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HomeMy WebLinkAboutPermit Plumbing 2005-9-13 'to . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2698 GARSON LN ASSESSOR'S PARCEL NO.: 1703361109901 . \...11 i' uF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01251 ISSUED: 09/1312005 APPLIED: 09/13/2005 EXPIRES: 03/1312006 VALUE: Springfield TYPE OF WORK: Backflow Device TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Backflow installation. ,'- ,'I CONTRACTOR INFORMATION I '. ,v ;.\-\J . Contractor.; ,0" .)0' MEDALLION LANDSCAPE SERVICE INC '" , ,,,. '::Jv' .' {'v--<:" :, # of Units: ,'v'- Primary Occupancy Group:J~ Secondary Occupancy,Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Owner: ADSIT CHRISTOPHER B Address: Z8465 SIESTA LN EUGENE OR 97402 , . Contractor Type Landscape Frontyard Setback: Side I Setback: ,. Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction " ,.... '\<" -- '.:~' .'\ _,\'\v ,:.... \\- -r2.q.'l~g/w License 7118 Expiration Date 02/28/2006 Phone 541-933-2745 I BUILDING INFORMATION I ,0 -4,0~ ~~-4, K' # of Stories: ,j.\e'" ~ -S ~ ,o~ ,. Lot Size: Height of Structur~01 ~e~O\e ",e ~p() 'Q~q Ft 1st Floor: Type of Heat: \7>~ K'e 0 s'1> 'S- oJ; ~eS 'Sq Ft 2nd Floor: Water T~l1e~'J' '0-4,'1 e \~e O'?' K'e \~ K'O~'S.!!Jt Basement: Ranl!e.1'Ype:~o.<'(\os ,if 0' 'I e"e~. riSq Fl Garage/Carport ~~. ,r') '\ ,!--O '0~ ~ .~\V Energy Path:\. (\\5' ", ,'(\e _'0"" Sq Ft Other: \,\; Co v \It(': .'...., rQY ." .\..... ~ ,\<..Spr~liIed~BuiljlDg\" v O,e' . ~!a 1>1);,' Occupant Load: ..'\ _,~ ^v .....~' __,'0. I~ ,\,\'\ n~ I DEVELOPMENUNFORMATION,-, ","v O'?-' ",0" e- e- "u' ." [\. 0.\5' ~'S' \s 'iiverla~'Dist:'O ~e\ ~J ....',.~ "",'0' -9<:' # Stree~1rees Rtjd: Paved 'Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspontslDrains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 . . \...11:r' OF ~rKll'\jld<lJi.LJJ Building/Combination Permit PERMIT NO: COM2005-01251 ISSUED: 09/13/2005 APPLIED: 09/13/2005 EXPIRES: 03/13/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L.Ff'f'~ P9W , Fee Description + 10% Administrative Fee + 7% State Surcharge Backflow Device Minimum/Adjustment Plumbing Amonnt Paid Date Paid Receipt Number $4.50 $3.15 $14.00 $31.00 9/13/05 9/13/05 9/13/05 9/13/05 . . 2200500000000001257 2200500000000001257 2200500000000001257 2200500000000001257 Total Amount Paid $52.65 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. ~~~tinn~ 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 trne and correct, and I further certify that any and aU 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, Bnilding Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I further agree to ensnre 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 ofthe property, and the approved set of plans will remain on the site at all times dnring construction. X_ f? y - ~ r - 13 - os- Owner or Contractors Signature Date Paee 2 of2 ~, 225 Fifth Street . / Sprfngfield, Oregon 97477 i 541-726-3759 Phone Job/Journal Number COM2005-01251 COM2005-0 1251 COM2005-01251 COM2005-0 1251 Payments: Type of Payment CreditCard ;1, . .' 'I. .' 9/13/2005 . RECEIPT #: 8.....~..~~."," ,r wr., I , . --"'----,- " .ity of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000001257 Date: 09/13/2005 Description Backflow Device Minimum! Adjustment Plumbing + 7% State Surcharge + 10% Administrative Fee Paid By KENNETH R CORNELIUS Item Total: Check Number Authorization Received By Batcb Nnmber Number How Received jmp 066004 In Person Payment Total: Page I of I 9:30:35AM Amount Due 14,00 31.00 3,15 4.50 $52.65 Amount Paid $52,65 $52.65