HomeMy WebLinkAboutPermit Plumbing 2006-7-28
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00947
ISSUED: 07/28/2006
APPLIED: 07/28/2006
EXPIRES: 01/28/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PROJECT DESCRIPTION: Backtlow device
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Eugene TYPE OFtW0RK:,Backtlow Device
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I CONTRA0TOR INFORMATION I
SITE ADDRESS: 4660 FRANKLIN BLVD
ASSESSOR'S PARCEL NO,: 1803031102100
Owner: TWIN TOTEM MHP
Address: 4660 FRANKLIN BLVD
EUGENE OR 97403
Contractor Type
Landscape
Contractor
A & K LANDSCAPING LLC
License
8146
Expiration Date
10/31/2006
Phone
541.746-3271
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 Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapp~d:
... 'N~ -(
Compact',\.() \
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Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction :
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
__11 f OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00947
ISSUED: 07/28/2006
APPLIED: 07/28/2006
EXPIRES: 01/28/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.Fp,p,s POIirl I
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Backtlow Device
Minimum/Adjustment Plumbing
Amount Paid Date Paid Receipt Number
$4,50 7/28/06 1200600000000001153
$3,60 7/28/06 1200600000000001153
$14.00 7/28/06 1200600000000001153
$31.00 7/28/06 1200600000000001153
Total Amount Paid
$53.10
I Plan Reviews ,
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.
I Reouirp,d Insnp,ctinns I
Backtlow 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 examiued 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 iu accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, aud
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Buildiug Safety,
1 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 eusure 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.
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Owner or Contractors Signature
Date
Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541"126-3759 Phone
."
Job/Journal Number
COM2006-00947
COM2006-00947
COM2006-00947
COM2006-00947
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
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Wit'. . '
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Ca'lf Springfield Official Receipt
~opment Services Department
Public Works Department
1200600000000001153
Date: 07/28/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Backtlow Device
Minimum/Adjustment Plumbing
Paid By
A&K LANDSCAPING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 344 In Person
Payment Total:
Page I of 1
8:25:43AM
Amount Due
3.60
4.50
14.00
31.00
$53.10
Amount Paid
$53.10
$53,10
7/28/2006