Statp o>-.f..- ,Zip ~'/'-1/'7 BACKFLOW PREVENTION DEVICE PERMIT FEE: $61.50 , ()\1\O \I\tes'j U\i\\tf Contractor Information 01'1 \~'" t~OleOOIl ~ \ot\t' ~\O~'. Oleied 0'/ \"~\es ale S $\. Contractor '$Q \, t - v-M\tot~:t~~~;:-~~~~~ ~'It:..~ , \\\\08.\\01'1 oo,iJjI'lIco~es e\e're Addres< $ (j ~'I'>c ~ (j S" ~P'CII.~ 95'2: _a" ob\&.! \tlo\e',~_, NO\! onf" '-\. 'if \.\ -;>, '7 X '7 - ,(0 ~n .,g..'- ce(l\.... 011 U"~ 00....... n \"e ()'le~~:~- City ~ ~~~:~$tlM'O\P-... Zip~')I.{(J1 Construction Contractors Registration # L-Ict S I.., \ Expires \ ')... , , 4> - 0 ~ By signing this permit/application, I agree to call for an inspection once the backflow pr~~ion device has been installed and is visible for inspection (726-3769). I also state that al~W~~~6' this permit/application is correct. i{\ct~ r>.\.\. ~,~ ~~,,^\1 \S ~~\S ?~;,,^\'t ~t)~; 1\\\;~O"~t) fO~ Signatur"L;;;;;;;; _ ~ _ ~ ~\l1\\?r~~~tl O~ ~~~atP I ~ -s;- -0 ') CCl~\" ~n r\(>.'{ \'\:. . ~'{ ~uu u . " " po; . For Office Use tZ/)/07 I ~- Checked for Delinquencieo Date of Application Checked for Historical Statu< ~ Shared Drive (T:)lBuilding FonnsfBackflow Prevention 7-07.doc 225 Fifth Street Sprin.gfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01770 COM2007-0 1770 COM2007-0 1770 COM2007-0 1770 COM2007-01770 Payments: Type of Payment CreditCard cReceil1tl RECEIPT #: 1200700000000001462 Date: 12/05/2007 Description Backfiow Device MinimumlAdjustment Plumbing + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By RIGHT WAY PLUMBING Item Total: Check Number Authorization Received By Batch Number Number How Received djb 002677 In Person Payment Total: Page I of I 9:34:43AM Amount Due 32,00 18.00 2.50 4.00 5.00 $61.5U Amount Paid $61.50 $61.50 121512007