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Home My WebLink AboutPermit Plumbing 2008-2-5 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00166 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: 301 S ST 1 ASSESSOR'S PARCEL NO.: 1703262403407 Springfield TYPE OF WORK: Backflow Device TYPE OF USE: New Commercial PROJECT DESCRIPTION: Owner: CHRIST F AMIL Y TRUST Address: 22012 GROVE CIR RED BLUFF CA 96080 I CONTRACTOR INFORMATION I Contractor Type Landscape Contractor KURTIS M TARPENNING 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 [ DEVELOPMENT INFORMATION I Frontyard 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' Sidewalk Type: I to ATTENTION: Oregon law requ res you. . Storm Sewer Available: f II ruleJ>8M'cY~009~mI@regon Utility Special Instruction: N~t~i~atlOn Center. Those rules are set forth " in OAR 952-001-0010 through OAR 952-001- . W 1\-\t \NOR 0090. You may obtain copies of the rules by M\f\1\\CE. _ ~jl\\ \ t~J)\R~rnJIl\\1 \S N01 "l:lllinn tpe center. ~Note: the tele~ho~~ , \-\\S pE\-\NII \ ,I DER 1\1\~ r ,(~~n \"0(\ nUllber for the oregon Ullmy ,~vuf,,,...l....;\ \" Ul\-\OR\ZED UN \S ,.,S,.,ND\jI\V1l1uation Description Center is 1-800-332-2344). p., ENCED OR Descriptl'on COM~Q n,r,)j D~R\Ot?' $ Per Sq Ft Square Footage V I 1\1\1'\I"ftl",w~'oils'fruclon 1'1' B'dA aue f"\1~ \ or mu tIp ler or I mount Street Improvements: Notes: Date Calculated Page 1 of 2 Status Iss u ed CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00166 ISSUED: 02/0512008 APPLIED: 02/0512008 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 LFees 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 2/5/08 3200800000000000081 $6.00 2/5/08 3200800000000000081 $2.50 2/5/08 3200800000000000081 $16.00 2/5/08 3200800000000000081 $34.00 2/5/08 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. ~TReouired Insoections 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 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. ~/?;,A" ~~7p'~/9-" ,/'-;2 -S--o r v . ~ ,1 . /0/' Owner or Contractors ignature ~ Date Pa!!:e 2 of2 ~ o .~ ~ ro U Assessors Mar .~ ,......1 l\\MM~., \ ~ n ? + k ~ p_; Own6J)' t.. \"~-\- . \~OC'\, \~ Ie: ;30 aA'\1Y\i",r hg . 31 Address 7d. f7 cetJ+f?/J/>/d L.o~c:J ~~onp 037-/099 ~ 'I City C; 1 C e.xv Statp ()'R-. ZIp q 7 ~d/ -2'157 J I ~ ~ .~ S ~ Q) ~ (j) () . ,.....( > Cl) a ~ o o ?""""i ~ o (j) ;>- Q) ~ ~ ~ o f.'" .1...1 ,....~ () ~ P1 ~ ~i. r'" ;;"1,,,, v",: 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FA-'\., (541)726-3689 ///11 y-- _ '() / /~ r..., City Job Number LJU rn ') fn) 0 0 C{/ y" Job Location ,~Ol S S-\ cCprl,'\c\.~i e.lL, CI<. \ 0' ' . Tax Lot BACKFLO\\' PERMIT IS $52.65 (includes Permit Fee~ State Surcharge & Administrative Fcc) Contractor Information Contractor E Me-raid lp.w\"\~~f~~f'(lJ+i{l~ Addres~ } 1/1 7'-1 I), l1 f\ Z{)"'x) 0.. ~+. ku.,: ICLc-(j'o ,",cli.Aj Phonp '7:J... 9 7 C::, 8' 3 Zip 97yCJCj Expires / ~/ 3// Off Statp n K LC"t3~ ILl ~34 ontractors RegIstration # By sIgmng this penmt/applicatIOn, I agree to call for an inspection once the backflow prevention devIse has been mstalled and is vIsible for mspection (726-3769) I also state that all mformatIOn on tills penmt/apphcation IS conect. Signatur~~/-.~R1/;Y Datp /-/'/-02 For Office Use Date of Application d / 5/0 ~ ~ ~ Checked for HIstorical Status Checked for Delinquencie.;: Shared Dnve (T )/Bulldmg Fonlls/Bad.flow PrevenlJOnl,Ol 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 COM2008-00 167 COM2008-00 167 COM2008-00 167 COM2008-00167 COM2008-00 167 COM2008-00 166 COM2008-00 166 COM2008-00 166 COM2008-00 166 COM2008-00 166 Payments: Type of Payment Check cRecelOt I RECEIPT #: 3200800000000000081 Date: 02/05/2008 DescrIptIOn Backflow DevIce MInImum! Adjustment PlumbIng + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Backflow DevIce MID1mum! 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 1 of 1 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