HomeMy WebLinkAboutPermit Plumbing 2008-1-24
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00882
ISSUED: 0611512007
APPLIED: 0611512007
EXPIRES: 1211512007
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54] -726-3 769 Inspection Line
SITE ADDRESS: 1356 LA WNRIDGE AVE
ASSESSOR'S PARCEL NO,: ]703252202900
Springfield TYPE OF WORK: Backflow Device
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Backflow device
Owner: SARA ORR
Address: 1356 LA WNRIDGE AVE
SPRINGFIELD OR 97477
Phone Number: 541-746-3116
I CONTRACTOR INFORMATION'
, Contractor Type
Landscape
Contractor
DUCKSWORTH LANDSCAPE
License
]2795
Expiration Date
08/3112007
Phone
, 54] -345-5408
BUILDING INFORMATION'
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
~gJYedI Bhilding:
^TT""lTlnN: Oreqon law re - . . ''''''\'
follo~! rules adoPteapj~v.lit,QffMBftlOlm-ORMA TION ,
Notification Center, T UAtdO<.!JJ,.
, in OAR 952-001-001~ throu,gh fth rules by
Front yard Setback: 0090, You may obtalO COP'~S8v.'il~~€i
Side] Setback: callin, 9 the center. (No~"~'~I~tII~Q,I'IRqd:
Side 2 Setback: number for the, Oregon I~~?~ . Drive Rqd;
Rearyard Setback: Center IS 1-800-33 70 of ot Coverage:
Solar Setbacks:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VB
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
NOTICE: DOwnU1.9A!f{gwiWlE WORK
THIS PERMIT SHALL t}l.t'
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
t!.:\' ~32 r: W Dl=Rlnn
I Valuation Description ,
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I on
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 Snrcharge
Backnow Device
Minimnm/Adjnstment Plnmbing
+ 10% Administrative Fee
+ 5% Technology Fee
Renew Plumbing Permit
Amonnt Paid
$4,50
$2.25
$3,60
$14,00
$31.00
$5.00
$2,50
$50,00
Total Amount Paid
$1l2,85
Total Value of Project
Fees Paid I
Date Paid
6/15107
6115/07
6/15/07
6/15/07
6/15/07
1/24/08
1/24/08
1/24/08
I Plan Reviews I
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00882
ISSUED: 06115/2007
APPLIED: 06/15/2007
EXPIRES: 12/15/2007
VALUE:
Receipt Number
2200700000000000966
2200700000000000966
2200700000000000966
2200700000000000966
2200700000000000966
2200800000000000102
2200800000000000102
2200800000000000102
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 Reollired Insnections ,
,
Backnow Device: Prior to covering and provide a copy of the test report on site at the time of inspection,
By signatnre, 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 aud employees who are in compliance with ORS 701.005 will be used on this project,
I further agree to ensnre lhat 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.
//~~
Owner or Contractors Signature
Paee 2 of2
/- 2. '1'- O"r
Date
225 Fifth Street
Springfield; Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00882
COM2007-00882
COM2007-00882
Payments:
Type of Payment
CreditCard
cReccipll
RECEIPT #:
Description
Renew Plumbing Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
PHIL DUCKWORTH
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000102
Date: 01/2412008
II :22:50AM
Amount Due
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
50.00
2.50
5.00
$57,50
Amount Paid
DJB
0024255 In Person
Payment Total:
$57,50
$57,50
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