HomeMy WebLinkAboutPermit Plumbing 2006-7-24
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1072 Diamond ST
ASSESSOR'S PARCEL NO.: 1703342102900
..
.' CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006~00929
ISSUED: 07/24/2006
APPLIED: 07/24/2006
EXPIRES: 01/24/2007
VALUE:
Springfield TYPE OF WORK: Backnow Device
PROJECT DESCRIPTION: Install backnow device
TYPE OF USE: New
Residential
Contractor, License 'itJpiration Date
SCHELSKYS LANDSCAPE AND I~RI.9A1\"wlr~1~res '1~~;I'hl 08/31/2006
I muruJj'j~i3"'Nj;\QRMA'lJ'iON'I'{"~arve"s~t lort"
,1/ (JII 1 ,"urrii 5 .
10110,," ..' no,"" ".. - 952-00 ,.
. mnter, \1 Op.f\
Notili"l(/~o I :.0010 t\1roUg I tM rulesJl;dJ Size:
in OIR'ef/lil't. tl)'{j\W,ffCOples 0 lepnoM<! Ft 1st FIDDr:
009(f.Yfie\bfllWa~ter, tNote: tM te tilicati~~ Ft 2nd Floor:
cM'~tyt~p(: Oregon Utilit'/ No Sq Ft Basement:
n&/ll!gt 1:y'~e. 1.800-332-2344). Sq Ft GaragelCarport
Energ~ellilir IS Sq Ft Other:
Sprinkled Building: nla Occupant Load:
Owner: HERSCH JENKINS
Address: 1072 DIAMOND ST
SPRINGFIELD OR 97477
Contractor Type
Landscape
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
PhDne Number: 541-521-1479
I LV" 1 KACTOR INFORMATION I
Phone
541-744-7135
VN
I DEVELOPMENT INFORMA nON I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
liQn!(~~ut'ID.lal'nsL EXPIRE IF 1\'1EI~ONRO\\1
1\'118 Pt"rt\VIIl ,) , ,~ PERM\1 "
MHHOR\ZEO UONRD~: ;~~~DONEO FOR
COMMENCED
~NY 180 Df\.Y PERIOD.
I Valuation Descrintion I.
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
. CITY OF ~rKll"'ll.t<l~LD '
Building/Combination Permit
PERMIT NO: COM2006-00929
ISSUED: 07/24/2006
APPLIED: 07/24/2006
EXPIRES: 01/24/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769InspectiDn Line
Total Value of Project
1.."..... P"id I
Fee Description
+ 10% Administrative Fee'
+ 8% State Surcharge
Backflow Device
Minimum/Adjustmeut Plumbing
Amount Paid
Date Paid
$4,50
$3.60
$14,00
$31.00
7/24/06
7/24/06
7/24/06
7/24/06
Receipt Number
1200600000000001133
1200600000000001133
1200600000000001133
1200600000000001133
Total Amount Paid
$53.10
I 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.
~..dln.n~
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 Df Springfield and the Laws of the State of Oregon pertaining to the wDrk described herein, and
that NO OCCUPANCY will be made of any structure without permissiDn of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used Dn this project,
1 further agree to ensure that all required inspections are requested at the proper time, that each address is ~eadable 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
time~o=ion~ 7/v'1-(0 {)
'---" ~ ----- ./
Owner or Contractors Signature L--"
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726":3759 Phone
.ii~
~ of Springfield Official Receipt
_Iopment Services Department
Public Works Department
RECEIPT #:
1200600000000001133
Date: 07/24/2006
I: II :53PM
, Paid By
SCHELSKYS LANDSCAPE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 514211 In Person
Payment TDtal:
Amount Due
14.00
31.00
3,60
4,50
$53,10
Job/Journal Number
COM2006-00929
COM2006-00929
COM2006-00929
COM2006-00929
Description
BackflDw Device
Minimum/Adjustment Plumbing
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
CreditCard
Amount Paid
$53,10
$53.10
cReceintl
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