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Home My WebLink AboutPermit Plumbing 2008-2-5 Status Issued CITY OF SPRINGf11ELD Building/Combination Permit PERMIT NO: COM2008-00167 ISSUED: 02/05/2008 APPLIED: 02/05/2008 EXPIRES: 08/05/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 303 S ST 1 ASSESSOR'S PARCEL NO.: 1703262403407 Springfield TYPE OF WORK: Backflow Device TYPE OF USE: New Residential PROJECT DESCRIPTION: Owner: CHRIST F AMIL Y TRUST Address: 22012 GROVE CIR RED BLUFF CA 96080 I CONTRACTOR INFORMATION' Contractor Type Landscape Contractor KURTIS M T ARPENNING License 14834 Expiration Date 12/31/2008 Phone 541-688-7432 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 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: Downspouts/Drains: Sp~~iitl Instruction: \<:1"1 rp0' :jres you to ii"~ OnCE: ATTENTlON: oreCjo~l, ""\"801890\1 'J,My Notes:S PERMIT SHALL EXPIRE IF THE WORK follOW ru~e3 ad?pt\hDJs~~u\es are seU~~~ ~,IITHnRI7I:n J Ifll 1"'\ cn TI'Ir: .............. ;. NotIfication ~:~t~~1 n throuqh ot'\R 95~~~ '''1 , - "-,-'1 ;'iUIL"jildfl':>'~I" . P-.K':;/O'--v.... - \eSU\lIlv'~- A~~;~EONg~~ ~ERR'S ABANDONED FO V~luation Descri ti~ ..YOu:~e~~:~\nl~~fe: t~etel~f~~~~n 100. aIling t e h Oregon UtIlity No \ , $ Per Sq Ft Square~~~ for t e. 1..B1'\0-332-2344). Description Type of Construction B'd A r.enter IS\\"lTIue Date Calculated or multiplier or I mount'" Pae:e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00167 ISSUED: 02/05/2008 APPLIED: 02/05/2008 EXPIRES: 08/05/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Backflow Device Minimum/Adjustment Plumbing Amount Paid Date Paid Receipt Number $5.00 $6.00 $2.50 $16,00 $34.00 2/5/08 2/5/08 2/5/08 2/5/08 2/5/08 3200800000000000081 3200800000000000081 3200800000000000081 3200800000000000081 3200800000000000081 Total Amount Paid $63.50 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 Reauired Insnections I Backflow Device: Prior to covering and provide a copy of the test report on site at the time of mspection, 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 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. ~/?lA' \~(~JM~;r ~-5-0 S dwner or contractorS~ignaturV Date Pal!e 2 of 2 r ~ o .~ ~ Job LocatIOn c:\j U Assessors Mar .~ 'r I~~~r~ ~~ri~,", ar~40r-.. fr()QJU'~~e,s "....., J l~ ~I Address 7:;1.1\ ('.JI~~\'\('I1 n i Lmf Sff~. ~ ~ Cit, 7J oJ(- ~ M, 0_ Statp n R. .~ S ~ Q.) ~ Contractor Information (j) U · > AddressJ ~ 74 I11fl J'{\ 2/VY\tt..--.- Q.) C' r\ City C 1 ~ ('At JL ~ State_O ~ ~' LanJ5~ .c:(}3B~Ubu Contractors Registration # US:#: /~Y3<y ~ ' o o~ --+-J ~ (j) > ~ SIgnaturp ~ ~ o t.......,1 6;2/oS/(j 6" !' ,-j Date of ApplIcatIOn I I ~ '''''u Checked for Delinquencit"<:: ro ~ 225 FIfTH STREET. SPRINGm:LD, OR 97477 . PH (541)726-3753 . FA.'Z. (541)726-3689 //) d'l . > __ ()O J~ 7 City Job Number_'-U1J1 2/JV 0- s+. SJ\'~ f\C\ ~; etl . ()/0 ~ ~ \ ' , Tax Lot 30::3 s Phonf' <.vn (\, i 5(,~U. &<6 7~/off ZIp 97fLtJ/-d.'T57 BACKFLO\Y PERMIT IS 552,65 (includes Permit Fce, State Surcharge & Adminhtrativc Fee) Contractor ;:mr/'aYk/Jf/~ /(esltJf'a:f/01\.. \', ...t 0fl ' k u.-rf /ar;iOP4Jr1 ~ Phone 7~9-708'.3 Zip 979'tJ9" ExpIres 1;2./3//0~ By sIgnmg this permit/applicatIOn, I agree to call for an mspectIOn once the backflow preventIon devIse has been mstalled and IS vlSlble for mspection (726-3769). I also state that all mformatIOn on thIS pemutlapplicatIon IS correct. ~J-,jOAfU/l~& Datf' / -/'1-0 g- For Office Use ~ ~ Checked for Histoncal Status Shared Dnve (T )/BUlldmg Fonns/BacUlow PreventIOn 1-03 doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00J67 COM2008-00 167 COM2008-00167 COM2008-00 J 67 COM2008-00167 COM2008-00166 COM2008-00166 COM2008-00 166 CO M200 8-00 166 COM2008-00166 Payments: Type of Payment Check cRecemll RECEIPT #: 3200800000000000081 Date: 02/05/2008 DeSCriptIOn Backflow DeVIce MInImum! Adjustment Plumbmg + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Backflow DeVIce MinImum! Adjustment Plumbmg + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By KURT M TARPENNING Item Total. Check Number AuthorizatIOn Received By Batch Number Number How ReceIVed 3485 In Person Payment Total: nJm Page I of I 12:07:56PM Amount Due 1600 3400 250 600 500 1600 3400 250 600 500 $127.00 Amount Paid $12700 $127.00 2/5/2008